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

Logische Modelle

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Datensätze inkl. Beschreibungen

Das Kerndatensatzmodul Bildgebung umfasst sowohl Profile zur Abbildung eines radiologischen Befunds (Indikation, Beurteilung, Auffälligkeiten, Aufnahmequalität etc.) als auch ein Profil zu den Metainformationen, welche im DICOM-Header enthalten sind (Technische Parameter, Studiendetails, Modalitäten, Körperregionen und -seiten etc.). Die Struktur des Befunds kann entweder in Freitextform vorliegen oder in strukturierter als auch semistrukturierter Form vorliegen.

Es ist zu beachten, dass das LogicalModel rein auf die Abbildung der Datenelemente und deren Beschreibung in hierarchischer Struktur abzielt. Verwendete Datentypen und Kardinalitäten sind nicht als verpflichtend anzusehen. Dies wird abschließend durch die FHIR-Profile festgelegt. Für jedes Element innerhalb des Logical Models existiert ein 1:1 Mapping auf ein Element einer konkreten FHIR Ressource.

Artefakt-Seite: Logisches Modell Bildgebung

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bildgebung 0..* Element Das Erweiterungsmodul Bildgebung enthält Datenelemente zur Dokumentation Bildgebungsstudien und radiologischen Befundberichten

Elements defined in Ancestors:@id, 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
... Koerperstruktur 0..1 BackboneElement Körperstruktur
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Morphologie 0..1 CodeableConcept Morphologie
.... Lokalisation 0..1 CodeableConcept Lokalisation
.... naehereLokalisation 0..* CodeableConcept nähere Lokalisation
.... Person 1..1 Reference(Patient) Person
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Status 1..1 Coding Status
.... ArtEmpfehlung 1..1 Coding Art der Empfehlung
.... FreitextEmpfehlung 0..1 string Freitextempfehlung
.... Person 1..1 Reference(Patient) Person
.... Zusatzinformation 0..* Reference(DiagnosticReport) Zusatzinformation
... SemistrukturiertesBefunddokument 1..1 BackboneElement Semistrukturiertes Befunddokument
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Status 1..1 Coding Status
.... Typ 1..1 CodeableConcept Typ
.... Person 1..1 Reference(Patient) Person
.... DatumUhrzeit 1..1 dateTime Datum und Uhrzeit der Bearbeitung
.... Autor 1..* Reference(Practitioner) Autor
.... Titel 1..1 string Titel
.... Befundabschnitt 1..* BackboneElement Befundabschnitt
..... @id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... Titel 0..1 string Titel
..... Art 0..1 CodeableConcept Art
..... Autor 0..* Reference(Practitioner | Device) Autor
..... Text 0..1 Narrative Text
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... Eintrag 1..* Reference(DiagnosticReport | Observation) Eintrag
..... Unterabschnitt 0..* BackboneElement Unterabschnitt
... Geraet 0..1 BackboneElement Gerät
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Hersteller 0..1 string Hersteller
.... Geraetename 0..1 string Gerätename
... Befundbericht 1..1 BackboneElement Befundbericht
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... AnforderndeMassnahme 0..* Reference(ServiceRequest) Anfordernde Maßnahme
.... Status 1..1 Coding Status
.... Kategorie 1..* CodeableConcept Kategorie
.... Code 1..1 Coding Code
.... Person 1..1 Reference(Patient) Personen-Identifikation
.... Fall 0..1 Reference(Encounter) Fall-Referenz
.... Zeitpunkt 0..1 dateTime Klinisch relevanter Zeitpunkt
.... Periode 0..1 Period Klinisch relevante Periode
.... ZeitpunktErstellung 0..1 dateTime Zeitpunkt der Erstellung
.... Beobachtung 0..* Reference(Observation) Beobachtung
.... Studienbezug 1..* Reference(ImagingStudy) Studienbezug
.... InterpretationBeobachtung 0..1 markdown Interpretation
.... StrukturierteInterpretation 0..* CodeableConcept Strukturierte Interpretation
.... Zusatzinformation 0..* Reference(DiagnosticReport | Procedure) Zusatzinformation
.... Dokumentenanhang 0..* Attachment Dokumentenanhang
... Bildgebungsprozedur 0..1 BackboneElement Bildgebungsprozedur
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... AnforderndeMassnahme 1..* Reference(ServiceRequest) Anfordernde Maßnahme
.... Status 1..1 Coding Status
.... Kategorie 1..1 CodeableConcept Kategorie
.... Code 1..1 Coding Code
.... Person 1..1 Reference(Patient) Person
.... Zeitpunkt 1..1 dateTime Zeitpunkt der Prozedur
... Studie 0..* BackboneElement Studie
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Status 1..1 Coding Status
.... Modalitaeten 0..* Coding Modalitaeten
.... Person 1..1 Reference(Patient) Person
.... Fall 0..1 Reference(Encounter) Fall-Referenz
.... Beginn 0..1 dateTime Beginn
.... AnforderndeMassnahme 0..* Reference(ServiceRequest) Anfordernde Maßnahme
.... QuellePACS 0..* Reference(Endpoint) Quelle zum PACS-Bild
.... AnzahlSerien 0..1 unsignedInt Anzahl der Serien
.... AnzahlInstanzen 0..1 unsignedInt Anzahl der SOP Instanzen
.... Bildgebungsprozedur 0..1 Reference(Procedure) Bildgebungsprozedur
.... Bildgebungsgrund 0..1 string Bildgebungsgrund
.... Koerpergewicht 0..1 Reference(Observation-Profil Körpergewicht) Gewicht
.... Koerpergroesse 0..1 Reference(Observation-Profil Körpergröße) Größe
.... Indikation 0..* Reference(Condition | Observation) Indikation
.... StudienBeschreibung 0..1 string Studien-Beschreibung
.... Serien 0..* BackboneElement Serien
..... @id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... SerienUID 1..1 id Serien-UID
..... SerienNummer 0..1 unsignedInt Serien-Nummer
..... Modalitaet 1..1 Coding Modalitaet
..... Serienbeschreibung 0..1 string Serien-Beschreibung
..... AnzahlInstanzen 0..1 unsignedInt Anzhal der SOP Instanzen
..... Koerperregion 0..1 Coding Körperregion
..... Koerperseite 0..1 Coding Körperseite/Lateralität
..... Beginn 0..1 dateTime Beginn
..... Ausfuehrender 0..* BackboneElement Ausführender der Serie
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... Akteur 1..1 Reference(Device) Geraet
..... Schichtdicke 0..1 SimpleQuantity Schichtdicke
..... Kontrastmittelgabe 0..1 boolean Kontrastmittelgabe
..... Kontrastmitteldetails 0..* Reference(MedicationStatement | MedicationAdministration) Kontrastmitteldetails
..... ModalitaetDX 0..1 BackboneElement Modalitaet DX
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... KVP 0..1 SimpleQuantity Maximale Röntgenröhrenspannung
...... Expositionszeit 0..1 SimpleQuantity Expositionszeit
...... Exposition 0..1 SimpleQuantity Exposition
...... Roentgenroehrenstrom 0..1 SimpleQuantity Röntgenröhrenstrom
...... Blickposition 0..1 CodeableConcept Blickposition
..... ModalitaetCR 0..1 BackboneElement Modalitaet CR
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... KVP 0..1 SimpleQuantity Maximale Röntgenröhrenspannung
...... Expositionszeit 0..1 SimpleQuantity Expositionszeit
...... Exposition 0..1 SimpleQuantity Exposition
...... Roentgenroehrenstrom 0..1 SimpleQuantity Röntgenröhrenstrom
...... Blickposition 0..1 CodeableConcept Blickposition
..... ModalitaetMG 0..1 BackboneElement Modalitaet MG
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... KVP 0..1 SimpleQuantity Maximale Röntgenröhrenspannung
...... Expositionszeit 0..1 SimpleQuantity Expositionszeit
...... Exposition 0..1 SimpleQuantity Exposition
...... Roentgenroehrenstrom 0..1 SimpleQuantity Röntgenröhrenstrom
...... Blickposition 0..1 CodeableConcept Blickposition
..... ModalitaetCT 0..1 BackboneElement Modalitaet CT
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... CTDIVolume 0..1 SimpleQuantity CTDIvolume
...... KVP 0..1 SimpleQuantity Maximale Röntgenröhrenspannung
...... Expositionszeit 0..1 SimpleQuantity Expositionszeit
...... Exposition 0..1 SimpleQuantity Exposition
...... Roentgenroehrenstrom 0..1 SimpleQuantity Röntgenröhrenstrom
...... Filterkern 0..1 string Filterkern
..... ModalitaetMR 0..1 BackboneElement Modalitaet MR
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... ScanningSequenz 0..* CodeableConcept Scanning Sequenz
...... ScanningSequenzUntervariante 0..* CodeableConcept Scanning Sequenz Untervariante
...... MagnetischeFeldstaerke 0..1 SimpleQuantity Magnetische Feldstärke
...... Echozeit 0..1 SimpleQuantity Echozeit (TE)
...... Repetitionszeit 0..1 SimpleQuantity Repetitionszeit (TR)
...... Inversionszeit 0..1 SimpleQuantity Inversionszeit (TI)
...... Kippwinkel 0..1 SimpleQuantity Kippwinkel
..... ModalitaetPT 0..1 BackboneElement Modalitaet PT
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... Radiopharmakon 0..1 CodeableConcept Radiopharmakon
...... Radionuklid 0..1 CodeableConcept Radionuklid
...... TracerExpositionszeit 0..1 SimpleQuantity Tracer-Expositionszeit
...... Skalierungseinheit 0..1 CodeableConcept Skalierungseinheit
...... GesamteRadionukliddosis 0..1 SimpleQuantity Gesamte Radionukliddosis
...... Halbwertszeit 0..1 SimpleQuantity Halbwertszeit
...... Serientyp 0..* CodeableConcept Serientyp
..... ModalitaetNM 0..1 BackboneElement Modalitaet NM
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... Radiopharmakon 0..1 CodeableConcept Radiopharmakon
...... Radionuklid 0..1 CodeableConcept Radionuklid
...... TracerExpositionszeit 0..1 SimpleQuantity Tracer-Expositionszeit
...... Skalierungseinheit 0..1 CodeableConcept Skalierungseinheit
...... GesamteRadionukliddosis 0..1 SimpleQuantity Gesamte Radionukliddosis
...... Halbwertszeit 0..1 SimpleQuantity Halbwertszeit
..... ModalitaetUS 0..1 BackboneElement Modalitaet US
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... Schallkopftyp 0..1 CodeableConcept Schallkopftyp
...... Schallkopffrequenz 0..1 SimpleQuantity Schallkopffrequenz
...... Impulsfolgefrequenz 0..1 SimpleQuantity Impulsfolgefrequenz
...... Ultraschallfarbe 0..1 boolean Ultraschallfarbe
..... Instanzen 0..* BackboneElement Instanzen
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... SOPInstanz 1..1 id SOP-Instanz UID
...... SOPKlasse 1..1 Coding SOP-Klasse
...... InstanzNummer 0..1 unsignedInt Instanz-Nummer
...... Titel 0..1 string Titel des Bilds
...... Bildtyp 0..* CodeableConcept Bildtyp
...... Schichtdicke 0..1 SimpleQuantity Schichtdicke in mm
...... PixelabstandX 0..1 SimpleQuantity Pixelabstand in x-Richtung in mm
...... PixelabstandY 0..1 SimpleQuantity Pixelabstand in y-Richtung in mm
...... EingebrannteAnnotation 0..1 boolean Eingebrannte Annotation
... GenerischeBeobachtung 0..* BackboneElement Befundabschnitt
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Bildnummer 0..1 string Bildnummer
.... Schichtposition 0..1 string Schichtposition
.... ErweiterteKoerperstruktur 0..* Reference(BodyStructure) Erweiterte Körperstruktur
.... TeilEinerBefundungsprozedur 0..* Reference(Procedure) Teil einer Befundungsprozedur
.... Status 1..1 Coding Status
.... Beobachtungsklassifizierung 0..* CodeableConcept Beobachtungsklassifizierung
.... Beobachtungstyp 1..1 CodeableConcept Beobachtungstyp
.... Person 1..1 Reference(Patient) Person
.... Beobachtungszeitpunkt 0..1 dateTime Beobachtungszeitpunkt
.... Beschreibung 0..1 BackboneElement Beschreibung
.... Koerperregion 0..1 CodeableConcept Körperregion
.... WeitereBeobachtung 0..* Reference(Observation) Weitere Beobachtung(en)
.... Studienbezug 0..* Reference(ImagingStudy) Studienbezug
.... ErweiterteBeschreibung 0..* BackboneElement Erweiterte Beschreibung
... Kontrastmittelgabe 0..1 BackboneElement Kontrastmittelgabe
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... TeilVon 0..* Reference(MedicationAdministration | Procedure) Teil von
.... Status 1..1 Coding Status
.... Medikament 1..1 BackboneElement Medikament
.... Person 1..1 Reference(Patient) Person
.... Medikationsdauer 1..1 Period Medikationsdauer
.... Dosierung 1..1 BackboneElement Dosierung
..... @id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... Dosis 1..1 SimpleQuantity Dosis
... Befundungsprozedur 0..1 BackboneElement Befundungsprozedur
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Status 1..1 Coding Status
.... Kategorie 1..1 CodeableConcept Kategorie
.... Code 1..1 CodeableConcept Code
.... Person 1..1 Reference(Patient) Person
.... Befundungszeit 1..1 BackboneElement Befundungszeit
.... Bericht 1..* Reference(DiagnosticReport | Composition | DocumentReference) Bericht
... Anforderung 0..1 BackboneElement Anforderung
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Status 1..1 Coding Status
.... Anforderungsabsicht 1..1 Coding Anforderungsabsicht
.... Anforderungsklassifizierung 1..* CodeableConcept Klassifizierung
.... ArtAnfrage 0..1 CodeableConcept Art der Anfrage
.... Person 1..1 Reference(Patient) Person
.... Versorgungsstellenkontakt 0..1 Reference(Encounter) Versorgungsstellenkontakt
.... Zeitpunkt 0..1 dateTime Zeitpunkt
.... Anforderer 0..1 Reference(Practitioner) Anforderer
.... Anforderungsgrund 0..* CodeableConcept Anforderungsgrund
.... Anforderungsbezug 0..* Reference(Condition) Anforderungsbezug
.... Zusatzinformation 0..* Reference(DiagnosticReport | ImagingStudy) Zusatzinformation

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