MII IG Befunde bildgebender Verfahren DE v2025
MII-Initiative

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.

NameStatusVersionCanonicalBasis
MII_PR_Bildgebung_Bildgebungsstudieactive2025.0.1https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudiehttp://hl7.org/fhir/StructureDefinition/ImagingStudy

Inhalt

idS Σ0..1string
id0..1string
extensionI0..*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
bildgebungsgrundI0..1Extension(string)
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
statusS Σ ?!1..1codeBinding
modalityS Σ0..*CodingBinding
subjectS Σ1..1Reference(Patient)
encounterS Σ0..1Reference(Encounter)
startedS Σ0..1dateTime
basedOnS Σ0..*Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)
referrerΣ0..1Reference(Practitioner | PractitionerRole)
interpreterΣ0..*Reference(Practitioner | PractitionerRole)
endpointS Σ0..*Reference(Endpoint)
numberOfSeriesS Σ0..1unsignedInt
numberOfInstancesS Σ0..1unsignedInt
procedureReferenceS Σ0..1Reference(Procedure)
procedureCodeΣ0..*CodeableConceptBinding
locationΣ0..1Reference(Location)
reasonCodeΣ0..*CodeableConcept
reasonReferenceS Σ0..*Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference)
noteΣ0..*Annotation
descriptionS Σ0..1string
id0..1string
modalitätCTI0..1Extension(Complex)
modalitätMG_CR_DXI0..1Extension(Complex)
modalitätMRI0..1Extension(Complex)
modalitätPTI0..1Extension(Complex)
modalitätNMI0..1Extension(Complex)
kontrastmittelI0..1Extension(Complex)
modifierExtensionΣ ?! I0..*Extension
uidS Σ1..1id
numberS Σ0..1unsignedInt
modalityS Σ1..1CodingBinding
descriptionS Σ0..1string
numberOfInstancesS Σ0..1unsignedInt
endpointΣ0..*Reference(Endpoint)
bodySiteS Σ0..1CodingBinding
lateralityS Σ0..1CodingBinding
specimenΣ0..*Reference(Specimen)
startedS Σ0..1dateTime
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
functionΣ0..1CodeableConceptBinding
actorS Σ1..1Reference(MII_PR_Bildgebung_Geraet)
id0..1string
InstanceDetailsI0..1Extension(Complex)
modifierExtensionΣ ?! I0..*Extension
uidS1..1id
sopClassS1..1CodingBinding
numberS0..1unsignedInt
title0..1string

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

FeldnameKurzbeschreibung
ImagingStudy.id
ImagingStudy.meta
ImagingStudy.meta.source
ImagingStudy.meta.profile
ImagingStudy.statusStatus
ImagingStudy.modalityModalität
ImagingStudy.subjectPerson
ImagingStudy.encounterVersorgungsstellenkontakt
ImagingStudy.startedStartzeit
ImagingStudy.basedOnBasiert auf
ImagingStudy.endpointEndpunkt
ImagingStudy.numberOfSeriesSerienanzahl
ImagingStudy.numberOfInstancesInstanzanzahl
ImagingStudy.procedureReferenceBildgebungsprozedur
ImagingStudy.reasonReferenceBildgebungsgrund
ImagingStudy.descriptionStudienbeschreibung
ImagingStudy.seriesSerienebene
ImagingStudy.series.uidSerienUID
ImagingStudy.series.numberNummer
ImagingStudy.series.modalityModalität
ImagingStudy.series.descriptionSerienbeschreibung
ImagingStudy.series.numberOfInstancesInstanzanzahl
ImagingStudy.series.bodySiteAnatomie
ImagingStudy.series.lateralityLateralität
ImagingStudy.series.startedStartzeit
ImagingStudy.series.performerDurchführender
ImagingStudy.series.performer.actor
ImagingStudy.series.instanceInstanzebene
ImagingStudy.series.instance.uidInstanz UID
ImagingStudy.series.instance.sopClassSOP Klasse
ImagingStudy.series.instance.numberInstanznummer
<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-bildgebung-bildgebungsstudie" />
    <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-bildgebungsstudie" />
    <version value="2025.0.1" />
    <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="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Bildgebungsstudie" />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="imaging study" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <date value="2025-03-28" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <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="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Beschreibt die Bildgebungsstudie zum passenden Befundbericht" />
            </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 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" />
    <snapshot>
        <element id="ImagingStudy">
            <path value="ImagingStudy" />
            <short value="A set of images produced in single study (one or more series of references images)" />
            <definition value="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." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy" />
                <min value="0" />
                <max value="*" />
            </base>
            <constraint>
                <key value="dom-2" />
                <severity value="error" />
                <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
                <expression value="contained.contained.empty()" />
                <xpath value="not(parent::f:contained and f:contained)" />
                <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
            </constraint>
            <constraint>
                <key value="dom-3" />
                <severity value="error" />
                <human value="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" />
                <expression value="contained.where(((&#39;#&#39;+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = &#39;#&#39;).exists() or descendants().where(as(canonical) = &#39;#&#39;).exists() or descendants().where(as(canonical) = &#39;#&#39;).exists()).not()).trace(&#39;unmatched&#39;, id).empty()" />
                <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat(&#39;#&#39;, $contained/*/id/@value) or descendant::f:reference[@value=&#39;#&#39;])]))" />
                <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
            </constraint>
            <constraint>
                <key value="dom-4" />
                <severity value="error" />
                <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
                <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
                <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
                <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
            </constraint>
            <constraint>
                <key value="dom-5" />
                <severity value="error" />
                <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
                <expression value="contained.meta.security.empty()" />
                <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
                <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
            </constraint>
            <constraint>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
                    <valueBoolean value="true" />
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
                    <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
                </extension>
                <key value="dom-6" />
                <severity value="warning" />
                <human value="A resource should have narrative for robust management" />
                <expression value="text.`div`.exists()" />
                <xpath value="exists(f:text/h:div)" />
                <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="Entity. Role, or Act" />
            </mapping>
            <mapping>
                <identity value="workflow" />
                <map value="Event" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="Act[classCode=COMPOSITION, moodCode=EVN]" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="Reference IHE radiology TF vol 2 table 4.14-1" />
            </mapping>
        </element>
        <element id="ImagingStudy.id">
            <path value="ImagingStudy.id" />
            <short value="Logical id of this artifact" />
            <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
            <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Resource.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
        </element>
        <element id="ImagingStudy.meta">
            <path value="ImagingStudy.meta" />
            <short value="Metadata about the resource" />
            <definition value="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." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Resource.meta" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Meta" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
        </element>
        <element id="ImagingStudy.meta.id">
            <path value="ImagingStudy.meta.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="ImagingStudy.meta.extension">
            <path value="ImagingStudy.meta.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <description value="Extensions are always sliced by (at least) url" />
                <rules value="open" />
            </slicing>
            <short value="Additional content defined by implementations" />
            <definition value="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." />
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="ImagingStudy.meta.versionId">
            <path value="ImagingStudy.meta.versionId" />
            <short value="Version specific identifier" />
            <definition value="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." />
            <comment value="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." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Meta.versionId" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="id" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
        </element>
        <element id="ImagingStudy.meta.lastUpdated">
            <path value="ImagingStudy.meta.lastUpdated" />
            <short value="When the resource version last changed" />
            <definition value="When the resource last changed - e.g. when the version changed." />
            <comment value="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](http.html#read) interaction." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Meta.lastUpdated" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="instant" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
        </element>
        <element id="ImagingStudy.meta.source">
            <path value="ImagingStudy.meta.source" />
            <short value="Identifies where the resource comes from" />
            <definition value="A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) 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." />
            <comment value="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. \n\nThis 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." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Meta.source" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="uri" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
        </element>
        <element id="ImagingStudy.meta.profile">
            <path value="ImagingStudy.meta.profile" />
            <short value="Profiles this resource claims to conform to" />
            <definition value="A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url)." />
            <comment value="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." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="Meta.profile" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="canonical" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
        </element>
        <element id="ImagingStudy.meta.security">
            <path value="ImagingStudy.meta.security" />
            <short value="Security Labels applied to this resource" />
            <definition value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." />
            <comment value="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." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="Meta.security" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Coding" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="SecurityLabels" />
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
                    <valueBoolean value="true" />
                </extension>
                <strength value="extensible" />
                <description value="Security Labels from the Healthcare Privacy and Security Classification System." />
                <valueSet value="http://hl7.org/fhir/ValueSet/security-labels" />
            </binding>
        </element>
        <element id="ImagingStudy.meta.tag">
            <path value="ImagingStudy.meta.tag" />
            <short value="Tags applied to this resource" />
            <definition value="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." />
            <comment value="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." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="Meta.tag" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Coding" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="Tags" />
                </extension>
                <strength value="example" />
                <description value="Codes that represent various types of tags, commonly workflow-related; e.g. &quot;Needs review by Dr. Jones&quot;." />
                <valueSet value="http://hl7.org/fhir/ValueSet/common-tags" />
            </binding>
        </element>
        <element id="ImagingStudy.implicitRules">
            <path value="ImagingStudy.implicitRules" />
            <short value="A set of rules under which this content was created" />
            <definition value="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." />
            <comment value="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&#39;s narrative along with other profiles, value sets, etc." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Resource.implicitRules" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="uri" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="true" />
            <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&#39;s meaning or interpretation" />
            <isSummary value="true" />
        </element>
        <element id="ImagingStudy.language">
            <path value="ImagingStudy.language" />
            <short value="Language of the resource content" />
            <definition value="The base language in which the resource is written." />
            <comment value="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)." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Resource.language" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="code" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
                    <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" />
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="Language" />
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
                    <valueBoolean value="true" />
                </extension>
                <strength value="preferred" />
                <description value="A human language." />
                <valueSet value="http://hl7.org/fhir/ValueSet/languages" />
            </binding>
        </element>
        <element id="ImagingStudy.text">
            <path value="ImagingStudy.text" />
            <short value="Text summary of the resource, for human interpretation" />
            <definition value="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 &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
            <comment value="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 &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later." />
            <alias value="narrative" />
            <alias value="html" />
            <alias value="xhtml" />
            <alias value="display" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="DomainResource.text" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Narrative" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="Act.text?" />
            </mapping>
        </element>
        <element id="ImagingStudy.contained">
            <path value="ImagingStudy.contained" />
            <short value="Contained, inline Resources" />
            <definition value="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." />
            <comment value="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." />
            <alias value="inline resources" />
            <alias value="anonymous resources" />
            <alias value="contained resources" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="DomainResource.contained" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Resource" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </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>
            <short value="Additional content defined by implementations" />
            <definition value="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." />
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="DomainResource.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.extension:bildgebungsgrund">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
                <valueCode value="normative" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
                <valueCode value="4.0.0" />
            </extension>
            <path value="ImagingStudy.extension" />
            <sliceName value="bildgebungsgrund" />
            <short value="Bildgebungsgrund">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsgrund" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="imaging reason" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsgrund aus DICOM-Header">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsgrund aus DICOM-Header" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="reason for imaging from the DICOM-Header" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="DomainResource.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="ImagingStudy.modifierExtension">
            <path value="ImagingStudy.modifierExtension" />
            <short value="Extensions that cannot be ignored" />
            <definition value="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&#39;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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
            <comment value="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." />
            <requirements value="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](extensibility.html#modifierExtension)." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="DomainResource.modifierExtension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="true" />
            <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.identifier">
            <path value="ImagingStudy.identifier" />
            <short value="Identifiers for the whole study" />
            <definition value="Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number." />
            <comment value="See discussion under [Imaging Study Implementation Notes](imagingstudy.html#notes) for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type." />
            <requirements value="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](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html)." />
            <alias value="StudyInstanceUID" />
            <alias value="AccessionNumber" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.identifier" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Identifier" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.identifier" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.identifier" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)" />
            </mapping>
        </element>
        <element id="ImagingStudy.status">
            <path value="ImagingStudy.status" />
            <short value="Status">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Status" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="status" />
                    </extension>
                </extension>
            </short>
            <definition value="Angemeldet | Verf&#252;gbar | Abgebrochen | fehlerhafte Eingabe | Unbekannt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Angemeldet | Verf&#252;gbar | Abgebrochen | fehlerhafte Eingabe | Unbekannt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="registered | available | cancelled | entered-in-error | unknown" />
                    </extension>
                </extension>
            </definition>
            <comment value="Unknown does not represent &quot;other&quot; - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.status" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="code" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="true" />
            <isModifierReason value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="ImagingStudyStatus" />
                </extension>
                <strength value="required" />
                <description value="The status of the ImagingStudy." />
                <valueSet value="http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1" />
            </binding>
            <mapping>
                <identity value="workflow" />
                <map value="Event.status" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.status" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="Varies by domain" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".status" />
            </mapping>
        </element>
        <element id="ImagingStudy.modality">
            <path value="ImagingStudy.modality" />
            <short value="Modalit&#228;t">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality" />
                    </extension>
                </extension>
            </short>
            <definition value="Modalit&#228;t der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality of the study" />
                    </extension>
                </extension>
            </definition>
            <alias value="ModalitiesInStudy" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.modality" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Coding" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="ImagingModality" />
                </extension>
                <strength value="required" />
                <description value="Type of acquired data in the instance." />
                <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html" />
            </binding>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.class" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".code" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,0061)" />
            </mapping>
        </element>
        <element id="ImagingStudy.subject">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
                <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html" />
            </extension>
            <path value="ImagingStudy.subject" />
            <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, auf die sich die Studie bezieht">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Person, auf die sich die Studie bezieht" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="person, which this study is about" />
                    </extension>
                </extension>
            </definition>
            <comment value="QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.subject" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.subject" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.subject[x]" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".participation[typeCode=SBJ].role" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0010/*)" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.subject" />
            </mapping>
        </element>
        <element id="ImagingStudy.encounter">
            <path value="ImagingStudy.encounter" />
            <short value="Versorgungsstellenkontakt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Versorgungsstellenkontakt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="encounter" />
                    </extension>
                </extension>
            </short>
            <definition value="Referenz auf eine Fall-Ressource">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Referenz auf eine Fall-Ressource" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="reference on the encounter-ressource" />
                    </extension>
                </extension>
            </definition>
            <comment value="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)." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.encounter" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.encounter" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.context" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" />
            </mapping>
        </element>
        <element id="ImagingStudy.started">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint">
                <valueString value="dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1" />
            </extension>
            <path value="ImagingStudy.started" />
            <short value="Startzeit">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Startzeit" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="starttime" />
                    </extension>
                </extension>
            </short>
            <definition value="Startzeit der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Startzeit der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="starttime of the study" />
                    </extension>
                </extension>
            </definition>
            <alias value="StudyDate" />
            <alias value="StudyTime" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.started" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="dateTime" />
            </type>
            <example>
                <label value="General" />
                <valueDateTime value="2011-01-01T11:01:20+03:00" />
            </example>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.occurrence[x]" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.init" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".effectiveTime" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,0020)+(0008,0030)" />
            </mapping>
        </element>
        <element id="ImagingStudy.basedOn">
            <path value="ImagingStudy.basedOn" />
            <short value="Basiert auf">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Basiert auf" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="based on" />
                    </extension>
                </extension>
            </short>
            <definition value="Basiert auf einer Anforderung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Basiert auf einer Anforderung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="based on a service request" />
                    </extension>
                </extension>
            </definition>
            <requirements value="To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT)." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.basedOn" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Appointment" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/AppointmentResponse" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Task" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.basedOn" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.cause" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0032,1064)" />
            </mapping>
        </element>
        <element id="ImagingStudy.referrer">
            <path value="ImagingStudy.referrer" />
            <short value="Referring physician" />
            <definition value="The requesting/referring physician." />
            <alias value="ReferringPhysiciansName" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.referrer" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.cause" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,0090)+(0008,0096)" />
            </mapping>
        </element>
        <element id="ImagingStudy.interpreter">
            <path value="ImagingStudy.interpreter" />
            <short value="Who interpreted images" />
            <definition value="Who read the study and interpreted the images or other content." />
            <alias value="Name of Physician(s) Reading Study" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.interpreter" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.witness" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".participation[typeCode=PRF].role" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,1060)" />
            </mapping>
        </element>
        <element id="ImagingStudy.endpoint">
            <path value="ImagingStudy.endpoint" />
            <short value="Endpunkt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Endpunkt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="endpoint" />
                    </extension>
                </extension>
            </short>
            <definition value="DICOM-Endpunkt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="DICOM-Endpunkt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="DICOM endpoint" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <requirements value="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." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.endpoint" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="Not supported" />
            </mapping>
        </element>
        <element id="ImagingStudy.numberOfSeries">
            <path value="ImagingStudy.numberOfSeries" />
            <short value="Serienanzahl">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Serienanzahl" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of series" />
                    </extension>
                </extension>
            </short>
            <definition value="Anzahl der Serien in der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Anzahl der Serien in der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of series in the study" />
                    </extension>
                </extension>
            </definition>
            <alias value="NumberOfStudyRelatedSeries" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.numberOfSeries" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="unsignedInt" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0020,1206)" />
            </mapping>
        </element>
        <element id="ImagingStudy.numberOfInstances">
            <path value="ImagingStudy.numberOfInstances" />
            <short value="Instanzanzahl">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzanzahl" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of instances" />
                    </extension>
                </extension>
            </short>
            <definition value="Anzahl der Instanzen in der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Anzahl der Instanzen in der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of instances in the study" />
                    </extension>
                </extension>
            </definition>
            <alias value="NumberOfStudyRelatedInstances" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.numberOfInstances" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="unsignedInt" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0020,1208)" />
            </mapping>
        </element>
        <element id="ImagingStudy.procedureReference">
            <path value="ImagingStudy.procedureReference" />
            <short value="Bildgebungsprozedur">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsprozedur" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="imaging procedure" />
                    </extension>
                </extension>
            </short>
            <definition value="Referenz auf die Bildgebungsprozedur">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Referenz auf die Bildgebungsprozedur" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="reference on the imaging procedure" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.procedureReference" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.partOf" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,1032)" />
            </mapping>
        </element>
        <element id="ImagingStudy.procedureCode">
            <path value="ImagingStudy.procedureCode" />
            <short value="The performed procedure code" />
            <definition value="The code for the performed procedure type." />
            <alias value="ProcedureCodeSequence" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.procedureCode" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="CodeableConcept" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="ImagingProcedureCode" />
                </extension>
                <strength value="extensible" />
                <description value="The performed procedure type." />
                <valueSet value="http://www.rsna.org/RadLex_Playbook.aspx" />
            </binding>
            <mapping>
                <identity value="workflow" />
                <map value="Event.code" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,1032)" />
            </mapping>
        </element>
        <element id="ImagingStudy.location">
            <path value="ImagingStudy.location" />
            <short value="Where ImagingStudy occurred" />
            <definition value="The principal physical location where the ImagingStudy was performed." />
            <requirements value="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)." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.location" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.location" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.where[x]" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="EVN.7" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".participation[typeCode=LOC].role" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,1040) | (0040,0243)" />
            </mapping>
        </element>
        <element id="ImagingStudy.reasonCode">
            <path value="ImagingStudy.reasonCode" />
            <short value="Why the study was requested" />
            <definition value="Description of clinical condition indicating why the ImagingStudy was requested." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.reasonCode" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="CodeableConcept" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="ImagingReason" />
                </extension>
                <strength value="example" />
                <description value="The reason for the study." />
                <valueSet value="http://hl7.org/fhir/ValueSet/procedure-reason" />
            </binding>
            <mapping>
                <identity value="workflow" />
                <map value="Event.reasonCode" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.why[x]" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".reasonCode" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0040,1002)" />
            </mapping>
        </element>
        <element id="ImagingStudy.reasonReference">
            <path value="ImagingStudy.reasonReference" />
            <short value="Bildgebungsgrund">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsgrund" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="imagingreason" />
                    </extension>
                </extension>
            </short>
            <definition value="Referenz auf den Bildgebungsgrund">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Referenz auf den Bildgebungsgrund" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="reference on the imaging reason" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.reasonReference" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.reasonReference" />
            </mapping>
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.why[x]" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="EVN.4 or by domain" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=RSON].target" />
            </mapping>
        </element>
        <element id="ImagingStudy.note">
            <path value="ImagingStudy.note" />
            <short value="User-defined comments" />
            <definition value="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." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.note" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Annotation" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.note" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="unknown" />
            </mapping>
        </element>
        <element id="ImagingStudy.description">
            <path value="ImagingStudy.description" />
            <short value="Studienbeschreibung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Studienbeschreibung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="study description" />
                    </extension>
                </extension>
            </short>
            <definition value="Beschreibung der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Beschreibung der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="description of the study" />
                    </extension>
                </extension>
            </definition>
            <alias value="StudyDescription" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.description" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value=".text" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,1030)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series">
            <path value="ImagingStudy.series" />
            <short value="Serienebene">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Serienebene" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="series level" />
                    </extension>
                </extension>
            </short>
            <definition value="einzelne Bildserie einer Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="einzelne Bildserie einer Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="single series in a study" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.series" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="BackboneElement" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.id">
            <path value="ImagingStudy.series.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </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>
            <short value="Additional content defined by implementations" />
            <definition value="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." />
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tCT">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
                <valueCode value="normative" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
                <valueCode value="4.0.0" />
            </extension>
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tCT" />
            <short value="Modalit&#228;t CT">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t CT" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality CT" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t CT">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t CT" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality CT" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tMG_CR_DX">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
                <valueCode value="normative" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
                <valueCode value="4.0.0" />
            </extension>
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tMG_CR_DX" />
            <short value="Modalit&#228;t MG CR DX">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t MG CR DX" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality MG CR DX" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t MG, CR und DX">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t MG, CR und DX" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality MG, CR and DX" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tMR">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
                <valueCode value="normative" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
                <valueCode value="4.0.0" />
            </extension>
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tMR" />
            <short value="Modalit&#228;t MR">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t MR" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality MR" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t MR">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t MR" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality MR" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tPT">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
                <valueCode value="normative" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
                <valueCode value="4.0.0" />
            </extension>
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tPT" />
            <short value="Modalit&#228;t PT">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t PT" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality PT" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t PT">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t PT" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality PT" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tNM">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
                <valueCode value="normative" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
                <valueCode value="4.0.0" />
            </extension>
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tNM" />
            <short value="Modalit&#228;t NM">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t NM" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality NM" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t NM">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t NM" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality NM" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.extension:kontrastmittel">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
                <valueCode value="normative" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
                <valueCode value="4.0.0" />
            </extension>
            <path value="ImagingStudy.series.extension" />
            <sliceName value="kontrastmittel" />
            <short value="Kontrastmittel">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontrastmittel" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="contrast medication" />
                    </extension>
                </extension>
            </short>
            <definition value="Kontrastmittelgabe">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontrastmittelgabe" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="application of contrast medication" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.modifierExtension">
            <path value="ImagingStudy.series.modifierExtension" />
            <short value="Extensions that cannot be ignored even if unrecognized" />
            <definition value="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&#39;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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
            <comment value="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." />
            <requirements value="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](extensibility.html#modifierExtension)." />
            <alias value="extensions" />
            <alias value="user content" />
            <alias value="modifiers" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="BackboneElement.modifierExtension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="true" />
            <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.uid">
            <path value="ImagingStudy.series.uid" />
            <short value="SerienUID">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SerienUID" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="series uid" />
                    </extension>
                </extension>
            </short>
            <definition value="UID einer Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="UID einer Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="uid of a series" />
                    </extension>
                </extension>
            </definition>
            <comment value="See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html)." />
            <requirements value="DICOM Series Instance UID." />
            <alias value="SeriesInstanceUID" />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.uid" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="id" />
            </type>
            <example>
                <label value="General" />
                <valueId value="2.16.124.113543.6003.2588828330.45298.17418.2723805630" />
            </example>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value=".id" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0020,000E)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.number">
            <path value="ImagingStudy.series.number" />
            <short value="Nummer">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Nummer" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number" />
                    </extension>
                </extension>
            </short>
            <definition value="Nummer der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Nummer der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of this series" />
                    </extension>
                </extension>
            </definition>
            <alias value="SeriesNumber" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.number" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="unsignedInt" />
            </type>
            <example>
                <label value="General" />
                <valueUnsignedInt value="3" />
            </example>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value=".inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0020,0011)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.modality">
            <path value="ImagingStudy.series.modality" />
            <short value="Modalit&#228;t">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality" />
                    </extension>
                </extension>
            </short>
            <definition value="Modalit&#228;t der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality of this series" />
                    </extension>
                </extension>
            </definition>
            <alias value="Modality" />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.modality" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="Coding" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="ImagingModality" />
                </extension>
                <strength value="required" />
                <description value="Type of acquired data in the instance." />
                <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html" />
            </binding>
            <mapping>
                <identity value="rim" />
                <map value=".code" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,0060)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.description">
            <path value="ImagingStudy.series.description" />
            <short value="Serienbeschreibung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Serienbeschreibung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="seriesdescription" />
                    </extension>
                </extension>
            </short>
            <definition value="Beschreibung der aktuellen Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Beschreibung der aktuellen Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="description of this series" />
                    </extension>
                </extension>
            </definition>
            <alias value="SeriesDescription" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.description" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </type>
            <example>
                <label value="General" />
                <valueString value="CT Surview 180" />
            </example>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value=".text" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,103E)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.numberOfInstances">
            <path value="ImagingStudy.series.numberOfInstances" />
            <short value="Instanzanzahl">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzanzahl" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of instances" />
                    </extension>
                </extension>
            </short>
            <definition value="Anzahl der Instanzen in der aktuellen Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Anzahl der Instanzen in der aktuellen Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of instances in this series" />
                    </extension>
                </extension>
            </definition>
            <alias value="NumberOfSeriesRelatedInstances" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.numberOfInstances" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="unsignedInt" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0020,1209)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.endpoint">
            <path value="ImagingStudy.series.endpoint" />
            <short value="Series access endpoint" />
            <definition value="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." />
            <comment value="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." />
            <requirements value="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." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.series.endpoint" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Endpoint" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="Not supported" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.bodySite">
            <path value="ImagingStudy.series.bodySite" />
            <short value="Anatomie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Anatomie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="body site" />
                    </extension>
                </extension>
            </short>
            <definition value="betrachtete Anatomie der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="betrachtete Anatomie der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="inspected body site in this series" />
                    </extension>
                </extension>
            </definition>
            <alias value="BodyPartExamined" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.bodySite" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Coding" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="BodySite" />
                </extension>
                <strength value="required" />
                <description value="Codes describing anatomical locations. May include laterality." />
                <valueSet value="http://hl7.org/fhir/ValueSet/body-site" />
            </binding>
            <mapping>
                <identity value="rim" />
                <map value=".targetSiteCode" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0018,0015)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.laterality">
            <path value="ImagingStudy.series.laterality" />
            <short value="Lateralit&#228;t">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Lateralit&#228;t" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="laterality" />
                    </extension>
                </extension>
            </short>
            <definition value="Lateralit&#228;t der betrachteten Anatomie dieser Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Lateralit&#228;t der betrachteten Anatomie dieser Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="laterality of the inspected body site in this series" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.laterality" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Coding" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="Laterality" />
                </extension>
                <strength value="required" />
                <description value="Codes describing body site laterality (left, right, etc.)." />
                <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html" />
            </binding>
            <mapping>
                <identity value="rim" />
                <map value=".targetSiteCode" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0020,0060)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.specimen">
            <path value="ImagingStudy.series.specimen" />
            <short value="Specimen imaged" />
            <definition value="The specimen imaged, e.g., for whole slide imaging of a biopsy." />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.series.specimen" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="Role[classCode=SPEC]" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0040,0551) + (0040,0562)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.started">
            <path value="ImagingStudy.series.started" />
            <short value="Startzeit">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Startzeit" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="startingtime" />
                    </extension>
                </extension>
            </short>
            <definition value="Aufnahmestartzeit der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufnahmestartzeit der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="start time of this series" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.started" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="dateTime" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value=".effectiveTime" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,0021) + (0008,0031)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.performer">
            <path value="ImagingStudy.series.performer" />
            <short value="Durchf&#252;hrender">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Durchf&#252;hrender" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="performer" />
                    </extension>
                </extension>
            </short>
            <definition value="Durchf&#252;hrender der Serie. Hier speziell das Ger&#228;t">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Durchf&#252;hrender der Serie. Hier speziell das Ger&#228;t" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="performer of this series. In this case especially a device" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <requirements value="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." />
            <alias value="PerformingPhysicianName" />
            <alias value="OperatorName" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.series.performer" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="BackboneElement" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="workflow" />
                <map value="Event.performer" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".participation[typeCode=PRF].role" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.performer.id">
            <path value="ImagingStudy.series.performer.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.performer.extension">
            <path value="ImagingStudy.series.performer.extension" />
            <short value="Additional content defined by implementations" />
            <definition value="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." />
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.performer.modifierExtension">
            <path value="ImagingStudy.series.performer.modifierExtension" />
            <short value="Extensions that cannot be ignored even if unrecognized" />
            <definition value="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&#39;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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
            <comment value="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." />
            <requirements value="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](extensibility.html#modifierExtension)." />
            <alias value="extensions" />
            <alias value="user content" />
            <alias value="modifiers" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="BackboneElement.modifierExtension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="true" />
            <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.performer.function">
            <path value="ImagingStudy.series.performer.function" />
            <short value="Type of performance" />
            <definition value="Distinguishes the type of involvement of the performer in the series." />
            <requirements value="Allows disambiguation of the types of involvement of different performers." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.performer.function" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="CodeableConcept" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="true" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="EventPerformerFunction" />
                </extension>
                <strength value="extensible" />
                <description value="The type of involvement of the performer." />
                <valueSet value="http://hl7.org/fhir/ValueSet/series-performer-function" />
            </binding>
            <mapping>
                <identity value="rim" />
                <map value=".participation[typeCode=PRF].role" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.performer.actor">
            <path value="ImagingStudy.series.performer.actor" />
            <short value="Who performed the series" />
            <definition value="Indicates who or what performed the series." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.performer.actor" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-geraet" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="true" />
            <mapping>
                <identity value="w5" />
                <map value="FiveWs.actor" />
            </mapping>
            <mapping>
                <identity value="v2" />
                <map value="EVN.5 or by domain" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.instance">
            <path value="ImagingStudy.series.instance" />
            <short value="Instanzebene">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzebene" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instancelevel" />
                    </extension>
                </extension>
            </short>
            <definition value="Instanzebene der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzebene der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instance level of this series" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="*" />
            <base>
                <path value="ImagingStudy.series.instance" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="BackboneElement" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value=".outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.instance.id">
            <path value="ImagingStudy.series.instance.id" />
            <representation value="xmlAttr" />
            <short value="Unique id for inter-element referencing" />
            <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
                    <valueUrl value="string" />
                </extension>
                <code value="http://hl7.org/fhirpath/System.String" />
            </type>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </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>
            <short value="Additional content defined by implementations" />
            <definition value="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." />
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.instance.extension:InstanceDetails">
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
                <valueCode value="normative" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
                <valueCode value="4.0.0" />
            </extension>
            <path value="ImagingStudy.series.instance.extension" />
            <sliceName value="InstanceDetails" />
            <short value="Instanzdetails">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzdetails" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instance details" />
                    </extension>
                </extension>
            </short>
            <definition value="Details der jeweilige Instanz">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details der jeweilige Instanz" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="details of the current instance" />
                    </extension>
                </extension>
            </definition>
            <comment value="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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.instance.modifierExtension">
            <path value="ImagingStudy.series.instance.modifierExtension" />
            <short value="Extensions that cannot be ignored even if unrecognized" />
            <definition value="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&#39;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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
            <comment value="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." />
            <requirements value="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](extensibility.html#modifierExtension)." />
            <alias value="extensions" />
            <alias value="user content" />
            <alias value="modifiers" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="BackboneElement.modifierExtension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])" />
                <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
            </constraint>
            <isModifier value="true" />
            <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
            <isSummary value="true" />
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.instance.uid">
            <path value="ImagingStudy.series.instance.uid" />
            <short value="Instanz UID">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanz UID" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instance uid" />
                    </extension>
                </extension>
            </short>
            <definition value="SOP Instanz UID">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SOP Instanz UID" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="sop instance uid" />
                    </extension>
                </extension>
            </definition>
            <comment value="See  [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html#sect_C.12.1)." />
            <requirements value="DICOM SOP Instance UID." />
            <alias value="SOPInstanceUID" />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.instance.uid" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="id" />
            </type>
            <example>
                <label value="General" />
                <valueId value="2.16.124.113543.6003.189642796.63084.16748.2599092903" />
            </example>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value=".id" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,0018)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.instance.sopClass">
            <path value="ImagingStudy.series.instance.sopClass" />
            <short value="SOP Klasse">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SOP Klasse" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="sop class" />
                    </extension>
                </extension>
            </short>
            <definition value="SOP Klasse">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SOP Klasse" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="sop class" />
                    </extension>
                </extension>
            </definition>
            <alias value="SOPClassUID" />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.instance.sopClass" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="Coding" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="false" />
            <binding>
                <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
                    <valueString value="sopClass" />
                </extension>
                <strength value="required" />
                <description value="The sopClass for the instance." />
                <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html" />
            </binding>
            <mapping>
                <identity value="rim" />
                <map value=".inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=&quot;sop class&quot;].value" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,0016)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.instance.number">
            <path value="ImagingStudy.series.instance.number" />
            <short value="Instanznummer">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanznummer" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instancenumber" />
                    </extension>
                </extension>
            </short>
            <definition value="Nummer der aktuellen Instanz">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Nummer der aktuellen Instanz" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of this instance" />
                    </extension>
                </extension>
            </definition>
            <alias value="InstanceNumber" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.instance.number" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="unsignedInt" />
            </type>
            <example>
                <label value="General" />
                <valueUnsignedInt value="1" />
            </example>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <mustSupport value="true" />
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value=".inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0020,0013)" />
            </mapping>
        </element>
        <element id="ImagingStudy.series.instance.title">
            <path value="ImagingStudy.series.instance.title" />
            <short value="Description of instance" />
            <definition value="The description of the instance." />
            <comment value="Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="ImagingStudy.series.instance.title" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </type>
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() or (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
                <source value="http://hl7.org/fhir/StructureDefinition/Element" />
            </constraint>
            <isModifier value="false" />
            <isSummary value="false" />
            <mapping>
                <identity value="rim" />
                <map value=".title" />
            </mapping>
            <mapping>
                <identity value="dicom" />
                <map value="(0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)" />
            </mapping>
        </element>
    </snapshot>
    <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:bildgebungsgrund">
            <path value="ImagingStudy.extension" />
            <sliceName value="bildgebungsgrund" />
            <short value="Bildgebungsgrund">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsgrund" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="imaging reason" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsgrund aus DICOM-Header">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsgrund aus DICOM-Header" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="reason for imaging from the DICOM-Header" />
                    </extension>
                </extension>
            </definition>
            <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" />
            <short value="Status">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Status" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="status" />
                    </extension>
                </extension>
            </short>
            <definition value="Angemeldet | Verf&#252;gbar | Abgebrochen | fehlerhafte Eingabe | Unbekannt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Angemeldet | Verf&#252;gbar | Abgebrochen | fehlerhafte Eingabe | Unbekannt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="registered | available | cancelled | entered-in-error | unknown" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.modality">
            <path value="ImagingStudy.modality" />
            <short value="Modalit&#228;t">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality" />
                    </extension>
                </extension>
            </short>
            <definition value="Modalit&#228;t der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality of the study" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html" />
            </binding>
        </element>
        <element id="ImagingStudy.subject">
            <path value="ImagingStudy.subject" />
            <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, auf die sich die Studie bezieht">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Person, auf die sich die Studie bezieht" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="person, which this study is about" />
                    </extension>
                </extension>
            </definition>
            <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" />
            <short value="Versorgungsstellenkontakt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Versorgungsstellenkontakt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="encounter" />
                    </extension>
                </extension>
            </short>
            <definition value="Referenz auf eine Fall-Ressource">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Referenz auf eine Fall-Ressource" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="reference on the encounter-ressource" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.started">
            <path value="ImagingStudy.started" />
            <short value="Startzeit">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Startzeit" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="starttime" />
                    </extension>
                </extension>
            </short>
            <definition value="Startzeit der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Startzeit der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="starttime of the study" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.basedOn">
            <path value="ImagingStudy.basedOn" />
            <short value="Basiert auf">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Basiert auf" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="based on" />
                    </extension>
                </extension>
            </short>
            <definition value="Basiert auf einer Anforderung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Basiert auf einer Anforderung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="based on a service request" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.endpoint">
            <path value="ImagingStudy.endpoint" />
            <short value="Endpunkt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Endpunkt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="endpoint" />
                    </extension>
                </extension>
            </short>
            <definition value="DICOM-Endpunkt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="DICOM-Endpunkt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="DICOM endpoint" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.numberOfSeries">
            <path value="ImagingStudy.numberOfSeries" />
            <short value="Serienanzahl">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Serienanzahl" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of series" />
                    </extension>
                </extension>
            </short>
            <definition value="Anzahl der Serien in der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Anzahl der Serien in der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of series in the study" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.numberOfInstances">
            <path value="ImagingStudy.numberOfInstances" />
            <short value="Instanzanzahl">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzanzahl" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of instances" />
                    </extension>
                </extension>
            </short>
            <definition value="Anzahl der Instanzen in der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Anzahl der Instanzen in der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of instances in the study" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.procedureReference">
            <path value="ImagingStudy.procedureReference" />
            <short value="Bildgebungsprozedur">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsprozedur" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="imaging procedure" />
                    </extension>
                </extension>
            </short>
            <definition value="Referenz auf die Bildgebungsprozedur">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Referenz auf die Bildgebungsprozedur" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="reference on the imaging procedure" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.reasonReference">
            <path value="ImagingStudy.reasonReference" />
            <short value="Bildgebungsgrund">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsgrund" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="imagingreason" />
                    </extension>
                </extension>
            </short>
            <definition value="Referenz auf den Bildgebungsgrund">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Referenz auf den Bildgebungsgrund" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="reference on the imaging reason" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.description">
            <path value="ImagingStudy.description" />
            <short value="Studienbeschreibung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Studienbeschreibung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="study description" />
                    </extension>
                </extension>
            </short>
            <definition value="Beschreibung der Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Beschreibung der Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="description of the study" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series">
            <path value="ImagingStudy.series" />
            <short value="Serienebene">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Serienebene" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="series level" />
                    </extension>
                </extension>
            </short>
            <definition value="einzelne Bildserie einer Studie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="einzelne Bildserie einer Studie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="single series in a study" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tCT">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tCT" />
            <short value="Modalit&#228;t CT">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t CT" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality CT" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t CT">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t CT" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality CT" />
                    </extension>
                </extension>
            </definition>
            <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" />
            <short value="Modalit&#228;t MG CR DX">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t MG CR DX" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality MG CR DX" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t MG, CR und DX">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t MG, CR und DX" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality MG, CR and DX" />
                    </extension>
                </extension>
            </definition>
            <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" />
            <short value="Modalit&#228;t MR">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t MR" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality MR" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t MR">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t MR" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality MR" />
                    </extension>
                </extension>
            </definition>
            <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">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tPT" />
            <short value="Modalit&#228;t PT">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t PT" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality PT" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t PT">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t PT" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality PT" />
                    </extension>
                </extension>
            </definition>
            <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" />
            </type>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tNM">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tNM" />
            <short value="Modalit&#228;t NM">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t NM" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality NM" />
                    </extension>
                </extension>
            </short>
            <definition value="Bildgebungsmodalit&#228;t NM">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bildgebungsmodalit&#228;t NM" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Imagingmodality NM" />
                    </extension>
                </extension>
            </definition>
            <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-nm" />
            </type>
        </element>
        <element id="ImagingStudy.series.extension:kontrastmittel">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="kontrastmittel" />
            <short value="Kontrastmittel">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontrastmittel" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="contrast medication" />
                    </extension>
                </extension>
            </short>
            <definition value="Kontrastmittelgabe">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kontrastmittelgabe" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="application of contrast medication" />
                    </extension>
                </extension>
            </definition>
            <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.uid">
            <path value="ImagingStudy.series.uid" />
            <short value="SerienUID">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SerienUID" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="series uid" />
                    </extension>
                </extension>
            </short>
            <definition value="UID einer Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="UID einer Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="uid of a series" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.number">
            <path value="ImagingStudy.series.number" />
            <short value="Nummer">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Nummer" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number" />
                    </extension>
                </extension>
            </short>
            <definition value="Nummer der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Nummer der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of this series" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.modality">
            <path value="ImagingStudy.series.modality" />
            <short value="Modalit&#228;t">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality" />
                    </extension>
                </extension>
            </short>
            <definition value="Modalit&#228;t der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Modalit&#228;t der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="modality of this series" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://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" />
            <short value="Serienbeschreibung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Serienbeschreibung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="seriesdescription" />
                    </extension>
                </extension>
            </short>
            <definition value="Beschreibung der aktuellen Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Beschreibung der aktuellen Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="description of this series" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.numberOfInstances">
            <path value="ImagingStudy.series.numberOfInstances" />
            <short value="Instanzanzahl">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzanzahl" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of instances" />
                    </extension>
                </extension>
            </short>
            <definition value="Anzahl der Instanzen in der aktuellen Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Anzahl der Instanzen in der aktuellen Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of instances in this series" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.bodySite">
            <path value="ImagingStudy.series.bodySite" />
            <short value="Anatomie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Anatomie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="body site" />
                    </extension>
                </extension>
            </short>
            <definition value="betrachtete Anatomie der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="betrachtete Anatomie der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="inspected body site in this series" />
                    </extension>
                </extension>
            </definition>
            <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" />
            <short value="Lateralit&#228;t">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Lateralit&#228;t" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="laterality" />
                    </extension>
                </extension>
            </short>
            <definition value="Lateralit&#228;t der betrachteten Anatomie dieser Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Lateralit&#228;t der betrachteten Anatomie dieser Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="laterality of the inspected body site in this series" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://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" />
            <short value="Startzeit">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Startzeit" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="startingtime" />
                    </extension>
                </extension>
            </short>
            <definition value="Aufnahmestartzeit der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufnahmestartzeit der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="start time of this series" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.performer">
            <path value="ImagingStudy.series.performer" />
            <short value="Durchf&#252;hrender">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Durchf&#252;hrender" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="performer" />
                    </extension>
                </extension>
            </short>
            <definition value="Durchf&#252;hrender der Serie. Hier speziell das Ger&#228;t">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Durchf&#252;hrender der Serie. Hier speziell das Ger&#228;t" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="performer of this series. In this case especially a device" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.performer.actor">
            <path value="ImagingStudy.series.performer.actor" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-geraet" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.instance">
            <path value="ImagingStudy.series.instance" />
            <short value="Instanzebene">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzebene" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instancelevel" />
                    </extension>
                </extension>
            </short>
            <definition value="Instanzebene der Serie">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzebene der Serie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instance level of this series" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.instance.extension:InstanceDetails">
            <path value="ImagingStudy.series.instance.extension" />
            <sliceName value="InstanceDetails" />
            <short value="Instanzdetails">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanzdetails" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instance details" />
                    </extension>
                </extension>
            </short>
            <definition value="Details der jeweilige Instanz">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details der jeweilige Instanz" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="details of the current instance" />
                    </extension>
                </extension>
            </definition>
            <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" />
            <short value="Instanz UID">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanz UID" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instance uid" />
                    </extension>
                </extension>
            </short>
            <definition value="SOP Instanz UID">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SOP Instanz UID" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="sop instance uid" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.instance.sopClass">
            <path value="ImagingStudy.series.instance.sopClass" />
            <short value="SOP Klasse">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SOP Klasse" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="sop class" />
                    </extension>
                </extension>
            </short>
            <definition value="SOP Klasse">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SOP Klasse" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="sop class" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://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" />
            <short value="Instanznummer">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Instanznummer" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="instancenumber" />
                    </extension>
                </extension>
            </short>
            <definition value="Nummer der aktuellen Instanz">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Nummer der aktuellen Instanz" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="number of this instance" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>
{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-bildgebung-bildgebungsstudie",
    "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-bildgebungsstudie",
    "version": "2025.0.1",
    "name": "MII_PR_Bildgebung_Bildgebungsstudie",
    "_name": {
        "extension":  [
            {
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII_PR_Imaging_Imaging_Study"
                    }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
        ]
    },
    "title": "MII PR Bildgebung Bildgebungsstudie",
    "_title": {
        "extension":  [
            {
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Bildgebungsstudie"
                    }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/translation"
            },
            {
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "imaging study"
                    }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
        ]
    },
    "status": "active",
    "date": "2025-03-28",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Dieses Profil beschreibt die Bildgebung anhand der DICOM-Metadaten auf Studien-, Serien- sowie Instanzen-Ebene der jeweiligen DICOM-Studie.",
    "_description": {
        "extension":  [
            {
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Beschreibt die Bildgebungsstudie zum passenden Befundbericht"
                    }
                ],
                "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."
                    }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/translation"
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "ImagingStudy",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "ImagingStudy",
                "path": "ImagingStudy",
                "short": "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.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy",
                    "min": 0,
                    "max": "*"
                },
                "constraint":  [
                    {
                        "key": "dom-2",
                        "severity": "error",
                        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
                        "expression": "contained.contained.empty()",
                        "xpath": "not(parent::f:contained and f:contained)",
                        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
                    },
                    {
                        "key": "dom-3",
                        "severity": "error",
                        "human": "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",
                        "expression": "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()",
                        "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
                        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
                    },
                    {
                        "key": "dom-4",
                        "severity": "error",
                        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
                        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
                        "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
                        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
                    },
                    {
                        "key": "dom-5",
                        "severity": "error",
                        "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
                        "expression": "contained.meta.security.empty()",
                        "xpath": "not(exists(f:contained/*/f:meta/f:security))",
                        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
                    },
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                                "valueBoolean": true
                            },
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                                "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
                            }
                        ],
                        "key": "dom-6",
                        "severity": "warning",
                        "human": "A resource should have narrative for robust management",
                        "expression": "text.`div`.exists()",
                        "xpath": "exists(f:text/h:div)",
                        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "Entity. Role, or Act"
                    },
                    {
                        "identity": "workflow",
                        "map": "Event"
                    },
                    {
                        "identity": "rim",
                        "map": "Act[classCode=COMPOSITION, moodCode=EVN]"
                    },
                    {
                        "identity": "dicom",
                        "map": "Reference IHE radiology TF vol 2 table 4.14-1"
                    }
                ]
            },
            {
                "id": "ImagingStudy.id",
                "path": "ImagingStudy.id",
                "short": "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.",
                "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Resource.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true
            },
            {
                "id": "ImagingStudy.meta",
                "path": "ImagingStudy.meta",
                "short": "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.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Resource.meta",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Meta"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true
            },
            {
                "id": "ImagingStudy.meta.id",
                "path": "ImagingStudy.meta.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "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.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "ImagingStudy.meta.extension",
                "path": "ImagingStudy.meta.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Additional content defined by implementations",
                "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.",
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "ImagingStudy.meta.versionId",
                "path": "ImagingStudy.meta.versionId",
                "short": "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.",
                "comment": "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.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Meta.versionId",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "id"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true
            },
            {
                "id": "ImagingStudy.meta.lastUpdated",
                "path": "ImagingStudy.meta.lastUpdated",
                "short": "When the resource version last changed",
                "definition": "When the resource last changed - e.g. when the version changed.",
                "comment": "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](http.html#read) interaction.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Meta.lastUpdated",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "instant"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true
            },
            {
                "id": "ImagingStudy.meta.source",
                "path": "ImagingStudy.meta.source",
                "short": "Identifies where the resource comes from",
                "definition": "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) 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.",
                "comment": "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. \n\nThis 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.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Meta.source",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "uri"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true
            },
            {
                "id": "ImagingStudy.meta.profile",
                "path": "ImagingStudy.meta.profile",
                "short": "Profiles this resource claims to conform to",
                "definition": "A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).",
                "comment": "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.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Meta.profile",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "canonical",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/StructureDefinition"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true
            },
            {
                "id": "ImagingStudy.meta.security",
                "path": "ImagingStudy.meta.security",
                "short": "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.",
                "comment": "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.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Meta.security",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "SecurityLabels"
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
                            "valueBoolean": true
                        }
                    ],
                    "strength": "extensible",
                    "description": "Security Labels from the Healthcare Privacy and Security Classification System.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/security-labels"
                }
            },
            {
                "id": "ImagingStudy.meta.tag",
                "path": "ImagingStudy.meta.tag",
                "short": "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.",
                "comment": "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.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Meta.tag",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "Tags"
                        }
                    ],
                    "strength": "example",
                    "description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".",
                    "valueSet": "http://hl7.org/fhir/ValueSet/common-tags"
                }
            },
            {
                "id": "ImagingStudy.implicitRules",
                "path": "ImagingStudy.implicitRules",
                "short": "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.",
                "comment": "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.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Resource.implicitRules",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "uri"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": true,
                "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
                "isSummary": true
            },
            {
                "id": "ImagingStudy.language",
                "path": "ImagingStudy.language",
                "short": "Language of the resource content",
                "definition": "The base language in which the resource is written.",
                "comment": "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).",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Resource.language",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
                            "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "Language"
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
                            "valueBoolean": true
                        }
                    ],
                    "strength": "preferred",
                    "description": "A human language.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/languages"
                }
            },
            {
                "id": "ImagingStudy.text",
                "path": "ImagingStudy.text",
                "short": "Text summary of the resource, for human interpretation",
                "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.",
                "comment": "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.",
                "alias":  [
                    "narrative",
                    "html",
                    "xhtml",
                    "display"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "DomainResource.text",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Narrative"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "Act.text?"
                    }
                ]
            },
            {
                "id": "ImagingStudy.contained",
                "path": "ImagingStudy.contained",
                "short": "Contained, inline 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.",
                "comment": "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.",
                "alias":  [
                    "inline resources",
                    "anonymous resources",
                    "contained resources"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "DomainResource.contained",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Resource"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.extension",
                "path": "ImagingStudy.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "short": "Additional content defined by implementations",
                "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.",
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "DomainResource.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.extension:bildgebungsgrund",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                        "valueCode": "normative"
                    },
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                        "valueCode": "4.0.0"
                    }
                ],
                "path": "ImagingStudy.extension",
                "sliceName": "bildgebungsgrund",
                "short": "Bildgebungsgrund",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsgrund"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "imaging reason"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Bildgebungsgrund aus DICOM-Header",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsgrund aus DICOM-Header"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "reason for imaging from the DICOM-Header"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "DomainResource.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund"
                        ]
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    },
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "ImagingStudy.modifierExtension",
                "path": "ImagingStudy.modifierExtension",
                "short": "Extensions that cannot be ignored",
                "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
                "comment": "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.",
                "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](extensibility.html#modifierExtension).",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "DomainResource.modifierExtension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": true,
                "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.identifier",
                "path": "ImagingStudy.identifier",
                "short": "Identifiers for the whole study",
                "definition": "Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.",
                "comment": "See discussion under [Imaging Study Implementation Notes](imagingstudy.html#notes) for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.",
                "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](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).",
                "alias":  [
                    "StudyInstanceUID",
                    "AccessionNumber"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.identifier",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Identifier"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.identifier"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.identifier"
                    },
                    {
                        "identity": "rim",
                        "map": ".id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id"
                    },
                    {
                        "identity": "dicom",
                        "map": "StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.status",
                "path": "ImagingStudy.status",
                "short": "Status",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Status"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "status"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Angemeldet | Verfügbar | Abgebrochen | fehlerhafte Eingabe | Unbekannt",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Angemeldet | Verfügbar | Abgebrochen | fehlerhafte Eingabe | Unbekannt"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "registered | available | cancelled | entered-in-error | unknown"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.status",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "code"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": true,
                "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "ImagingStudyStatus"
                        }
                    ],
                    "strength": "required",
                    "description": "The status of the ImagingStudy.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.1"
                },
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.status"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.status"
                    },
                    {
                        "identity": "v2",
                        "map": "Varies by domain"
                    },
                    {
                        "identity": "rim",
                        "map": ".status"
                    }
                ]
            },
            {
                "id": "ImagingStudy.modality",
                "path": "ImagingStudy.modality",
                "short": "Modalität",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Modalität der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality of the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "ModalitiesInStudy"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.modality",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "ImagingModality"
                        }
                    ],
                    "strength": "required",
                    "description": "Type of acquired data in the instance.",
                    "valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"
                },
                "mapping":  [
                    {
                        "identity": "w5",
                        "map": "FiveWs.class"
                    },
                    {
                        "identity": "rim",
                        "map": ".code"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,0061)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.subject",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
                        "valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"
                    }
                ],
                "path": "ImagingStudy.subject",
                "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, auf die sich die Studie bezieht",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Person, auf die sich die Studie bezieht"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "person, which this study is about"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.subject",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Patient"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.subject"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.subject[x]"
                    },
                    {
                        "identity": "rim",
                        "map": ".participation[typeCode=SBJ].role"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0010/*)"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.subject"
                    }
                ]
            },
            {
                "id": "ImagingStudy.encounter",
                "path": "ImagingStudy.encounter",
                "short": "Versorgungsstellenkontakt",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Versorgungsstellenkontakt"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "encounter"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Referenz auf eine Fall-Ressource",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Referenz auf eine Fall-Ressource"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "reference on the encounter-ressource"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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).",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.encounter",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Encounter"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.encounter"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.context"
                    },
                    {
                        "identity": "rim",
                        "map": "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
                    }
                ]
            },
            {
                "id": "ImagingStudy.started",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
                        "valueString": "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1"
                    }
                ],
                "path": "ImagingStudy.started",
                "short": "Startzeit",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Startzeit"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "starttime"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Startzeit der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Startzeit der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "starttime of the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "StudyDate",
                    "StudyTime"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.started",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "example":  [
                    {
                        "label": "General",
                        "valueDateTime": "01/01/2011 08:01:20"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.occurrence[x]"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.init"
                    },
                    {
                        "identity": "rim",
                        "map": ".effectiveTime"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,0020)+(0008,0030)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.basedOn",
                "path": "ImagingStudy.basedOn",
                "short": "Basiert auf",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Basiert auf"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "based on"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Basiert auf einer Anforderung",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Basiert auf einer Anforderung"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "based on a service request"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "requirements": "To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.basedOn",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/CarePlan",
                            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
                            "http://hl7.org/fhir/StructureDefinition/Appointment",
                            "http://hl7.org/fhir/StructureDefinition/AppointmentResponse",
                            "http://hl7.org/fhir/StructureDefinition/Task"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.basedOn"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.cause"
                    },
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0032,1064)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.referrer",
                "path": "ImagingStudy.referrer",
                "short": "Referring physician",
                "definition": "The requesting/referring physician.",
                "alias":  [
                    "ReferringPhysiciansName"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.referrer",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Practitioner",
                            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "w5",
                        "map": "FiveWs.cause"
                    },
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,0090)+(0008,0096)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.interpreter",
                "path": "ImagingStudy.interpreter",
                "short": "Who interpreted images",
                "definition": "Who read the study and interpreted the images or other content.",
                "alias":  [
                    "Name of Physician(s) Reading Study"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.interpreter",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Practitioner",
                            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "w5",
                        "map": "FiveWs.witness"
                    },
                    {
                        "identity": "rim",
                        "map": ".participation[typeCode=PRF].role"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,1060)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.endpoint",
                "path": "ImagingStudy.endpoint",
                "short": "Endpunkt",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Endpunkt"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "endpoint"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "DICOM-Endpunkt",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "DICOM-Endpunkt"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "DICOM endpoint"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "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.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.endpoint",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Endpoint"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "Not supported"
                    }
                ]
            },
            {
                "id": "ImagingStudy.numberOfSeries",
                "path": "ImagingStudy.numberOfSeries",
                "short": "Serienanzahl",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Serienanzahl"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Anzahl der Serien in der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Anzahl der Serien in der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of series in the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "NumberOfStudyRelatedSeries"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.numberOfSeries",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "unsignedInt"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0020,1206)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.numberOfInstances",
                "path": "ImagingStudy.numberOfInstances",
                "short": "Instanzanzahl",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanzanzahl"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of instances"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Anzahl der Instanzen in der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Anzahl der Instanzen in der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of instances in the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "NumberOfStudyRelatedInstances"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.numberOfInstances",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "unsignedInt"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0020,1208)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.procedureReference",
                "path": "ImagingStudy.procedureReference",
                "short": "Bildgebungsprozedur",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsprozedur"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "imaging procedure"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Referenz auf die Bildgebungsprozedur",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Referenz auf die Bildgebungsprozedur"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "reference on the imaging procedure"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.procedureReference",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Procedure"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.partOf"
                    },
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,1032)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.procedureCode",
                "path": "ImagingStudy.procedureCode",
                "short": "The performed procedure code",
                "definition": "The code for the performed procedure type.",
                "alias":  [
                    "ProcedureCodeSequence"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.procedureCode",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "ImagingProcedureCode"
                        }
                    ],
                    "strength": "extensible",
                    "description": "The performed procedure type.",
                    "valueSet": "http://www.rsna.org/RadLex_Playbook.aspx"
                },
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.code"
                    },
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,1032)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.location",
                "path": "ImagingStudy.location",
                "short": "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).",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.location",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Location"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.location"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.where[x]"
                    },
                    {
                        "identity": "v2",
                        "map": "EVN.7"
                    },
                    {
                        "identity": "rim",
                        "map": ".participation[typeCode=LOC].role"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,1040) | (0040,0243)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.reasonCode",
                "path": "ImagingStudy.reasonCode",
                "short": "Why the study was requested",
                "definition": "Description of clinical condition indicating why the ImagingStudy was requested.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.reasonCode",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "ImagingReason"
                        }
                    ],
                    "strength": "example",
                    "description": "The reason for the study.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/procedure-reason"
                },
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.reasonCode"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.why[x]"
                    },
                    {
                        "identity": "rim",
                        "map": ".reasonCode"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0040,1002)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.reasonReference",
                "path": "ImagingStudy.reasonReference",
                "short": "Bildgebungsgrund",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsgrund"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "imagingreason"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Referenz auf den Bildgebungsgrund",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Referenz auf den Bildgebungsgrund"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "reference on the imaging reason"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.reasonReference",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Condition",
                            "http://hl7.org/fhir/StructureDefinition/Observation",
                            "http://hl7.org/fhir/StructureDefinition/Media",
                            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
                            "http://hl7.org/fhir/StructureDefinition/DocumentReference"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.reasonReference"
                    },
                    {
                        "identity": "w5",
                        "map": "FiveWs.why[x]"
                    },
                    {
                        "identity": "v2",
                        "map": "EVN.4 or by domain"
                    },
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=RSON].target"
                    }
                ]
            },
            {
                "id": "ImagingStudy.note",
                "path": "ImagingStudy.note",
                "short": "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.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.note",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Annotation"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.note"
                    },
                    {
                        "identity": "rim",
                        "map": "unknown"
                    }
                ]
            },
            {
                "id": "ImagingStudy.description",
                "path": "ImagingStudy.description",
                "short": "Studienbeschreibung",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Studienbeschreibung"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "study description"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Beschreibung der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Beschreibung der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "description of the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "StudyDescription"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.description",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".text"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,1030)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series",
                "path": "ImagingStudy.series",
                "short": "Serienebene",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Serienebene"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "series level"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "einzelne Bildserie einer Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "einzelne Bildserie einer Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "single series in a study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.series",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "BackboneElement"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.id",
                "path": "ImagingStudy.series.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "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.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension",
                "path": "ImagingStudy.series.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "short": "Additional content defined by implementations",
                "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.",
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:modalitätCT",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                        "valueCode": "normative"
                    },
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                        "valueCode": "4.0.0"
                    }
                ],
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätCT",
                "short": "Modalität CT",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität CT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality CT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Bildgebungsmodalität CT",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsmodalität CT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Imagingmodality CT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct"
                        ]
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:modalitätMG_CR_DX",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                        "valueCode": "normative"
                    },
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                        "valueCode": "4.0.0"
                    }
                ],
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätMG_CR_DX",
                "short": "Modalität MG CR DX",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität MG CR DX"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality MG CR DX"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Bildgebungsmodalität MG, CR und DX",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsmodalität MG, CR und DX"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Imagingmodality MG, CR and DX"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx"
                        ]
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:modalitätMR",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                        "valueCode": "normative"
                    },
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                        "valueCode": "4.0.0"
                    }
                ],
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätMR",
                "short": "Modalität MR",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität MR"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality MR"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Bildgebungsmodalität MR",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsmodalität MR"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Imagingmodality MR"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr"
                        ]
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:modalitätPT",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                        "valueCode": "normative"
                    },
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                        "valueCode": "4.0.0"
                    }
                ],
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätPT",
                "short": "Modalität PT",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität PT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality PT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Bildgebungsmodalität PT",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsmodalität PT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Imagingmodality PT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt"
                        ]
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:modalitätNM",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                        "valueCode": "normative"
                    },
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                        "valueCode": "4.0.0"
                    }
                ],
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätNM",
                "short": "Modalität NM",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität NM"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality NM"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Bildgebungsmodalität NM",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsmodalität NM"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Imagingmodality NM"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm"
                        ]
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:kontrastmittel",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                        "valueCode": "normative"
                    },
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                        "valueCode": "4.0.0"
                    }
                ],
                "path": "ImagingStudy.series.extension",
                "sliceName": "kontrastmittel",
                "short": "Kontrastmittel",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kontrastmittel"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "contrast medication"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Kontrastmittelgabe",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kontrastmittelgabe"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "application of contrast medication"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel"
                        ]
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.modifierExtension",
                "path": "ImagingStudy.series.modifierExtension",
                "short": "Extensions that cannot be ignored even if unrecognized",
                "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
                "comment": "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.",
                "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](extensibility.html#modifierExtension).",
                "alias":  [
                    "extensions",
                    "user content",
                    "modifiers"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "BackboneElement.modifierExtension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": true,
                "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.uid",
                "path": "ImagingStudy.series.uid",
                "short": "SerienUID",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SerienUID"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "series uid"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "UID einer Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "UID einer Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "uid of a series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).",
                "requirements": "DICOM Series Instance UID.",
                "alias":  [
                    "SeriesInstanceUID"
                ],
                "min": 1,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.uid",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "id"
                    }
                ],
                "example":  [
                    {
                        "label": "General",
                        "valueId": "2.16.124.113543.6003.2588828330.45298.17418.2723805630"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".id"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0020,000E)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.number",
                "path": "ImagingStudy.series.number",
                "short": "Nummer",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Nummer"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Nummer der Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Nummer der Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "SeriesNumber"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.number",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "unsignedInt"
                    }
                ],
                "example":  [
                    {
                        "label": "General",
                        "valueUnsignedInt": 3
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0020,0011)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.modality",
                "path": "ImagingStudy.series.modality",
                "short": "Modalität",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Modalität der Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität der Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality of this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "Modality"
                ],
                "min": 1,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.modality",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "ImagingModality"
                        }
                    ],
                    "strength": "required",
                    "description": "Type of acquired data in the instance.",
                    "valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".code"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,0060)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.description",
                "path": "ImagingStudy.series.description",
                "short": "Serienbeschreibung",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Serienbeschreibung"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "seriesdescription"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Beschreibung der aktuellen Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Beschreibung der aktuellen Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "description of this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "SeriesDescription"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.description",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "example":  [
                    {
                        "label": "General",
                        "valueString": "CT Surview 180"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".text"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,103E)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.numberOfInstances",
                "path": "ImagingStudy.series.numberOfInstances",
                "short": "Instanzanzahl",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanzanzahl"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of instances"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Anzahl der Instanzen in der aktuellen Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Anzahl der Instanzen in der aktuellen Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of instances in this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "NumberOfSeriesRelatedInstances"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.numberOfInstances",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "unsignedInt"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0020,1209)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.endpoint",
                "path": "ImagingStudy.series.endpoint",
                "short": "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.",
                "comment": "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.",
                "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.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.series.endpoint",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Endpoint"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "Not supported"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.bodySite",
                "path": "ImagingStudy.series.bodySite",
                "short": "Anatomie",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Anatomie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "body site"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "betrachtete Anatomie der Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "betrachtete Anatomie der Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "inspected body site in this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "BodyPartExamined"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.bodySite",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "BodySite"
                        }
                    ],
                    "strength": "required",
                    "description": "Codes describing anatomical locations. May include laterality.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/body-site"
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".targetSiteCode"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0018,0015)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.laterality",
                "path": "ImagingStudy.series.laterality",
                "short": "Lateralität",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Lateralität"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "laterality"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Lateralität der betrachteten Anatomie dieser Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Lateralität der betrachteten Anatomie dieser Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "laterality of the inspected body site in this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.laterality",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "Laterality"
                        }
                    ],
                    "strength": "required",
                    "description": "Codes describing body site laterality (left, right, etc.).",
                    "valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html"
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".targetSiteCode"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0020,0060)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.specimen",
                "path": "ImagingStudy.series.specimen",
                "short": "Specimen imaged",
                "definition": "The specimen imaged, e.g., for whole slide imaging of a biopsy.",
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.series.specimen",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Specimen"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "Role[classCode=SPEC]"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0040,0551) + (0040,0562)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.started",
                "path": "ImagingStudy.series.started",
                "short": "Startzeit",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Startzeit"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "startingtime"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Aufnahmestartzeit der Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aufnahmestartzeit der Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "start time of this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.started",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".effectiveTime"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,0021) + (0008,0031)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.performer",
                "path": "ImagingStudy.series.performer",
                "short": "Durchführender",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Durchführender"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "performer"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Durchführender der Serie. Hier speziell das Gerät",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Durchführender der Serie. Hier speziell das Gerät"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "performer of this series. In this case especially a device"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "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.",
                "alias":  [
                    "PerformingPhysicianName",
                    "OperatorName"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.series.performer",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "BackboneElement"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "workflow",
                        "map": "Event.performer"
                    },
                    {
                        "identity": "rim",
                        "map": ".participation[typeCode=PRF].role"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.performer.id",
                "path": "ImagingStudy.series.performer.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "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.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.performer.extension",
                "path": "ImagingStudy.series.performer.extension",
                "short": "Additional content defined by implementations",
                "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.",
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.performer.modifierExtension",
                "path": "ImagingStudy.series.performer.modifierExtension",
                "short": "Extensions that cannot be ignored even if unrecognized",
                "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
                "comment": "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.",
                "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](extensibility.html#modifierExtension).",
                "alias":  [
                    "extensions",
                    "user content",
                    "modifiers"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "BackboneElement.modifierExtension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": true,
                "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.performer.function",
                "path": "ImagingStudy.series.performer.function",
                "short": "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.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.performer.function",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "CodeableConcept"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": true,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "EventPerformerFunction"
                        }
                    ],
                    "strength": "extensible",
                    "description": "The type of involvement of the performer.",
                    "valueSet": "http://hl7.org/fhir/ValueSet/series-performer-function"
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".participation[typeCode=PRF].role"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.performer.actor",
                "path": "ImagingStudy.series.performer.actor",
                "short": "Who performed the series",
                "definition": "Indicates who or what performed the series.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.performer.actor",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-geraet"
                        ]
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "w5",
                        "map": "FiveWs.actor"
                    },
                    {
                        "identity": "v2",
                        "map": "EVN.5 or by domain"
                    },
                    {
                        "identity": "rim",
                        "map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance",
                "path": "ImagingStudy.series.instance",
                "short": "Instanzebene",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanzebene"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instancelevel"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Instanzebene der Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanzebene der Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instance level of this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "min": 0,
                "max": "*",
                "base": {
                    "path": "ImagingStudy.series.instance",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "BackboneElement"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance.id",
                "path": "ImagingStudy.series.instance.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "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.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "extension":  [
                            {
                                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                                "valueUrl": "string"
                            }
                        ],
                        "code": "http://hl7.org/fhirpath/System.String"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance.extension",
                "path": "ImagingStudy.series.instance.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "short": "Additional content defined by implementations",
                "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.",
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance.extension:InstanceDetails",
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
                        "valueCode": "normative"
                    },
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
                        "valueCode": "4.0.0"
                    }
                ],
                "path": "ImagingStudy.series.instance.extension",
                "sliceName": "InstanceDetails",
                "short": "Instanzdetails",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanzdetails"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instance details"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Details der jeweilige Instanz",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details der jeweilige Instanz"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "details of the current instance"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
                        ]
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance.modifierExtension",
                "path": "ImagingStudy.series.instance.modifierExtension",
                "short": "Extensions that cannot be ignored even if unrecognized",
                "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
                "comment": "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.",
                "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](extensibility.html#modifierExtension).",
                "alias":  [
                    "extensions",
                    "user content",
                    "modifiers"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "BackboneElement.modifierExtension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
                        "source": "http://hl7.org/fhir/StructureDefinition/Extension"
                    }
                ],
                "isModifier": true,
                "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
                "isSummary": true,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance.uid",
                "path": "ImagingStudy.series.instance.uid",
                "short": "Instanz UID",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanz UID"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instance uid"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "SOP Instanz UID",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SOP Instanz UID"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "sop instance uid"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "comment": "See  [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html#sect_C.12.1).",
                "requirements": "DICOM SOP Instance UID.",
                "alias":  [
                    "SOPInstanceUID"
                ],
                "min": 1,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.instance.uid",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "id"
                    }
                ],
                "example":  [
                    {
                        "label": "General",
                        "valueId": "2.16.124.113543.6003.189642796.63084.16748.2599092903"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".id"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,0018)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance.sopClass",
                "path": "ImagingStudy.series.instance.sopClass",
                "short": "SOP Klasse",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SOP Klasse"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "sop class"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "SOP Klasse",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SOP Klasse"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "sop class"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "SOPClassUID"
                ],
                "min": 1,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.instance.sopClass",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Coding"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": false,
                "binding": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
                            "valueString": "sopClass"
                        }
                    ],
                    "strength": "required",
                    "description": "The sopClass for the instance.",
                    "valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html"
                },
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=\"sop class\"].value"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,0016)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance.number",
                "path": "ImagingStudy.series.instance.number",
                "short": "Instanznummer",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanznummer"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instancenumber"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Nummer der aktuellen Instanz",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Nummer der aktuellen Instanz"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of this instance"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "alias":  [
                    "InstanceNumber"
                ],
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.instance.number",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "unsignedInt"
                    }
                ],
                "example":  [
                    {
                        "label": "General",
                        "valueUnsignedInt": 1
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "mustSupport": true,
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0020,0013)"
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance.title",
                "path": "ImagingStudy.series.instance.title",
                "short": "Description of instance",
                "definition": "The description of the instance.",
                "comment": "Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "ImagingStudy.series.instance.title",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() or (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div",
                        "source": "http://hl7.org/fhir/StructureDefinition/Element"
                    }
                ],
                "isModifier": false,
                "isSummary": false,
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": ".title"
                    },
                    {
                        "identity": "dicom",
                        "map": "(0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)"
                    }
                ]
            }
        ]
    },
    "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:bildgebungsgrund",
                "path": "ImagingStudy.extension",
                "sliceName": "bildgebungsgrund",
                "short": "Bildgebungsgrund",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsgrund"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "imaging reason"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Bildgebungsgrund aus DICOM-Header",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsgrund aus DICOM-Header"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "reason for imaging from the DICOM-Header"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "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",
                "short": "Status",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Status"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "status"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Angemeldet | Verfügbar | Abgebrochen | fehlerhafte Eingabe | Unbekannt",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Angemeldet | Verfügbar | Abgebrochen | fehlerhafte Eingabe | Unbekannt"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "registered | available | cancelled | entered-in-error | unknown"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.modality",
                "path": "ImagingStudy.modality",
                "short": "Modalität",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Modalität der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality of the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"
                }
            },
            {
                "id": "ImagingStudy.subject",
                "path": "ImagingStudy.subject",
                "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, auf die sich die Studie bezieht",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Person, auf die sich die Studie bezieht"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "person, which this study is about"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Patient"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.encounter",
                "path": "ImagingStudy.encounter",
                "short": "Versorgungsstellenkontakt",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Versorgungsstellenkontakt"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "encounter"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Referenz auf eine Fall-Ressource",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Referenz auf eine Fall-Ressource"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "reference on the encounter-ressource"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.started",
                "path": "ImagingStudy.started",
                "short": "Startzeit",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Startzeit"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "starttime"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Startzeit der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Startzeit der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "starttime of the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.basedOn",
                "path": "ImagingStudy.basedOn",
                "short": "Basiert auf",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Basiert auf"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "based on"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Basiert auf einer Anforderung",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Basiert auf einer Anforderung"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "based on a service request"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.endpoint",
                "path": "ImagingStudy.endpoint",
                "short": "Endpunkt",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Endpunkt"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "endpoint"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "DICOM-Endpunkt",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "DICOM-Endpunkt"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "DICOM endpoint"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.numberOfSeries",
                "path": "ImagingStudy.numberOfSeries",
                "short": "Serienanzahl",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Serienanzahl"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Anzahl der Serien in der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Anzahl der Serien in der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of series in the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.numberOfInstances",
                "path": "ImagingStudy.numberOfInstances",
                "short": "Instanzanzahl",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanzanzahl"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of instances"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Anzahl der Instanzen in der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Anzahl der Instanzen in der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of instances in the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.procedureReference",
                "path": "ImagingStudy.procedureReference",
                "short": "Bildgebungsprozedur",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsprozedur"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "imaging procedure"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Referenz auf die Bildgebungsprozedur",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Referenz auf die Bildgebungsprozedur"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "reference on the imaging procedure"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.reasonReference",
                "path": "ImagingStudy.reasonReference",
                "short": "Bildgebungsgrund",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsgrund"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "imagingreason"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Referenz auf den Bildgebungsgrund",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Referenz auf den Bildgebungsgrund"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "reference on the imaging reason"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.description",
                "path": "ImagingStudy.description",
                "short": "Studienbeschreibung",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Studienbeschreibung"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "study description"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Beschreibung der Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Beschreibung der Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "description of the study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series",
                "path": "ImagingStudy.series",
                "short": "Serienebene",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Serienebene"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "series level"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "einzelne Bildserie einer Studie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "einzelne Bildserie einer Studie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "single series in a study"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.extension:modalitätCT",
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätCT",
                "short": "Modalität CT",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität CT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "modality CT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Bildgebungsmodalität CT",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bildgebungsmodalität CT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Imagingmodality CT"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
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            },
            {
                "id": "ImagingStudy.series.extension:modalitätMG_CR_DX",
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätMG_CR_DX",
                "short": "Modalität MG CR DX",
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                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Modalität MG CR DX"
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                        },
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                            "extension":  [
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                    ]
                },
                "definition": "Bildgebungsmodalität MG, CR und DX",
                "_definition": {
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                        {
                            "extension":  [
                                {
                                    "url": "lang",
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                                    "valueString": "Bildgebungsmodalität MG, CR und DX"
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                "min": 0,
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            },
            {
                "id": "ImagingStudy.series.extension:modalitätMR",
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätMR",
                "short": "Modalität MR",
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                                },
                                {
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                "definition": "Bildgebungsmodalität MR",
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                                    "url": "lang",
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                                    "valueString": "Bildgebungsmodalität MR"
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                                {
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            },
            {
                "id": "ImagingStudy.series.extension:modalitätPT",
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätPT",
                "short": "Modalität PT",
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                "definition": "Bildgebungsmodalität PT",
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                "min": 0,
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            {
                "id": "ImagingStudy.series.extension:modalitätNM",
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätNM",
                "short": "Modalität NM",
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                                },
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                                    "url": "content",
                                    "valueString": "Modalität NM"
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                "definition": "Bildgebungsmodalität NM",
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                "id": "ImagingStudy.series.extension:kontrastmittel",
                "path": "ImagingStudy.series.extension",
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                "short": "Kontrastmittel",
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                                },
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                                    "url": "content",
                                    "valueString": "Kontrastmittel"
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                            "extension":  [
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                                    "url": "content",
                                    "valueString": "contrast medication"
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                "definition": "Kontrastmittelgabe",
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                "id": "ImagingStudy.series.uid",
                "path": "ImagingStudy.series.uid",
                "short": "SerienUID",
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                                    "valueString": "series uid"
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                "definition": "UID einer Serie",
                "_definition": {
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                "id": "ImagingStudy.series.number",
                "path": "ImagingStudy.series.number",
                "short": "Nummer",
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                                {
                                    "url": "lang",
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                "definition": "Modalität der Serie",
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            },
            {
                "id": "ImagingStudy.series.description",
                "path": "ImagingStudy.series.description",
                "short": "Serienbeschreibung",
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                                    "url": "lang",
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                                    "valueString": "seriesdescription"
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                },
                "definition": "Beschreibung der aktuellen Serie",
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                            "extension":  [
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                                    "url": "lang",
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                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.numberOfInstances",
                "path": "ImagingStudy.series.numberOfInstances",
                "short": "Instanzanzahl",
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                                    "url": "lang",
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                                },
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                                    "url": "content",
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                },
                "definition": "Anzahl der Instanzen in der aktuellen Serie",
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                                    "url": "lang",
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                                    "valueString": "Anzahl der Instanzen in der aktuellen Serie"
                                }
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                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.bodySite",
                "path": "ImagingStudy.series.bodySite",
                "short": "Anatomie",
                "_short": {
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                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Anatomie"
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                                    "valueString": "body site"
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                    ]
                },
                "definition": "betrachtete Anatomie der Serie",
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                                    "url": "lang",
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                                    "valueString": "betrachtete Anatomie der Serie"
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                        {
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                                    "url": "lang",
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                                    "url": "content",
                                    "valueString": "inspected body site in this series"
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                    ]
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://hl7.org/fhir/ValueSet/body-site"
                }
            },
            {
                "id": "ImagingStudy.series.laterality",
                "path": "ImagingStudy.series.laterality",
                "short": "Lateralität",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Lateralität"
                                }
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                        {
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                                {
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                                    "valueString": "laterality"
                                }
                            ],
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                    ]
                },
                "definition": "Lateralität der betrachteten Anatomie dieser Serie",
                "_definition": {
                    "extension":  [
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                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Lateralität der betrachteten Anatomie dieser Serie"
                                }
                            ],
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                        },
                        {
                            "extension":  [
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                                    "url": "lang",
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                                },
                                {
                                    "url": "content",
                                    "valueString": "laterality of the inspected body site in this series"
                                }
                            ],
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                    ]
                },
                "mustSupport": true,
                "binding": {
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                    "valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html"
                }
            },
            {
                "id": "ImagingStudy.series.started",
                "path": "ImagingStudy.series.started",
                "short": "Startzeit",
                "_short": {
                    "extension":  [
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                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Startzeit"
                                }
                            ],
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                        },
                        {
                            "extension":  [
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                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "startingtime"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Aufnahmestartzeit der Serie",
                "_definition": {
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                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
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                                    "url": "content",
                                    "valueString": "Aufnahmestartzeit der Serie"
                                }
                            ],
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                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "start time of this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.performer",
                "path": "ImagingStudy.series.performer",
                "short": "Durchführender",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Durchführender"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "performer"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Durchführender der Serie. Hier speziell das Gerät",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Durchführender der Serie. Hier speziell das Gerät"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "performer of this series. In this case especially a device"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.performer.actor",
                "path": "ImagingStudy.series.performer.actor",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-geraet"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.instance",
                "path": "ImagingStudy.series.instance",
                "short": "Instanzebene",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanzebene"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instancelevel"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Instanzebene der Serie",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanzebene der Serie"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instance level of this series"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.instance.extension:InstanceDetails",
                "path": "ImagingStudy.series.instance.extension",
                "sliceName": "InstanceDetails",
                "short": "Instanzdetails",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanzdetails"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instance details"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Details der jeweilige Instanz",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details der jeweilige Instanz"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "details of the current instance"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "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",
                "short": "Instanz UID",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanz UID"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instance uid"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "SOP Instanz UID",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SOP Instanz UID"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "sop instance uid"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.instance.sopClass",
                "path": "ImagingStudy.series.instance.sopClass",
                "short": "SOP Klasse",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SOP Klasse"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "sop class"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "SOP Klasse",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SOP Klasse"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "sop class"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html"
                }
            },
            {
                "id": "ImagingStudy.series.instance.number",
                "path": "ImagingStudy.series.instance.number",
                "short": "Instanznummer",
                "_short": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Instanznummer"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "instancenumber"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "definition": "Nummer der aktuellen Instanz",
                "_definition": {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Nummer der aktuellen Instanz"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        },
                        {
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "number of this instance"
                                }
                            ],
                            "url": "http://hl7.org/fhir/StructureDefinition/translation"
                        }
                    ]
                },
                "mustSupport": true
            }
        ]
    }
}

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)

FHIRDatensatzErklaerung
ImagingStudyBildgebung.Studie

Bildgebungsstudie

ImagingStudy.statusBildgebung.Studie.Status

Status der Bildgebungsstudie- Info darüber, ob die Studie gültig, ungültig, zurückgezogen, etc. ist.

ImagingStudy.modalityBildgebung.Studie.Modalitaeten

Set/Liste aller verschiedenen Modalitaeten, die in dieser DICOM-Studie enthalten sind.

ImagingStudy.subjectBildgebung.Studie.Person

Person, auf die sich die Bildgebungsstudie bezieht. Hier soll das MII KDS-Modul Person referenziert werden.

ImagingStudy.encounterBildgebung.Studie.Fall

Referenz zum dazugehörigen Fall der Bildgebungsstudie. Hier soll das MII KDS-Modul Fall in Stufe 3 referenziert werden.

ImagingStudy.startedBildgebung.Studie.Beginn

Datum und Zeitpunkt, an dem die Studie gestartet wurde (z.B. Zeitpunkt des Beginns der CT-Untersuchung).

ImagingStudy.basedOnBildgebung.Studie.AnforderndeMassnahme

Referenz auf die anfordernde Maßnahme dieser Bildgebungsstudie

ImagingStudy.endpointBildgebung.Studie.QuellePACS

Referenz auf den Speicherort der Bildgebungsstudie im PACS

ImagingStudy.numberOfSeriesBildgebung.Studie.AnzahlSerien

Anzahl der in der Bildgebungsstudie enthaltenen Serien, z.B. 5

ImagingStudy.numberOfInstancesBildgebung.Studie.AnzahlInstanzen

Anzahl der in der Bildgebungsstudie enthaltenen SOP Instanzen, z.B. 127

ImagingStudy.procedureReferenceBildgebung.Studie.Bildgebungsprozedur

Referenz auf die dazugehörige bildgebende 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.reasonReferenceBildgebung.Studie.Indikation

Indikation der Bildgebungsstudie, d.h. der Grund, aus dem diese Bildgebung angefertigt wurde.

ImagingStudy.descriptionBildgebung.Studie.StudienBeschreibung

Beschreibung der Bildgebungsstudie

ImagingStudy.seriesBildgebung.Studie.Serien

Die Serien der DICOM-Studie

ImagingStudy.series.uidBildgebung.Studie.Serien.SerienUID

UID der DICOM-Serie

ImagingStudy.series.numberBildgebung.Studie.Serien.SerienNummer

Nummer der jeweiligen DICOM-Serie

ImagingStudy.series.modalityBildgebung.Studie.Serien.Modalitaet

Modalitaet der DICOM-Serie, z.B. 'MR' oder 'CR'

ImagingStudy.series.descriptionBildgebung.Studie.Serien.Serienbeschreibung

Beschreibung der jeweiligen Serie

ImagingStudy.series.numberOfInstancesBildgebung.Studie.Serien.AnzahlInstanzen

Anzahl der in der Serie enthaltenen SOP Instanzen, z.B. 28

ImagingStudy.series.bodySiteBildgebung.Studie.Serien.Koerperregion

Codierte Information über die untersuchte Körperregion der Serie

ImagingStudy.series.lateralityBildgebung.Studie.Serien.Koerperseite

Information über die Körperseite der untersuchten Körperregion, z.B. linksseitig

ImagingStudy.series.startedBildgebung.Studie.Serien.Beginn

Datum und Zeitpunkt, an dem die Serie gestartet wurde (z.B. Zeitpunkt des Beginns der jeweiligen Serienaufnahme).

ImagingStudy.series.performerBildgebung.Studie.Serien.Ausfuehrender

Person oder Gerät das die Serie ausführt

ImagingStudy.series.performer.actorBildgebung.Studie.Serien.Ausfuehrender.Akteur

Genutztes Geraet in der Serie

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel/contrastBolus)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/contrastBolusDetails)Bildgebung.Studie.Serien.Kontrastmitteldetails

Details zur Kontrastmittelgabe über das MedicationStatement oder MedicationAdministration. 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/KVP)Bildgebung.Studie.Serien.ModalitaetDX.KVP

Maximale Röntgenröhrenspannung in kV

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx/exposureTime)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/exposure)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/xRayTubeCurrent)Bildgebung.Studie.Serien.ModalitaetDX.Roentgenroehrenstrom

Röntgenröhrenstrom in mA

Bildgebung.Studie.Serien.ModalitaetDX.Blickposition

Position der Aufnahme, z.B. medio-lateral

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/KVP)Bildgebung.Studie.Serien.ModalitaetCR.KVP

Maximale Röntgenröhrenspannung in kV

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx/exposureTime)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/exposure)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/xRayTubeCurrent)Bildgebung.Studie.Serien.ModalitaetCR.Roentgenroehrenstrom

Röntgenröhrenstrom in mA

Bildgebung.Studie.Serien.ModalitaetCR.Blickposition

Position der Aufnahme, z.B. medio-lateral

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/KVP)Bildgebung.Studie.Serien.ModalitaetMG.KVP

Maximale Röntgenröhrenspannung in kV

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx/exposureTime)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/exposure)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/xRayTubeCurrent)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-mg-cr-dx/viewPosition)Bildgebung.Studie.Serien.ModalitaetMG.Blickposition

Position der Aufnahme, z.B. medio-lateral

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/CTDIvol)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/KVP)Bildgebung.Studie.Serien.ModalitaetCT.KVP

Maximale Röntgenröhrenspannung in kV

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct/exposureTime)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/exposure)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/xRayTubeCurrent)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-mr)Bildgebung.Studie.Serien.ModalitaetMR.Echozeit

Zeitintervall zwischen der Anregung und der Messung des MR-Signals in ms

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr)Bildgebung.Studie.Serien.ModalitaetMR.Repetitionszeit

Zeit, die bei der MRT zwischen zwei Anregungspulsen vergeht in ms

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr)Bildgebung.Studie.Serien.ModalitaetMR.Inversionszeit

Zeit, die beim MRT zwischen dem 180°-Umkehrpuls und dem eigentlichen 90°-Anregungspuls vergeht in ms

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr)Bildgebung.Studie.Serien.ModalitaetMR.Kippwinkel

Ausmaß an Rotation in Winkelmaß (°)

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt)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/radiopharmaceutical)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/radionuclide)Bildgebung.Studie.Serien.ModalitaetPT.Radionuklid

Genutztes Radionuklid

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt/tracerExposureTime)Bildgebung.Studie.Serien.ModalitaetPT.TracerExpositionszeit

Zeit die der Tracer im Körper einwirken konnte

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt/units)Bildgebung.Studie.Serien.ModalitaetPT.Skalierungseinheit

Einheit die zur Skalierung genutzt wird

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt/radionuclideTotalDose)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/radionuclideHalfLife)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-nm/seriesType)Bildgebung.Studie.Serien.ModalitaetPT.Serientyp

Angabe, um welchen Typ von Serie es sich handelt

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm)Bildgebung.Studie.Serien.ModalitaetNM

Modalitaet Nuklearmedizin

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm/radiopharmaceutical)Bildgebung.Studie.Serien.ModalitaetNM.Radiopharmakon

Genutztes Radiopharmakon

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm/radionuclide)Bildgebung.Studie.Serien.ModalitaetNM.Radionuklid

Genutztes Radionuklid

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm/tracerExposureTime)Bildgebung.Studie.Serien.ModalitaetNM.TracerExpositionszeit

Zeit die der Tracer im Körper einwirken konnte

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm/units)Bildgebung.Studie.Serien.ModalitaetNM.Skalierungseinheit

Einheit die zur Skalierung genutzt wird

ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm/radionuclideTotalDose)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-nm/radionuclideHalfLife)Bildgebung.Studie.Serien.ModalitaetNM.Halbwertszeit

Halbwertszeit des Radionuklids in s

ImagingStudy.series.instanceBildgebung.Studie.Serien.Instanzen

Alle Instanzen dieser DICOM-Serie.

ImagingStudy.series.instance.uidBildgebung.Studie.Serien.Instanzen.SOPInstanz

UID der jeweiligen SOP-Instanz

ImagingStudy.series.instance.sopClassBildgebung.Studie.Serien.Instanzen.SOPKlasse

SOP-Klasse der jeweiligen SOP-Instanz

ImagingStudy.series.instance.numberBildgebung.Studie.Serien.Instanzen.InstanzNummer

Nummer der jeweiligen Instanz

ImagingStudy.series.instance.titleBildgebung.Studie.Serien.Instanzen.Titel

Titel des Bilds

ImagingStudy.series.instance.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details/imageType)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/sliceThickness)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/pixelSpacingX)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/pixelSpacingY)Bildgebung.Studie.Serien.Instanzen.PixelabstandY

Pixelabstand in y-Richtung in mm


Suchparameter

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

Der Composite-Suchparameter kann in verschiedenen Varianten von Suchqueries verwendet werden:

  • Variante 1 (mit Codesystem): ImagingStudy?study-modality-body-site=[modality-system]|[modality-value],[bodysite-system]|[bodysite-value]
  • Variante 2 (ohne Codesystem): ImagingStudy?study-modality-body-site=[modality-value],[bodysite-value]

Variante 1 ist in manchen FHIR-Servern performanter, da das verwendet Codesystem direkt durchsucht werden kann und nicht erst noch zusätzlich das passende Codesystem dazu gefunden werden muss.

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
modality-body-sitehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-modality-body-sitecompositeSHALL
bildgebungsgrundhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-bildgebungsgrundstringSHALL
statushttp://hl7.org/fhir/SearchParameter/ImagingStudy-statustokenSHALL
study-modalityhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-modalitytokenSHALL
patienthttp://hl7.org/fhir/SearchParameter/clinical-patientreferenceSHALL
encounterhttp://hl7.org/fhir/SearchParameter/ImagingStudy-encounterreferenceSHALL
startedhttp://hl7.org/fhir/SearchParameter/ImagingStudy-starteddateSHALL
basedonhttp://hl7.org/fhir/SearchParameter/ImagingStudy-basedonreferenceSHALL
endpointhttp://hl7.org/fhir/SearchParameter/ImagingStudy-endpointreferenceSHALL
number-serieshttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-number-seriesnumberSHALL
number-instanceshttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-number-instancesnumberSHALL
procedure-referencehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-procedure-referencereferenceSHALL
reason-referencehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-reason-referencereferenceSHALL
descriptionhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-descriptionstringSHALL
ctdi-volumehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-ctdi-volumequantitySHALL
exposure-timehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-exposure-timequantitySHALL
exposurehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-exposurequantitySHALL
x-ray-tube-currenthttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-xray-tube-currentquantitySHALL
kvphttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-kvpquantitySHALL
view-positionhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-view-positiontokenSHALL
magnetic-field-strengthhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-magnetic-field-strengthquantitySHALL
scanning-sequencehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-scanning-sequencetokenSHALL
scanning-sequence-varianthttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-scanning-sequence-varianttokenSHALL
echo-timehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-echo-timequantitySHALL
repetition-timehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-repetition-timequantitySHALL
inversion-timehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-inversion-timequantitySHALL
flip-anglehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-flip-anglequantitySHALL
radiopharmaceuticalhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-radiopharmaceuticaltokenSHALL
radionuclidehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-radionuclidetokenSHALL
tracer-exposure-timehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-tracer-exposure-timequantitySHALL
unitshttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-unitstokenSHALL
radionuclide-total-dosehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-radionuclide-total-dosequantitySHALL
radionuclide-half-lifehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-radionuclide-half-lifequantitySHALL
series-typehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-series-typetokenSHALL
contrast-bolushttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-contrast-bolustokenSHALL
contrast-bolus-detailshttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-contrast-bolus-detailsreferenceSHALL
serieshttp://hl7.org/fhir/SearchParameter/ImagingStudy-seriestokenSHALL
series-numberhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-numbernumberSHALL
modalityhttp://hl7.org/fhir/SearchParameter/ImagingStudy-modalitytokenSHALL
series-bodysitehttp://hl7.org/fhir/SearchParameter/ImagingStudy-bodysitetokenSHALL
series-lateralityhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-lateralitytokenSHALL
series-startedhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-starteddateSHALL
performerhttp://hl7.org/fhir/SearchParameter/ImagingStudy-performerreferenceSHALL
instance-pixel-spacing-xhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-instance-pixel-spacing-xquantitySHALL
instance-pixel-spacing-yhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-instance-pixel-spacing-yquantitySHALL
instance-slice-thicknesshttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-slice-thicknessquantitySHALL
instance-image-typehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-instance-image-typetokenSHALL
instancehttp://hl7.org/fhir/SearchParameter/ImagingStudy-instancetokenSHALL
dicom-classhttp://hl7.org/fhir/SearchParameter/ImagingStudy-dicom-classtokenSHALL
instance-numberhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-instance-numbernumberSHALL

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 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": "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",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "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",
                                                "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type"
                                            }
                                        ]
                                    }
                                }
                            ],
                            "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
                }
            ],
            "performer":  [
                {
                    "actor": {
                        "reference": "Device/mii-exa-bildgebung-geraet"
                    }
                }
            ],
            "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": "07/19/2024 10:03:30"
        }
    ],
    "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",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "SE",
                                        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-scanning-sequence"
                                    }
                                ]
                            }
                        },
                        {
                            "url": "scanningSequenceVariant",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "SP",
                                        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-scanning-sequence-variant"
                                    },
                                    {
                                        "code": "SK",
                                        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-scanning-sequence-variant"
                                    }
                                ]
                            }
                        },
                        {
                            "valueQuantity": {
                                "unit": "milliseconds",
                                "value": 388
                            },
                            "url": "echoTime"
                        },
                        {
                            "valueQuantity": {
                                "unit": "milliseconds",
                                "value": 5000
                            },
                            "url": "repetitionTime"
                        },
                        {
                            "valueQuantity": {
                                "unit": "milliseconds",
                                "value": 900
                            },
                            "url": "inversionTime"
                        },
                        {
                            "valueQuantity": {
                                "unit": "plane angle degree",
                                "value": 130
                            },
                            "url": "flipAngle"
                        }
                    ],
                    "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"
                }
            ],
            "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",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "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",
                                                "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type"
                                            }
                                        ]
                                    }
                                }
                            ],
                            "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
                }
            ],
            "performer":  [
                {
                    "actor": {
                        "reference": "Device/mii-exa-bildgebung-geraet"
                    }
                }
            ],
            "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": "07/19/2024 10:03:30"
        }
    ],
    "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": "viewPosition",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "399038007",
                                        "system": "http://snomed.info/sct",
                                        "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"
                }
            ],
            "instance":  [
                {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "imageType",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "ORIGINAL",
                                                "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"
                                            }
                                        ]
                                    }
                                }
                            ],
                            "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
                }
            ],
            "performer":  [
                {
                    "actor": {
                        "reference": "Device/mii-exa-bildgebung-geraet"
                    }
                }
            ],
            "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": "07/19/2024 10:03:30"
        }
    ],
    "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": "radionuclide",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "23451235",
                                        "system": "http://snomed.info/sct"
                                    }
                                ]
                            }
                        },
                        {
                            "valueQuantity": {
                                "unit": "Seconds",
                                "value": 10000
                            },
                            "url": "tracerExposureTime"
                        },
                        {
                            "url": "units",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "BQML",
                                        "system": "http://unitsofmeasure.org"
                                    }
                                ]
                            }
                        },
                        {
                            "valueQuantity": {
                                "unit": "Becquerel",
                                "value": 196
                            },
                            "url": "radionuclideTotalDose"
                        },
                        {
                            "valueQuantity": {
                                "unit": "Seconds",
                                "value": 6586.2
                            },
                            "url": "radionuclideHalfLife"
                        },
                        {
                            "url": "seriesType",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "DYNAMIC",
                                        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-series-type"
                                    },
                                    {
                                        "code": "IMAGE",
                                        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-series-type"
                                    }
                                ]
                            }
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt"
                }
            ],
            "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",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "ORIGINAL"
                                            },
                                            {
                                                "code": "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",
            "performer":  [
                {
                    "actor": {
                        "reference": "Device/mii-exa-bildgebung-geraet"
                    }
                }
            ],
            "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": "07/19/2024 10:03:30"
        }
    ],
    "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"
}