{ "description": "Dieses Profil beschreibt den Befund/eine Beobachtung in der radiologischer Bildgebung. Es bietet die Möglichkeit strukturiert Beobachtungen abzubilden und den Befundbericht zu ergänzen.", "_filename": "StructureDefinition-mii-pr-bildgebung-radiologische-beobachtung.json", "package_name": "de.medizininformatikinitiative.kerndatensatz.bildgebung", "date": "2025-01-01", "derivation": "constraint", "publisher": "Medizininformatik Initiative", "fhirVersion": "4.0.1", "name": "MII_PR_Bildgebung_Radiologische_Beobachtung", "abstract": false, "type": "Observation", "experimental": null, "resourceType": "StructureDefinition", "title": "MII PR Bildgebung Radiologische Beobachtung", "_description": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "The profile describes a observation for radiological images." } ] } ] }, "package_version": "2025.0.0", "extension": [ { "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable", "valueCodeableConcept": { "coding": [ { "code": "CC-BY-4.0", "system": "http://hl7.org/fhir/spdx-license", "display": "Creative Commons Attribution 4.0 International" } ] } } ], "status": "active", "id": "c58e09b2-a381-4196-8858-cab488fd40d6", "kind": "resource", "_name": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "MII_PR_Imaging_Radiological_Observation" } ] } ] }, "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologische-beobachtung", "_title": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "MII PR Imaging Radiological Observation" } ] } ] }, "version": "2025.0.0", "differential": { "element": [ { "id": "Observation.id", "path": "Observation.id", "mustSupport": true }, { "id": "Observation.meta", "path": "Observation.meta", "mustSupport": true }, { "id": "Observation.meta.source", "path": "Observation.meta.source", "mustSupport": true }, { "id": "Observation.meta.profile", "path": "Observation.meta.profile", "mustSupport": true }, { "id": "Observation.extension", "path": "Observation.extension", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "url", "type": "value" } ] } }, { "path": "Observation.extension", "min": 0, "definition": "UID einer DICOM-Serie", "short": "Serien UID", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "UID einer DICOM-Serie" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "UID of a series" } ] } ] }, "type": [ { "code": "Extension", "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-series-uid" ] } ], "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Serien UID" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Series UID" } ] } ] }, "sliceName": "SeriesUID", "max": "1", "id": "Observation.extension:SeriesUID" }, { "path": "Observation.extension", "min": 0, "definition": "UID einer SOP Instanz", "short": "SOP Instanz UID", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "UID einer SOP Instanz" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "UID of a SOP instance" } ] } ] }, "type": [ { "code": "Extension", "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-sop-instanz-uid" ] } ], "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "SOP Instanz UID" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "SOP Instance UID" } ] } ] }, "sliceName": "SOPInstanzUID", "max": "1", "id": "Observation.extension:SOPInstanzUID" }, { "path": "Observation.extension", "min": 0, "definition": "Referenz auf eine Körperstruktur", "short": "Körperstruktur", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Referenz auf eine Körperstruktur" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "reference on a body structure" } ] } ] }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.bodyStructure" ] } ], "mustSupport": true, "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Körperstruktur" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "body structure" } ] } ] }, "sliceName": "bodyStructure", "max": "*", "id": "Observation.extension:bodyStructure" }, { "id": "Observation.extension:bodyStructure.value[x]", "path": "Observation.extension.value[x]", "type": [ { "code": "Reference", "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-koerperstruktur" ] } ] }, { "id": "Observation.partOf", "path": "Observation.partOf", "type": [ { "code": "Reference", "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologische-befundungsprozedur" ] } ], "short": "Teil von", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Teil von" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "part of" } ] } ] }, "definition": "Teil einer Befundungprozedur", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Teil einer Befundungprozedur" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "part of a read procedure" } ] } ] }, "mustSupport": true }, { "id": "Observation.status", "path": "Observation.status", "short": "Status", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Status" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "status" } ] } ] }, "definition": "angemeldet | vorläufig | endgültig | geändert | korrigiert | abgebrochen | fehlerhafte Eingabe | unbekannt", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "angemeldet | vorläufig | endgültig | geändert | korrigiert | abgebrochen | fehlerhafte Eingabe | unbekannt" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "registered | preliminary | final | amended | corrected | cancelled | entered-in-error | unknown" } ] } ] }, "mustSupport": true }, { "id": "Observation.category", "path": "Observation.category", "short": "Kategorie", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Kategorie" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Category" } ] } ] }, "definition": "Klassifikation in diagnostischen Fachbereich und Gruppe", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Klassifikation in diagnostischen Fachbereich und Gruppe" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Classification of the diagnostic service section" } ] } ] }, "mustSupport": true }, { "id": "Observation.code", "path": "Observation.code", "short": "Code", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Code" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Code" } ] } ] }, "definition": "Ein Code für die zu befundende Beoabchtung", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Code für die zu befundende Beoabchtung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A code identifying the inspected observation" } ] } ] }, "mustSupport": true }, { "path": "Observation.subject", "min": 1, "definition": "Person, auf die sich die Beobachtung bezieht", "short": "Person", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Person, auf die sich die Beobachtung bezieht" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "person, which this observation is about" } ] } ] }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "mustSupport": true, "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Person" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "person" } ] } ] }, "id": "Observation.subject" }, { "id": "Observation.issued", "path": "Observation.issued", "short": "Dokumentationsdatum", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Dokumentationsdatum" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Issued" } ] } ] }, "definition": "Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "The point in time when the laboratory result was documented" } ] } ] }, "mustSupport": true }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "short": "Messwert", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Messwert" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Value" } ] } ] }, "definition": "Wert der Analyse", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Wert der Analyse" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Value of the analysis" } ] } ] }, "mustSupport": true }, { "id": "Observation.bodySite", "path": "Observation.bodySite", "short": "Anatomie", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Anatomie" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "body site" } ] } ] }, "definition": "betrachtete Anatomie der Beobachtung", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "betrachtete Anatomie der Beobachtung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "inspected body site in this observation" } ] } ] }, "mustSupport": true }, { "id": "Observation.hasMember", "path": "Observation.hasMember", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ] } ], "short": "weitere Beobachtungen", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "weitere Beobachtungen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "additional observation" } ] } ] }, "definition": "Referenzierung weiterer Beobachtungen", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Referenzierung weiterer Beobachtungen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "reference on additional observations" } ] } ] }, "mustSupport": true }, { "id": "Observation.derivedFrom", "path": "Observation.derivedFrom", "short": "abgeleitet", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "abgeleitet" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "derived from" } ] } ] }, "definition": "Abgeleitet von ImagingStudy, ect.", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Abgeleitet von ImagingStudy, ect." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "derived from an imagingStud, etc." } ] } ] }, "mustSupport": true }, { "id": "Observation.component", "path": "Observation.component", "short": "Bestandteile", "_short": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Bestandteile" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "components" } ] } ] }, "definition": "detailierte Bestandteile der Beobachtung", "_definition": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "detailierte Bestandteile der Beobachtung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "detailed components of this observation" } ] } ] }, "mustSupport": true } ] }, "contact": [ { "telecom": [ { "value": "https://www.medizininformatik-initiative.de", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation" }