MII IG Kerndatensatz-Modul Bildgebung
2027.0.0-ballot.1 -
Germany
MII IG Kerndatensatz-Modul Bildgebung
2027.0.0-ballot.1 -
Germany
This page is part of the MII Implementation Guide Bildgebung (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm | Version: 2027.0.0-ballot.1 | |||
| Active Stand: 2026-09-15 | Maschinenlesbarer Name: MII_EX_Bildgebung_Modalitaet_NM | |||
Die Extension ermöglicht es die Ressourcen und Machbarkeitsanalysen auf NM Daten zu erweitern.
Context of Use
This extension may be used on the following element(s)
ImagingStudy.series
Die Extension NM (Nuklearmedizinische Bildgebung) ermöglicht das Erfassen relevanter DICOM-Tags, um Rückschlüsse über die Bildgewinnung ziehen zu können. Eine Besonderheit der Nuklearmedizin ist die Verwendung eines Radiopharmakons, das aus einem Tracer und einem Radioisotop besteht und somit Stoffwechselbildgebung ermöglicht. Diese Informationen über das Radiopharmakon liegen verschachtelt in dem DICOM-Tag RadiopharmaceuticalInformationSequence (0054,0016) vor, sogenannte nested DICOM-Tags.
Beispiel des Zugriffs auf ein nested DICOM-Tag mit Python aus einer DICOM-Schicht(Instanz):
RadiopharmaceuticalStartTime = layer['RadiopharmaceuticalInformationSequence'][0]['RadiopharmaceuticalStartTime'].value
Implementation:
Radiopharmakon (ValueSet mit Codes: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_25.html): Das Radiopharmakon kann unter Bestimmung des Codes „0054,0016“ (Radiopharmaceutical Information Sequence) → „0054,0304“ (Radiopharmaceutical Code Sequence) → „0008,0100“ (Code Value) als Code in den Klarnamen umgewandelt werden. Ist dieser nicht vorhanden, kann der Wert direkt aus dem Tag „0054,0016“ (Radiopharmaceutical Information Sequence) → „0054,0304“ (Radiopharmaceutical Code Sequence) → „0008,0104“ (Code Meaning) extrahiert werden. Falls unter Umständen sich der Klarname von dem ValueSet unterscheidet, kann ein lokales Mapping am Standort gemacht werden. Alternativ kann bei weiterem Fehlen auch noch das Tag „0054,0016“ (Radiopharmaceutical Information Sequence) → "0018,0031" (Radiopharmaceutical) zu Rate gezogen werden, bitte nur verwenden, falls sich im String konstant der Tracer UND das Radionuklid befinden (siehe Link des Valuesets).
Tracer-Einwirkzeit: Dies ist ein Custom Tag und wird aus der Differenz zwischen den Zeitangaben in Sekunden der Acquisition Time "0008,0032" (oder ähnlichem) und der „0054,0016“ (Radiopharmaceutical Information Sequence) → "0018, 1072" RadiopharmaceuticalStartTime gebildet.
Halbwertszeit ["0018, 1075" RadionuclideHalfLife] in Sekunden [s]
Gesamte Radionukliddosis ["0018, 1074" RadionuclideTotalDose] in Megabecquerel [MBq] (Achtung: Bei PT dagegen wird normalerweise die Einheit Bq verwendet!)
Beispiele
Hinweis: 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.
Beispiel einer ImagingStudy-Ressource mit der Extension für PET Metadaten inkl. der modalitätsunabhängigen Extensions für Kontrastmittel, Instanzdetails und Gerätehersteller:
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.
Diese Struktur ist abgeleitet von Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | MII EX Bildgebung Modalität PT/NM | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:radiopharmaceutical |
0..1 | Extension | Extension | |
   extension |
0..0 | Extension | ||
| url |
1..1 | uri | "radiopharmaceutical" | |
  value[x] |
0..1 | CodeableConcept | Value of extension Binding: Radiopharmaceutical (extensible) | |
  text |
S | 0..1 | string | Plain text representation of the concept |
| extension:radionuclide |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "radionuclide" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: RadiopharmaceuticalIsotope (extensible) | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| extension:tracerExposureTime |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "tracerExposureTime" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
 unit |
0..1 | string | Unit representation Required Pattern: Seconds | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
0..1 | code | Coded form of the unit Required Pattern: s | |
| extension:units |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "units" | |
 value[x] |
0..1 | CodeableConcept | Value of extension Binding: PETUnit (extensible) | |
| extension:radionuclideTotalDose |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "radionuclideTotalDose" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| unit |
0..1 | string | Unit representation Required Pattern: Megabecquerel | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
0..1 | code | Coded form of the unit Required Pattern: MBq | |
 extension:radionuclideHalfLife |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "radionuclideHalfLife" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| unit |
0..1 | string | Unit representation Required Pattern: Seconds | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
0..1 | code | Coded form of the unit Required Pattern: s | |
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm" | |
| value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:radiopharmaceutical.value[x] | Base | extensible | Radiopharmaceutical | 📦2025.3.20250714 | DICOM v2025c |
| Extension.extension:radionuclide.value[x] | Base | extensible | RadiopharmaceuticalIsotope | 📦2025.3.20250714 | DICOM v2025c |
| Extension.extension:units.value[x] | Base | extensible | PETUnit | 📦2025.3.20250714 | DICOM v2025c |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
 Extension |
0..* | Extension | MII EX Bildgebung Modalität PT/NM | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:radiopharmaceutical |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "radiopharmaceutical" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Radiopharmaceutical (extensible) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| extension:radionuclide |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "radionuclide" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: RadiopharmaceuticalIsotope (extensible) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| extension:tracerExposureTime |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "tracerExposureTime" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: Seconds |
| system |
ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
Σ | 0..1 | code | Coded form of the unit Required Pattern: s |
| extension:units |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "units" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PETUnit (extensible) | |
| extension:radionuclideTotalDose |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "radionuclideTotalDose" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: Megabecquerel |
| system |
ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
Σ | 0..1 | code | Coded form of the unit Required Pattern: MBq |
| extension:radionuclideHalfLife |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "radionuclideHalfLife" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: Seconds |
| system |
ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
Σ | 0..1 | code | Coded form of the unit Required Pattern: s |
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm" | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:radiopharmaceutical.value[x] | Base | extensible | Radiopharmaceutical | 📦2025.3.20250714 | DICOM v2025c |
| Extension.extension:radionuclide.value[x] | Base | extensible | RadiopharmaceuticalIsotope | 📦2025.3.20250714 | DICOM v2025c |
| Extension.extension:units.value[x] | Base | extensible | PETUnit | 📦2025.3.20250714 | DICOM v2025c |
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Diese Struktur ist abgeleitet von Extension
Summary
Complex Extension: Die Extension ermöglicht es die Ressourcen und Machbarkeitsanalysen auf NM Daten zu erweitern.
Differential-AnsichtDifferential View
Diese Struktur ist abgeleitet von Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | MII EX Bildgebung Modalität PT/NM | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:radiopharmaceutical |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "radiopharmaceutical" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Radiopharmaceutical (extensible) | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| extension:radionuclide |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "radionuclide" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: RadiopharmaceuticalIsotope (extensible) | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| extension:tracerExposureTime |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "tracerExposureTime" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| unit |
0..1 | string | Unit representation Required Pattern: Seconds | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
0..1 | code | Coded form of the unit Required Pattern: s | |
| extension:units |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "units" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PETUnit (extensible) | |
| extension:radionuclideTotalDose |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "radionuclideTotalDose" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| unit |
0..1 | string | Unit representation Required Pattern: Megabecquerel | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
0..1 | code | Coded form of the unit Required Pattern: MBq | |
| extension:radionuclideHalfLife |
0..1 | Extension | Extension | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "radionuclideHalfLife" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| unit |
0..1 | string | Unit representation Required Pattern: Seconds | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
0..1 | code | Coded form of the unit Required Pattern: s | |
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm" | |
| value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:radiopharmaceutical.value[x] | Base | extensible | Radiopharmaceutical | 📦2025.3.20250714 | DICOM v2025c |
| Extension.extension:radionuclide.value[x] | Base | extensible | RadiopharmaceuticalIsotope | 📦2025.3.20250714 | DICOM v2025c |
| Extension.extension:units.value[x] | Base | extensible | PETUnit | 📦2025.3.20250714 | DICOM v2025c |
Snapshot-Ansicht
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | MII EX Bildgebung Modalität PT/NM | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:radiopharmaceutical |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "radiopharmaceutical" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Radiopharmaceutical (extensible) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| extension:radionuclide |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "radionuclide" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: RadiopharmaceuticalIsotope (extensible) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| extension:tracerExposureTime |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "tracerExposureTime" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: Seconds |
| system |
ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
Σ | 0..1 | code | Coded form of the unit Required Pattern: s |
| extension:units |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "units" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PETUnit (extensible) | |
| extension:radionuclideTotalDose |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "radionuclideTotalDose" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: Megabecquerel |
| system |
ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
Σ | 0..1 | code | Coded form of the unit Required Pattern: MBq |
| extension:radionuclideHalfLife |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "radionuclideHalfLife" | |
| value[x] |
0..1 | SimpleQuantity | Value of extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| unit |
Σ | 0..1 | string | Unit representation Required Pattern: Seconds |
| system |
ΣC | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
Σ | 0..1 | code | Coded form of the unit Required Pattern: s |
| url |
1..1 | uri | "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-nm" | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:radiopharmaceutical.value[x] | Base | extensible | Radiopharmaceutical | 📦2025.3.20250714 | DICOM v2025c |
| Extension.extension:radionuclide.value[x] | Base | extensible | RadiopharmaceuticalIsotope | 📦2025.3.20250714 | DICOM v2025c |
| Extension.extension:units.value[x] | Base | extensible | PETUnit | 📦2025.3.20250714 | DICOM v2025c |
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Diese Struktur ist abgeleitet von Extension
Summary
Complex Extension: Die Extension ermöglicht es die Ressourcen und Machbarkeitsanalysen auf NM Daten zu erweitern.
Weitere Repräsentationen des Profils: CSV, Excel, Schematron