description: Diese Ressource beschreibt einen radiologischen Befund
package_name: de.medizininformatikinitiative.kerndatensatz.bildgebung
derivation: constraint
name: MII_PR_Bildgebung_Radiologischer_Befund
type: DiagnosticReport
elements:
  category:
    mustSupport: true
    index: 13
    elements:
      coding:
        mustSupport: true
        index: 14
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: 1
          slices:
            loinc:
              match: {code: 18748-4, system: 'http://loinc.org', display: Diagnostic imaging study}
              schema:
                pattern:
                  type: Coding
                  value: {code: 18748-4, system: 'http://loinc.org', display: Diagnostic imaging study}
                index: 15
              min: 0
              max: 1
            diagnostic-service-sections:
              match: {code: RAD, system: 'http://terminology.hl7.org/CodeSystem/v2-0074'}
              schema:
                pattern:
                  type: Coding
                  value: {code: RAD, system: 'http://terminology.hl7.org/CodeSystem/v2-0074'}
                index: 16
              min: 0
              max: 1
            snomed-ct:
              match: {code: '4201000179104', system: 'http://snomed.info/sct', display: Imaging report}
              schema:
                pattern:
                  type: Coding
                  value: {code: '4201000179104', system: 'http://snomed.info/sct', display: Imaging report}
                _required: true
                index: 17
              min: 1
              max: 1
    required: [coding]
  conclusionCode:
    mustSupport: true
    index: 33
    elements:
      coding:
        mustSupport: true
        index: 34
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            icd10-gm:
              match: {system: 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'}
                array: true
                index: 35
              min: 0
            sct:
              match: {system: 'http://snomed.info/sct'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://snomed.info/sct'}
                array: true
                index: 36
              min: 0
  conclusion: {mustSupport: true, index: 32}
  meta:
    mustSupport: true
    index: 1
    elements:
      source: {mustSupport: true, index: 2}
      profile: {mustSupport: true, index: 3}
  encounter: {mustSupport: true, index: 20}
  extension:
    index: 4
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        supportingInfo:
          match: {url: null}
          schema:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
            index: 5
            extensions:
              type: {url: null, mustSupport: true, index: 6}
              reference:
                url: null
                mustSupport: true
                index: 7
                elements:
                  value:
                    choices: [valueReference]
                    index: 9
                  valueReference:
                    type: Reference
                    choiceOf: value
                    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologische-befundungsprozedur', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologischer-befund']
                    index: 10
            elements:
              extension:
                mustSupport: true
                index: 6
                slicing:
                  slices:
                    type:
                      match: {}
                      schema: {mustSupport: true, index: 6}
                    reference:
                      match: {}
                      schema:
                        mustSupport: true
                        index: 7
                        elements:
                          value:
                            choices: [valueReference]
                            index: 9
                          valueReference:
                            type: Reference
                            choiceOf: value
                            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologische-befundungsprozedur', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologischer-befund']
                            index: 10
  effectiveDateTime:
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 25
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, mustSupport: true, choiceOf: effective, index: 25}
          min: 0
          max: 1
  status: {mustSupport: true, index: 12}
  result:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologische-beobachtung']
    index: 30
  effective:
    mustSupport: true
    choices: [effectivePeriod]
    index: 27
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema:
            mustSupport: true
            choices: [effectivePeriod]
            index: 27
          min: 0
          max: 1
  id: {mustSupport: true, index: 0}
  code: {mustSupport: true, index: 18}
  issued: {mustSupport: true, index: 29}
  presentedForm: {mustSupport: true, index: 37}
  basedOn:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-anforderung-bildgebung']
    index: 11
  imagingStudy:
    type: Reference
    mustSupport: true
    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie']
    index: 31
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 19
  effectivePeriod:
    type: Period
    mustSupport: true
    choiceOf: effective
    index: 28
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema: {type: Period, mustSupport: true, choiceOf: effective, index: 28}
          min: 0
          max: 1
package_version: 2025.0.0-ballot
extensions:
  supportingInfo:
    url: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
    type: Extension
    mustSupport: true
    index: 5
    extensions:
      type: {url: null, mustSupport: true, index: 6}
      reference:
        url: null
        mustSupport: true
        index: 7
        elements:
          value:
            choices: [valueReference]
            index: 9
          valueReference:
            type: Reference
            choiceOf: value
            refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologische-befundungsprozedur', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologischer-befund']
            index: 10
    elements:
      extension:
        mustSupport: true
        index: 6
        slicing:
          slices:
            type:
              match: {}
              schema: {mustSupport: true, index: 6}
            reference:
              match: {}
              schema:
                mustSupport: true
                index: 7
                elements:
                  value:
                    choices: [valueReference]
                    index: 9
                  valueReference:
                    type: Reference
                    choiceOf: value
                    refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologische-befundungsprozedur', 'https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologischer-befund']
                    index: 10
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologischer-befund
base: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
version: 2025.0.0-ballot
required: [imagingStudy, category]