MII IG Kerndatensatz-Modul Bildgebung
2027.0.0-ballot.1 - Germany

MII IG Kerndatensatz-Modul Bildgebung - Downloaded Version 2027.0.0-ballot.1 See the Directory of published versions

Logical Models

Datasets including descriptions

The Core Dataset module Bildgebung comprises both profiles for representing a radiological report (indication, assessment, findings, image quality etc.) and a profile for the metadata contained in the DICOM header (technical parameters, study details, modalities, body regions and laterality etc.). The structure of the report can be free text, structured, or semi-structured.

Note that the logical model aims purely at representing the data elements and their descriptions in a hierarchical structure. The data types and cardinalities used are not to be regarded as mandatory — they are conclusively defined by the FHIR profiles. For every element within the logical model there is a 1:1 mapping to an element of a concrete FHIR resource.

Artifact page: Logical Model 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

doco Documentation for this format