German Practice Management FHIR Profiles (R4)
Version 0.99.1 - release

Extension: Image KM Administration

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration Version: 0.99.1
Active as of 2026-08-22 Computable Name: ImageKmAdministrationExt
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.148

Copyright/Legal: Copyright 2026+ cognovis GmbH. Cognovis-authored material is licensed under Apache-2.0; third-party material retains its own terms as documented in THIRD_PARTY_NOTICES.md.

Kontrastmittel-Gabe bei bildgebenden Untersuchungen. Dokumentiert ob KM verabreicht wurde, welches Mittel (ATC-Klassifikation), Dosis, Applikationsweg und ggf. GOAe-Abrechnungsziffer fuer die KM-Gabe.

Context of Use

This extension may be used on the following element(s):

  • Element ID ImagingStudy

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Complex Extension: Kontrastmittel-Gabe bei bildgebenden Untersuchungen. Dokumentiert ob KM verabreicht wurde, welches Mittel (ATC-Klassifikation), Dosis, Applikationsweg und ggf. GOAe-Abrechnungsziffer fuer die KM-Gabe.

  • administered: boolean: Gibt an ob ein Kontrastmittel verabreicht wurde. Pflichtfeld.
  • agent-atc: CodeableConcept: ATC-Klassifikation des verabreichten Kontrastmittels (z.B. V08CA fuer gadoliniumhaltige MRT-Kontrastmittel).
  • agent-name: string: Freitextangabe des Handelsnamens oder Wirkstoffnamens des Kontrastmittels.
  • dose-ml: Quantity: Verabreichte Menge des Kontrastmittels in Milliliter.
  • route: CodeableConcept: Art der Verabreichung des Kontrastmittels (z.B. intravenoese Gabe).
  • goae-reference: Reference: Referenz auf die GOAe ChargeItemDefinition fuer die Abrechnung der Kontrastmittel-Gabe.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Image KM Administration
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:administered S 1..1 Extension Kontrastmittel verabreicht (ja/nein)
..... extension 0..0 Extension
..... url 1..1 uri "administered"
..... value[x] 0..1 boolean Value of extension
.... extension:agent-atc S 0..1 Extension Kontrastmittel ATC-Klassifikation
..... extension 0..0 Extension
..... url 1..1 uri "agent-atc"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Contrast Agents (ATC V08) (preferred)
.... extension:agent-name S 0..1 Extension Kontrastmittel Freitext-Name
..... extension 0..0 Extension
..... url 1..1 uri "agent-name"
..... value[x] 0..1 string Value of extension
.... extension:dose-ml S 0..1 Extension Kontrastmittel-Dosis in ml
..... extension 0..0 Extension
..... url 1..1 uri "dose-ml"
..... value[x] 0..1 Quantity Value of extension
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: mL
.... extension:route 0..1 Extension Applikationsweg
..... extension 0..0 Extension
..... url 1..1 uri "route"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SNOMEDCTRouteCodes (preferred)
.... extension:goae-reference 0..1 Extension GOAe-Abrechnungsziffer fuer KM-Gabe
..... extension 0..0 Extension
..... url 1..1 uri "goae-reference"
..... value[x] 0..1 Reference(ChargeItemDefinition) Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration"

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Image KM Administration
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:administered S 1..1 Extension Kontrastmittel verabreicht (ja/nein)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "administered"
..... value[x] 0..1 boolean Value of extension
.... extension:agent-atc S 0..1 Extension Kontrastmittel ATC-Klassifikation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "agent-atc"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Contrast Agents (ATC V08) (preferred)
.... extension:agent-name S 0..1 Extension Kontrastmittel Freitext-Name
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "agent-name"
..... value[x] 0..1 string Value of extension
.... extension:dose-ml S 0..1 Extension Kontrastmittel-Dosis in ml
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "dose-ml"
..... value[x] 0..1 Quantity Value of 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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: mL
.... extension:route 0..1 Extension Applikationsweg
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "route"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SNOMEDCTRouteCodes (preferred)
.... extension:goae-reference 0..1 Extension GOAe-Abrechnungsziffer fuer KM-Gabe
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "goae-reference"
..... value[x] 0..1 Reference(ChargeItemDefinition) Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Kontrastmittel-Gabe bei bildgebenden Untersuchungen. Dokumentiert ob KM verabreicht wurde, welches Mittel (ATC-Klassifikation), Dosis, Applikationsweg und ggf. GOAe-Abrechnungsziffer fuer die KM-Gabe.

  • administered: boolean: Gibt an ob ein Kontrastmittel verabreicht wurde. Pflichtfeld.
  • agent-atc: CodeableConcept: ATC-Klassifikation des verabreichten Kontrastmittels (z.B. V08CA fuer gadoliniumhaltige MRT-Kontrastmittel).
  • agent-name: string: Freitextangabe des Handelsnamens oder Wirkstoffnamens des Kontrastmittels.
  • dose-ml: Quantity: Verabreichte Menge des Kontrastmittels in Milliliter.
  • route: CodeableConcept: Art der Verabreichung des Kontrastmittels (z.B. intravenoese Gabe).
  • goae-reference: Reference: Referenz auf die GOAe ChargeItemDefinition fuer die Abrechnung der Kontrastmittel-Gabe.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Image KM Administration
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:administered S 1..1 Extension Kontrastmittel verabreicht (ja/nein)
..... extension 0..0 Extension
..... url 1..1 uri "administered"
..... value[x] 0..1 boolean Value of extension
.... extension:agent-atc S 0..1 Extension Kontrastmittel ATC-Klassifikation
..... extension 0..0 Extension
..... url 1..1 uri "agent-atc"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Contrast Agents (ATC V08) (preferred)
.... extension:agent-name S 0..1 Extension Kontrastmittel Freitext-Name
..... extension 0..0 Extension
..... url 1..1 uri "agent-name"
..... value[x] 0..1 string Value of extension
.... extension:dose-ml S 0..1 Extension Kontrastmittel-Dosis in ml
..... extension 0..0 Extension
..... url 1..1 uri "dose-ml"
..... value[x] 0..1 Quantity Value of extension
...... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Required Pattern: mL
.... extension:route 0..1 Extension Applikationsweg
..... extension 0..0 Extension
..... url 1..1 uri "route"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SNOMEDCTRouteCodes (preferred)
.... extension:goae-reference 0..1 Extension GOAe-Abrechnungsziffer fuer KM-Gabe
..... extension 0..0 Extension
..... url 1..1 uri "goae-reference"
..... value[x] 0..1 Reference(ChargeItemDefinition) Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration"

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Image KM Administration
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:administered S 1..1 Extension Kontrastmittel verabreicht (ja/nein)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "administered"
..... value[x] 0..1 boolean Value of extension
.... extension:agent-atc S 0..1 Extension Kontrastmittel ATC-Klassifikation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "agent-atc"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Contrast Agents (ATC V08) (preferred)
.... extension:agent-name S 0..1 Extension Kontrastmittel Freitext-Name
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "agent-name"
..... value[x] 0..1 string Value of extension
.... extension:dose-ml S 0..1 Extension Kontrastmittel-Dosis in ml
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "dose-ml"
..... value[x] 0..1 Quantity Value of 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
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Required Pattern: mL
.... extension:route 0..1 Extension Applikationsweg
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "route"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SNOMEDCTRouteCodes (preferred)
.... extension:goae-reference 0..1 Extension GOAe-Abrechnungsziffer fuer KM-Gabe
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "goae-reference"
..... value[x] 0..1 Reference(ChargeItemDefinition) Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/image-km-administration"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:agent-atc.​value[x] Base preferred Contrast Agents (ATC V08) 📦2026.0.0 This IG
Extension.extension:dose-ml.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Extension.extension:route.​value[x] Base preferred SNOMED CT Route Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()