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. For a full list of available versions, see the Directory of published versions

: MII Example Bildgebung Imaging Study CR

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<ImagingStudy xmlns="http://hl7.org/fhir">
  <id value="mii-exa-bildgebung-bildgebungsstudie-cr"/>
  <meta>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie"/>
  </meta>
  <language value="de"/>
  <text>
    <status value="extensions"/>
    <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-cr</b></p><a name="de-mii-exa-bildgebung-bildgebungsstudie-cr"> </a><a name="de-hcmii-exa-bildgebung-bildgebungsstudie-cr"> </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-CR">DICOM: CR</a> (Computed Radiography)</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>: 1</p><p><b>numberOfInstances</b>: 1</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>: Thorax auf Station;</p><blockquote><p><b>series</b></p><blockquote><p><b>MII EX Bildgebung Modalität MG/CR/DX</b></p><ul><li>KVP: 110 kilovolt</li><li>exposure: 38 milliampere second</li><li>exposureTime: 600 milliseconds</li><li>xRayTubeCurrent: 96 milliampere</li><li>viewPosition: <span title="Codes:{http://snomed.info/sct 399038007}">Right posterior oblique projection (qualifier value)</span></li></ul></blockquote><blockquote><p><b>MII EX Bildgebung Kontrastmittel</b></p><ul><li>contrastBolus: false</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-CR">DICOM: CR</a> (Computed Radiography)</p><p><b>description</b>: X Thorax a.p. liegend</p><p><b>numberOfInstances</b>: 1</p><p><b>bodySite</b>: <a href="http://snomed.info/id/43799004">SNOMED CT: 43799004</a> (Thoracic cavity structure (body structure)) (version = http://snomed.info/sct/900000000000207008/version/20260701 )</p><p><b>laterality</b>: <a href="http://snomed.info/id/66459002">SNOMED CT: 66459002</a> (Unilateral) (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:1.2.840.10008.5.1.4.1.1.1 (urn:oid:1.2.840.10008.5.1.4.1.1.1)</td><td>1</td></tr></table></blockquote></div>
  </text>
  <extension
             url="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund">
    <valueString value="Verdacht auf Karzinom"/>
  </extension>
  <status value="available"/>
  <modality>
    <system value="http://dicom.nema.org/resources/ontology/DCM"/>
    <code value="CR"/>
    <display value="Computed Radiography"/>
  </modality>
  <subject>🔗 
    <reference value="Patient/mii-exa-bildgebung-radiologischer-patient"/>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="MR"/>
          <display value="Medical record number"/>
        </coding>
      </type>
      <system value="https://system-url"/>
      <value value="study-uid"/>
    </identifier>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/mii-exa-bildgebung-radiologischer-fall"/>
  </encounter>
  <basedOn>🔗 
    <reference
               value="ServiceRequest/mii-exa-bildgebung-anforderung-bildgebung"/>
  </basedOn>
  <numberOfSeries value="1"/>
  <numberOfInstances value="1"/>
  <procedureReference>🔗 
    <reference value="Procedure/mii-exa-bildgebung-bildgebungsprozedur"/>
  </procedureReference>
  <reasonReference>🔗 
    <reference value="Condition/mii-exa-bildgebung-radiologische-diagnose"/>
  </reasonReference>
  <description value="Thorax auf Station;"/>
  <series>
    <extension
               url="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx">
      <extension url="KVP">
        <valueQuantity>
          <value value="110"/>
          <unit value="kilovolt"/>
        </valueQuantity>
      </extension>
      <extension url="exposure">
        <valueQuantity>
          <value value="38"/>
          <unit value="milliampere second"/>
        </valueQuantity>
      </extension>
      <extension url="exposureTime">
        <valueQuantity>
          <value value="600"/>
          <unit value="milliseconds"/>
        </valueQuantity>
      </extension>
      <extension url="xRayTubeCurrent">
        <valueQuantity>
          <value value="96"/>
          <unit value="milliampere"/>
        </valueQuantity>
      </extension>
      <extension url="viewPosition">
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version
                     value="http://snomed.info/sct/900000000000207008/version/20260701"/>
            <code value="399038007"/>
            <display
                     value="Right posterior oblique projection (qualifier value)"/>
          </coding>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel">
      <extension url="contrastBolus">
        <valueBoolean value="false"/>
      </extension>
    </extension>
    <uid value="series-example-uid"/>
    <number value="1"/>
    <modality>
      <system value="http://dicom.nema.org/resources/ontology/DCM"/>
      <code value="CR"/>
      <display value="Computed Radiography"/>
    </modality>
    <description value="X Thorax a.p. liegend"/>
    <numberOfInstances value="1"/>
    <bodySite>
      <system value="http://snomed.info/sct"/>
      <version
               value="http://snomed.info/sct/900000000000207008/version/20260701"/>
      <code value="43799004"/>
      <display value="Thoracic cavity structure (body structure)"/>
    </bodySite>
    <laterality>
      <system value="http://snomed.info/sct"/>
      <version
               value="http://snomed.info/sct/900000000000207008/version/20260701"/>
      <code value="66459002"/>
      <display value="Unilateral"/>
    </laterality>
    <started value="2024-07-19T12:03:30+02:00"/>
    <performer>
      <actor>🔗 
        <reference value="Device/mii-exa-bildgebung-geraet"/>
      </actor>
    </performer>
    <instance>
      <extension
                 url="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details">
        <extension url="imageType">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type"/>
              <code value="ORIGINAL"/>
            </coding>
            <coding>
              <system
                      value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type"/>
              <code value="PRIMARY"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <uid value="instance-example-uid"/>
      <sopClass>
        <system value="urn:ietf:rfc:3986"/>
        <code value="urn:oid:1.2.840.10008.5.1.4.1.1.1"/>
      </sopClass>
      <number value="1"/>
    </instance>
  </series>
</ImagingStudy>