{
  "resourceType" : "ImagingStudy",
  "id" : "mii-exa-bildgebung-bildgebungsstudie-ct",
  "meta" : {
    "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ImagingStudy mii-exa-bildgebung-bildgebungsstudie-ct</b></p><a name=\"mii-exa-bildgebung-bildgebungsstudie-ct\"> </a><a name=\"hcmii-exa-bildgebung-bildgebungsstudie-ct\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-bildgebung-bildgebungsstudie.html\">MII PR Bildgebung Bildgebungsstudie</a></p></div><p><b>MII EX Bildgebung Bildgebungsgrund</b>: Verdacht auf Karzinom</p><p><b>status</b>: Available</p><p><b>modality</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-CT\">DICOM: CT</a> (Computed Tomography)</p><p><b>subject</b>: <a href=\"Patient-mii-exa-bildgebung-radiologischer-patient.html\">Erika Beispielpatientin  Female, DoB: 1970-01-01</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-bildgebung-radiologischer-fall.html\">Encounter: status = finished; class = AMB (AMB)</a></p><p><b>basedOn</b>: <a href=\"ServiceRequest-mii-exa-bildgebung-anforderung-bildgebung.html\">ServiceRequest Mammography (procedure)</a></p><p><b>numberOfSeries</b>: 2</p><p><b>numberOfInstances</b>: 390</p><p><b>procedureReference</b>: <a href=\"Procedure-mii-exa-bildgebung-bildgebungsprozedur.html\">Procedure Screening mammography of bilateral breasts (procedure)</a></p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-bildgebung-radiologische-diagnose.html\">Condition </a></p><p><b>description</b>: whole body aquisition</p><blockquote><p><b>series</b></p><blockquote><p><b>MII EX Bildgebung Modalität CT</b></p><ul><li>convolutionalKernel: SOFT</li><li>CTDIvol: 4.04 milligray</li><li>KVP: 110 kilovolt</li><li>exposure: 38 milliampere second</li><li>exposureTime: 600 milliseconds</li><li>xRayTubeCurrent: 96 milliampere</li></ul></blockquote><blockquote><p><b>MII EX Bildgebung Kontrastmittel</b></p><ul><li>contrastBolus: true</li><li>contrastBolusDetails: <a href=\"MedicationAdministration-mii-exa-bildgebung-kontrastmittelgabe.html\">MedicationAdministration: status = completed; medication[x] = -&gt;Medication Iopromide; effective[x] = 2024-07-19 12:21:45+0200 --&gt; 2024-07-19 12:22:45+0200</a></li></ul></blockquote><p><b>uid</b>: series-example-uid</p><p><b>number</b>: 1</p><p><b>modality</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-CT\">DICOM: CT</a> (Computed Tomography)</p><p><b>description</b>: AC LD CT Whole Body 4.0 HD Field of View</p><p><b>numberOfInstances</b>: 195</p><p><b>bodySite</b>: <a href=\"http://snomed.info/id/51185008\">SNOMED CT: 51185008</a> (Thoracic structure (body structure)) (version = http://snomed.info/sct/900000000000207008/version/20260701 )</p><p><b>laterality</b>: <a href=\"http://snomed.info/id/7771000\">SNOMED CT: 7771000</a> (Left) (version = http://snomed.info/sct/900000000000207008/version/20260701 )</p><p><b>started</b>: 2024-07-19 12:03:30+0200</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Device-mii-exa-bildgebung-geraet.html\">Device: manufacturer = Siemens</a></td></tr></table><h3>Instances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Uid</b></td><td><b>SopClass</b></td><td><b>Number</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>instance-example-uid</td><td>unknown: urn:oid:1.2.840.10008.5.1.4.1.1.2 (urn:oid:1.2.840.10008.5.1.4.1.1.2)</td><td>31</td></tr></table></blockquote></div><div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ImagingStudy mii-exa-bildgebung-bildgebungsstudie-ct</b></p><a name=\"de-mii-exa-bildgebung-bildgebungsstudie-ct\"> </a><a name=\"de-hcmii-exa-bildgebung-bildgebungsstudie-ct\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-bildgebung-bildgebungsstudie.html\">MII PR Bildgebung Bildgebungsstudie</a></p></div><p><b>MII EX Bildgebung Bildgebungsgrund</b>: Verdacht auf Karzinom</p><p><b>status</b>: Available</p><p><b>modality</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-CT\">DICOM: CT</a> (Computed Tomography)</p><p><b>subject</b>: <a href=\"Patient-mii-exa-bildgebung-radiologischer-patient.html\">Erika Beispielpatientin  Female, DoB: 1970-01-01</a></p><p><b>encounter</b>: <a href=\"Encounter-mii-exa-bildgebung-radiologischer-fall.html\">Encounter: status = finished; class = AMB (AMB)</a></p><p><b>basedOn</b>: <a href=\"ServiceRequest-mii-exa-bildgebung-anforderung-bildgebung.html\">ServiceRequest Mammography (procedure)</a></p><p><b>numberOfSeries</b>: 2</p><p><b>numberOfInstances</b>: 390</p><p><b>procedureReference</b>: <a href=\"Procedure-mii-exa-bildgebung-bildgebungsprozedur.html\">Procedure Screening mammography of bilateral breasts (procedure)</a></p><p><b>reasonReference</b>: <a href=\"Condition-mii-exa-bildgebung-radiologische-diagnose.html\">Condition </a></p><p><b>description</b>: whole body aquisition</p><blockquote><p><b>series</b></p><blockquote><p><b>MII EX Bildgebung Modalität CT</b></p><ul><li>convolutionalKernel: SOFT</li><li>CTDIvol: 4.04 milligray</li><li>KVP: 110 kilovolt</li><li>exposure: 38 milliampere second</li><li>exposureTime: 600 milliseconds</li><li>xRayTubeCurrent: 96 milliampere</li></ul></blockquote><blockquote><p><b>MII EX Bildgebung Kontrastmittel</b></p><ul><li>contrastBolus: true</li><li>contrastBolusDetails: <a href=\"MedicationAdministration-mii-exa-bildgebung-kontrastmittelgabe.html\">MedicationAdministration: status = completed; medication[x] = -&gt;Medication Iopromide; effective[x] = 2024-07-19 12:21:45+0200 --&gt; 2024-07-19 12:22:45+0200</a></li></ul></blockquote><p><b>uid</b>: series-example-uid</p><p><b>number</b>: 1</p><p><b>modality</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-dicom-dcim.html#dicom-dcim-CT\">DICOM: CT</a> (Computed Tomography)</p><p><b>description</b>: AC LD CT Whole Body 4.0 HD Field of View</p><p><b>numberOfInstances</b>: 195</p><p><b>bodySite</b>: <a href=\"http://snomed.info/id/51185008\">SNOMED CT: 51185008</a> (Thoracic structure (body structure)) (version = http://snomed.info/sct/900000000000207008/version/20260701 )</p><p><b>laterality</b>: <a href=\"http://snomed.info/id/7771000\">SNOMED CT: 7771000</a> (Left) (version = http://snomed.info/sct/900000000000207008/version/20260701 )</p><p><b>started</b>: 2024-07-19 12:03:30+0200</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Device-mii-exa-bildgebung-geraet.html\">Device: manufacturer = Siemens</a></td></tr></table><h3>Instances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Uid</b></td><td><b>SopClass</b></td><td><b>Number</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>instance-example-uid</td><td>unknown: urn:oid:1.2.840.10008.5.1.4.1.1.2 (urn:oid:1.2.840.10008.5.1.4.1.1.2)</td><td>31</td></tr></table></blockquote></div></div>"
  },
  "extension" : [{
    "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund",
    "valueString" : "Verdacht auf Karzinom"
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  "status" : "available",
  "modality" : [{
    "system" : "http://dicom.nema.org/resources/ontology/DCM",
    "code" : "CT",
    "display" : "Computed Tomography"
  }],
  "subject" : {
    "reference" : "Patient/mii-exa-bildgebung-radiologischer-patient",
    "identifier" : {
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "MR",
          "display" : "Medical record number"
        }]
      },
      "system" : "https://system-url",
      "value" : "study-uid"
    }
  },
  "encounter" : {
    "reference" : "Encounter/mii-exa-bildgebung-radiologischer-fall"
  },
  "basedOn" : [{
    "reference" : "ServiceRequest/mii-exa-bildgebung-anforderung-bildgebung"
  }],
  "numberOfSeries" : 2,
  "numberOfInstances" : 390,
  "procedureReference" : {
    "reference" : "Procedure/mii-exa-bildgebung-bildgebungsprozedur"
  },
  "reasonReference" : [{
    "reference" : "Condition/mii-exa-bildgebung-radiologische-diagnose"
  }],
  "description" : "whole body aquisition",
  "series" : [{
    "extension" : [{
      "extension" : [{
        "url" : "convolutionalKernel",
        "valueString" : "SOFT"
      },
      {
        "url" : "CTDIvol",
        "valueQuantity" : {
          "value" : 4.04,
          "unit" : "milligray"
        }
      },
      {
        "url" : "KVP",
        "valueQuantity" : {
          "value" : 110,
          "unit" : "kilovolt"
        }
      },
      {
        "url" : "exposure",
        "valueQuantity" : {
          "value" : 38,
          "unit" : "milliampere second"
        }
      },
      {
        "url" : "exposureTime",
        "valueQuantity" : {
          "value" : 600,
          "unit" : "milliseconds"
        }
      },
      {
        "url" : "xRayTubeCurrent",
        "valueQuantity" : {
          "value" : 96,
          "unit" : "milliampere"
        }
      }],
      "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct"
    },
    {
      "extension" : [{
        "url" : "contrastBolus",
        "valueBoolean" : true
      },
      {
        "url" : "contrastBolusDetails",
        "valueReference" : {
          "reference" : "MedicationAdministration/mii-exa-bildgebung-kontrastmittelgabe"
        }
      }],
      "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel"
    }],
    "uid" : "series-example-uid",
    "number" : 1,
    "modality" : {
      "system" : "http://dicom.nema.org/resources/ontology/DCM",
      "code" : "CT",
      "display" : "Computed Tomography"
    },
    "description" : "AC LD CT Whole Body 4.0 HD Field of View",
    "numberOfInstances" : 195,
    "bodySite" : {
      "system" : "http://snomed.info/sct",
      "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
      "code" : "51185008",
      "display" : "Thoracic structure (body structure)"
    },
    "laterality" : {
      "system" : "http://snomed.info/sct",
      "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
      "code" : "7771000",
      "display" : "Left"
    },
    "started" : "2024-07-19T12:03:30+02:00",
    "performer" : [{
      "actor" : {
        "reference" : "Device/mii-exa-bildgebung-geraet"
      }
    }],
    "instance" : [{
      "extension" : [{
        "extension" : [{
          "url" : "pixelSpacingX",
          "valueQuantity" : {
            "value" : 1.36,
            "unit" : "millimeter"
          }
        },
        {
          "url" : "pixelSpacingY",
          "valueQuantity" : {
            "value" : 1.36,
            "unit" : "millimeter"
          }
        },
        {
          "url" : "sliceThickness",
          "valueQuantity" : {
            "value" : 4,
            "unit" : "millimeter"
          }
        },
        {
          "url" : "imageType",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
              "code" : "DERIVED"
            },
            {
              "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
              "code" : "PRIMARY"
            },
            {
              "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
              "code" : "AXIAL"
            }]
          }
        }],
        "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
      }],
      "uid" : "instance-example-uid",
      "sopClass" : {
        "system" : "urn:ietf:rfc:3986",
        "code" : "urn:oid:1.2.840.10008.5.1.4.1.1.2"
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      "number" : 31
    }]
  }]
}