MII IG Kerndatensatz-Modul Bildgebung
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: MII Example Bildgebung Radiologische Beobachtung

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{
  "resourceType" : "Observation",
  "id" : "mii-exa-bildgebung-radiologische-beobachtung",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologische-beobachtung"
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation mii-exa-bildgebung-radiologische-beobachtung</b></p><a name=\"de-mii-exa-bildgebung-radiologische-beobachtung\"> </a><a name=\"de-hcmii-exa-bildgebung-radiologische-beobachtung\"> </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-radiologische-beobachtung.html\">MII PR Bildgebung Radiologische Beobachtung</a></p></div><p><b>MII EX Bildgebung Bildnummer</b>: example-series-uid</p><p><b>MII EX Bildgebung SOPInstanz</b>: example-sop-instance-uid</p><p><b>partOf</b>: <a href=\"Procedure-mii-exa-bildgebung-radiologische-befundungsprozedur.html\">Procedure Consultation and report by radiologist (procedure)</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32422-8}\">Physical findings of Breast</span></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>issued</b>: 2024-07-19 12:03:30+0200</p><p><b>value</b>: microcalcifications in the upper outer quadrant in the left breast</p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 76752008}\">Breast structure (body structure)</span></p><p><b>hasMember</b>: <a href=\"https://simplifier.net/resolve?scope=de.basisprofil.r4@1.6.0&amp;canonical=http://fhir.org/packages/de.basisprofil.r4/Observation/ObsExample\">Observation/ObsExample</a></p><p><b>derivedFrom</b>: <a href=\"ImagingStudy-mii-exa-bildgebung-bildgebungsstudie-ct.html\">ImagingStudy: extension = Verdacht auf Karzinom; status = available; modality = Computed Tomography (DICOM#CT); numberOfSeries = 2; numberOfInstances = 390; description = whole body aquisition</a></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 10157-6}\">History of family member diseases note</span></td><td>true</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-series-uid",
      "valueId" : "example-series-uid"
    },
    {
      "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-sop-instanz-uid",
      "valueId" : "example-sop-instance-uid"
    }
  ],
  "partOf" : [
    {
      🔗 "reference" : "Procedure/mii-exa-bildgebung-radiologische-befundungsprozedur"
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging",
          "display" : "Imaging"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "32422-8",
        "display" : "Physical findings of Breast"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/mii-exa-bildgebung-radiologischer-patient"
  },
  "issued" : "2024-07-19T12:03:30+02:00",
  "valueString" : "microcalcifications in the upper outer quadrant in the left breast",
  "bodySite" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/bodySite",
        "valueReference" : {
          🔗 "reference" : "BodyStructure/mii-exa-bildgebung-koerperstruktur"
        }
      }
    ],
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
        "code" : "76752008",
        "display" : "Breast structure (body structure)"
      }
    ]
  },
  "hasMember" : [
    {
      "reference" : "Observation/ObsExample"
    }
  ],
  "derivedFrom" : [
    {
      🔗 "reference" : "ImagingStudy/mii-exa-bildgebung-bildgebungsstudie-ct"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "10157-6",
            "display" : "History of family member diseases note"
          }
        ]
      },
      "valueBoolean" : true
    }
  ]
}