MII IG Pathologie-Befund EN v2026

There are no (further) constraints on this element

Element id

Media

Short description

A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference

Definition

A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.

Data type

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
workflow: Event
rim: Act[classCode="DGIMG", moodCode="EVN"]

S Σ

0..1

There are no (further) constraints on this element

Element id

Media.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

There are no (further) constraints on this element

Element id

Media.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Media.meta.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Media.meta.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

versionId

0..1

There are no (further) constraints on this element

Element id

Media.meta.versionId

Short description

Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

lastUpdated

S Σ

0..1

There are no (further) constraints on this element

Element id

Media.meta.lastUpdated

Short description

When the resource version last changed

Definition

When the resource last changed - e.g. when the version changed.

Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

source

0..1

There are no (further) constraints on this element

Element id

Media.meta.source

Short description

Identifies where the resource comes from

Definition

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

profile

S Σ

0..*

There are no (further) constraints on this element

Element id

Media.meta.profile

Short description

Profiles this resource claims to conform to

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

security

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Media.meta.security

Short description

Security Labels applied to this resource

Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

All Security Labels (extensible)

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

tag

0..*

There are no (further) constraints on this element

Element id

Media.meta.tag

Short description

Tags applied to this resource

Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Media.implicitRules

Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Media.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

There are no (further) constraints on this element

Element id

Media.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

There are no (further) constraints on this element

Element id

Media.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Mappings

rim: N/A

extension

0..*

There are no (further) constraints on this element

Element id

Media.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

Media.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

0..*

There are no (further) constraints on this element

Element id

Media.identifier

Short description

Identifier(s) for the image

Definition

Identifiers associated with the image - these may include identifiers for the image itself, identifiers for the context of its collection (e.g. series ids) and context ids such as accession numbers or other workflow identifiers.

Comments

The identifier label and use can be used to determine what kind of identifier it is.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
rim: .id
dicom: 0008,0018 | ~0008,0050 | 0020,000D | 0020,000E

basedOn

0..*

There are no (further) constraints on this element

Element id

Media.basedOn

Short description

Procedure that caused this media to be created

Alternate names

fulfills

Definition

A procedure that is fulfilled in whole or in part by the creation of this media.

Requirements

Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
rim: .outboundRelationship[typeCode=FLFS].target

partOf

S Σ

0..*

Element id

Media.partOf

Short description

Part of referenced event

Alternate names

container

Definition

A larger event of which this particular event is a component or step.

Requirements

E.g. Drug administration as part of a procedure, procedure as part of observation, etc.

Comments

Not to be used to link an event to an Encounter - use Media.encounter for that.

[The allowed reference resources may be adjusted as appropriate for the event resource].

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.partOf
rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]

status

S Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

Media.status

Short description

Definition

The current state of the {{title}}.

Comments

A nominal state-transition diagram can be found in the [[event.html#statemachine | Event pattern]] documentation

Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

Data type

Binding

Codes identifying the lifecycle stage of an event.

EventStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.status
w5: FiveWs.status
v2: Varies by domain
rim: .status

type

S Σ

1..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Media.type

Short description

Classification of media as image, video, or audio

Definition

A code that classifies whether the media is an image, video or audio recording or some other media category.

Requirements

Used for filtering what observations are retrieved and displayed.

Data type

Binding

Codes for high level media categories.

MediaType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
rim: .code

0..1

There are no (further) constraints on this element

Element id

Media.type.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Media.type.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

coding

1..*

Element id

Media.type.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Slicing

Unordered, Open, by $this(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

image

1..1

CodingPattern

Element id

Media.type.coding:image

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "system": "http://terminology.hl7.org/CodeSystem/media-type",
  "code": "image"
}

Mappings

v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

text

0..1

There are no (further) constraints on this element

Element id

Media.type.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

modality

S Σ

0..1

CodeableConceptBinding

Element id

Media.modality

Short description

The type of acquisition equipment/process

Definition

Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.

Data type

MII_VS_Patho_Media_Modality_SNOMED_CT (extensible)

Binding

Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.code
w5: FiveWs.what[x]
rim: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
dicom: 0008,0060 | 0008,1032

view

0..1

There are no (further) constraints on this element

Element id

Media.view

Short description

Imaging view, e.g. Lateral or Antero-posterior

Definition

The name of the imaging view e.g. Lateral or Antero-posterior (AP).

Data type

MediaCollectionView/Projection (example)

Binding

Imaging view (projection) used when collecting an image.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: DiagnosticImage.subjectOrientationCode

subject

S Σ

0..1

Element id

Media.subject

Short description

Who/What this Media is a record of

Definition

Who/What this Media is a record of.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
rim: .participation[typeCode="SUBJ"]???
dicom: ~0010,0020
w5: FiveWs.subject

encounter

0..1

There are no (further) constraints on this element

Element id

Media.encounter

Short description

Encounter associated with media

Alternate names

context

Definition

The encounter that establishes the context for this media.

Requirements

Links the Media to the Encounter context.

Comments

This will typically be the encounter the media occurred within.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
rim: .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]

created[x]

0..1

There are no (further) constraints on this element

Element id

Media.created[x]

Short description

When Media was collected

Alternate names

timing

Definition

The date and time(s) at which the media was collected.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.done[x]
rim: .effectiveTime

createdDateTime

There are no (further) constraints on this element

Data type

createdPeriod

There are no (further) constraints on this element

Data type

issued

0..1

There are no (further) constraints on this element

Element id

Media.issued

Short description

Date/Time this version was made available

Definition

The date and time this version of the media was made available to providers, typically after having been reviewed.

Comments

It may be the same as the lastUpdated time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the lastUpdated time of the resource itself due to a non-clinically significant update that does not require the new version to be reviewed and verified again.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.recorded
v2: OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
rim: participation[typeCode=AUT].time

operator

0..1

There are no (further) constraints on this element

Element id

Media.operator

Short description

The person who generated the image

Definition

The person who administered the collection of the image.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
rim: .participation[typeCode="PERF"]???
dicom: 0008,1060?

reasonCode

0..*

There are no (further) constraints on this element

Element id

Media.reasonCode

Short description

Why was event performed?

Definition

Describes why the event occurred in coded or textual form.

Comments

Textual reasons can be captured using reasonCode.text.

Data type

ProcedureReasonCodes (example)

Binding

The reason for the media.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.reasonCode
w5: FiveWs.why[x]
rim: .reasonCode

bodySite

0..1

There are no (further) constraints on this element

Element id

Media.bodySite

Short description

Observed body part

Definition

Indicates the site on the subject's body where the observation was made (i.e. the target site).

Comments

Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component.

If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension bodySite.

Data type

SNOMEDCTBodyStructures (example)

Binding

Codes describing anatomical locations. May include laterality.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

sct-concept: < 123037004 |Body structure|
rim: targetSiteCode
sct-attr: 718497002 |Inherent location|

deviceName

0..1

There are no (further) constraints on this element

Element id

Media.deviceName

Short description

Name of the device/manufacturer

Definition

The name of the device / manufacturer of the device that was used to make the recording.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .participation[typeCode="DEV"].role.player.Entity[classCode="DEV"].name
dicom: 0008,0070

device

0..1

There are no (further) constraints on this element

Element id

Media.device

Short description

Observing Device

Definition

The device used to collect the media.

Comments

An extension should be used if further typing of the device is needed. Secondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

sct-concept: < 49062001 |Device|
rim: participation[typeCode=DEV]
sct-attr: 424226004 |Using device|

height

0..1

There are no (further) constraints on this element

Element id

Media.height

Short description

Height of the image in pixels (photo/video)

Definition

Height of the image in pixels (photo/video).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value
dicom: 0028,0010

width

0..1

There are no (further) constraints on this element

Element id

Media.width

Short description

Width of the image in pixels (photo/video)

Definition

Width of the image in pixels (photo/video).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value
dicom: 0028,0011

frames

0..1

There are no (further) constraints on this element

Element id

Media.frames

Short description

Number of frames if > 1 (photo)

Definition

The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.

Comments

if the number of frames is not supplied, the value may be unknown. Applications should not assume that there is only one frame unless it is explicitly stated.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value

duration

0..1

There are no (further) constraints on this element

Element id

Media.duration

Short description

Length in seconds (audio / video)

Definition

The duration of the recording in seconds - for audio and video.

Comments

The duration might differ from occurrencePeriod if recording was paused.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value
dicom: ~0028,0002

content

S Σ

1..1

There are no (further) constraints on this element

Element id

Media.content

Short description

Actual Media - reference or data

Definition

The actual content of the media - inline or by direct reference to the media source file.

Comments

Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter. For media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .text

note

0..*

There are no (further) constraints on this element

Element id

Media.note

Short description

Comments made about the media

Definition

Comments made about the media by the performer, subject or other participants.

Comments

Not to be used for observations, conclusions, etc. Instead use an Observation based on the Media/ImagingStudy resource.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.note
v2: NTE
rim: .inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]

MII_PR_Patho_Attached_Image (Media)

There are no (further) constraints on this element

Element id

Media

Short description

A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference

Definition

A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.

Data type

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
workflow: Event
rim: Act[classCode="DGIMG", moodCode="EVN"]

S Σ

0..1

There are no (further) constraints on this element

Element id

Media.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

There are no (further) constraints on this element

Element id

Media.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Media.meta.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Media.meta.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

versionId

0..1

There are no (further) constraints on this element

Element id

Media.meta.versionId

Short description

Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

lastUpdated

S Σ

0..1

There are no (further) constraints on this element

Element id

Media.meta.lastUpdated

Short description

When the resource version last changed

Definition

When the resource last changed - e.g. when the version changed.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

source

0..1

There are no (further) constraints on this element

Element id

Media.meta.source

Short description

Identifies where the resource comes from

Definition

Comments

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

profile

S Σ

0..*

There are no (further) constraints on this element

Element id

Media.meta.profile

Short description

Profiles this resource claims to conform to

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

security

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Media.meta.security

Short description

Security Labels applied to this resource

Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

All Security Labels (extensible)

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

tag

0..*

There are no (further) constraints on this element

Element id

Media.meta.tag

Short description

Tags applied to this resource

Definition

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Media.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Media.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

There are no (further) constraints on this element

Element id

Media.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

There are no (further) constraints on this element

Element id

Media.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Mappings

rim: N/A

extension

0..*

There are no (further) constraints on this element

Element id

Media.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

Media.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

0..*

There are no (further) constraints on this element

Element id

Media.identifier

Short description

Identifier(s) for the image

Definition

Comments

The identifier label and use can be used to determine what kind of identifier it is.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
rim: .id
dicom: 0008,0018 | ~0008,0050 | 0020,000D | 0020,000E

basedOn

0..*

There are no (further) constraints on this element

Element id

Media.basedOn

Short description

Procedure that caused this media to be created

Alternate names

fulfills

Definition

A procedure that is fulfilled in whole or in part by the creation of this media.

Requirements

Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
rim: .outboundRelationship[typeCode=FLFS].target

partOf

S Σ

0..*

Element id

Media.partOf

Short description

Part of referenced event

Alternate names

container

Definition

A larger event of which this particular event is a component or step.

Requirements

E.g. Drug administration as part of a procedure, procedure as part of observation, etc.

Comments

Not to be used to link an event to an Encounter - use Media.encounter for that.

[The allowed reference resources may be adjusted as appropriate for the event resource].

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.partOf
rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]

status

S Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

Media.status

Short description

Definition

The current state of the {{title}}.

Comments

A nominal state-transition diagram can be found in the [[event.html#statemachine | Event pattern]] documentation

Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

Data type

Binding

Codes identifying the lifecycle stage of an event.

EventStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.status
w5: FiveWs.status
v2: Varies by domain
rim: .status

type

S Σ

1..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Media.type

Short description

Classification of media as image, video, or audio

Definition

A code that classifies whether the media is an image, video or audio recording or some other media category.

Requirements

Used for filtering what observations are retrieved and displayed.

Data type

Binding

Codes for high level media categories.

MediaType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
rim: .code

0..1

There are no (further) constraints on this element

Element id

Media.type.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Media.type.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

coding

1..*

Element id

Media.type.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Slicing

Unordered, Open, by $this(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

image

1..1

CodingPattern

Element id

Media.type.coding:image

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "system": "http://terminology.hl7.org/CodeSystem/media-type",
  "code": "image"
}

Mappings

v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

text

0..1

There are no (further) constraints on this element

Element id

Media.type.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

modality

S Σ

0..1

CodeableConceptBinding

Element id

Media.modality

Short description

The type of acquisition equipment/process

Definition

Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.

Data type

MII_VS_Patho_Media_Modality_SNOMED_CT (extensible)

Binding

Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.code
w5: FiveWs.what[x]
rim: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
dicom: 0008,0060 | 0008,1032

view

0..1

There are no (further) constraints on this element

Element id

Media.view

Short description

Imaging view, e.g. Lateral or Antero-posterior

Definition

The name of the imaging view e.g. Lateral or Antero-posterior (AP).

Data type

MediaCollectionView/Projection (example)

Binding

Imaging view (projection) used when collecting an image.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: DiagnosticImage.subjectOrientationCode

subject

S Σ

0..1

Element id

Media.subject

Short description

Who/What this Media is a record of

Definition

Who/What this Media is a record of.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
rim: .participation[typeCode="SUBJ"]???
dicom: ~0010,0020
w5: FiveWs.subject

encounter

0..1

There are no (further) constraints on this element

Element id

Media.encounter

Short description

Encounter associated with media

Alternate names

context

Definition

The encounter that establishes the context for this media.

Requirements

Links the Media to the Encounter context.

Comments

This will typically be the encounter the media occurred within.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
rim: .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]

created[x]

0..1

There are no (further) constraints on this element

Element id

Media.created[x]

Short description

When Media was collected

Alternate names

timing

Definition

The date and time(s) at which the media was collected.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.done[x]
rim: .effectiveTime

createdDateTime

There are no (further) constraints on this element

Data type

createdPeriod

There are no (further) constraints on this element

Data type

issued

0..1

There are no (further) constraints on this element

Element id

Media.issued

Short description

Date/Time this version was made available

Definition

The date and time this version of the media was made available to providers, typically after having been reviewed.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.recorded
v2: OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
rim: participation[typeCode=AUT].time

operator

0..1

There are no (further) constraints on this element

Element id

Media.operator

Short description

The person who generated the image

Definition

The person who administered the collection of the image.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
rim: .participation[typeCode="PERF"]???
dicom: 0008,1060?

reasonCode

0..*

There are no (further) constraints on this element

Element id

Media.reasonCode

Short description

Why was event performed?

Definition

Describes why the event occurred in coded or textual form.

Comments

Textual reasons can be captured using reasonCode.text.

Data type

ProcedureReasonCodes (example)

Binding

The reason for the media.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.reasonCode
w5: FiveWs.why[x]
rim: .reasonCode

bodySite

0..1

There are no (further) constraints on this element

Element id

Media.bodySite

Short description

Observed body part

Definition

Indicates the site on the subject's body where the observation was made (i.e. the target site).

Comments

Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component.

If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension bodySite.

Data type

SNOMEDCTBodyStructures (example)

Binding

Codes describing anatomical locations. May include laterality.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

sct-concept: < 123037004 |Body structure|
rim: targetSiteCode
sct-attr: 718497002 |Inherent location|

deviceName

0..1

There are no (further) constraints on this element

Element id

Media.deviceName

Short description

Name of the device/manufacturer

Definition

The name of the device / manufacturer of the device that was used to make the recording.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .participation[typeCode="DEV"].role.player.Entity[classCode="DEV"].name
dicom: 0008,0070

device

0..1

There are no (further) constraints on this element

Element id

Media.device

Short description

Observing Device

Definition

The device used to collect the media.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

sct-concept: < 49062001 |Device|
rim: participation[typeCode=DEV]
sct-attr: 424226004 |Using device|

height

0..1

There are no (further) constraints on this element

Element id

Media.height

Short description

Height of the image in pixels (photo/video)

Definition

Height of the image in pixels (photo/video).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value
dicom: 0028,0010

width

0..1

There are no (further) constraints on this element

Element id

Media.width

Short description

Width of the image in pixels (photo/video)

Definition

Width of the image in pixels (photo/video).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value
dicom: 0028,0011

frames

0..1

There are no (further) constraints on this element

Element id

Media.frames

Short description

Number of frames if > 1 (photo)

Definition

Comments

if the number of frames is not supplied, the value may be unknown. Applications should not assume that there is only one frame unless it is explicitly stated.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value

duration

0..1

There are no (further) constraints on this element

Element id

Media.duration

Short description

Length in seconds (audio / video)

Definition

The duration of the recording in seconds - for audio and video.

Comments

The duration might differ from occurrencePeriod if recording was paused.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value
dicom: ~0028,0002

content

S Σ

1..1

There are no (further) constraints on this element

Element id

Media.content

Short description

Actual Media - reference or data

Definition

The actual content of the media - inline or by direct reference to the media source file.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .text

note

0..*

There are no (further) constraints on this element

Element id

Media.note

Short description

Comments made about the media

Definition

Comments made about the media by the performer, subject or other participants.

Comments

Not to be used for observations, conclusions, etc. Instead use an Observation based on the Media/ImagingStudy resource.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.note
v2: NTE
rim: .inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]

MII_PR_Patho_Attached_Image (Media)

There are no (further) constraints on this element

Element id

Media

Short description

A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference

Definition

A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.

Data type

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
workflow: Event
rim: Act[classCode="DGIMG", moodCode="EVN"]

S Σ

0..1

There are no (further) constraints on this element

Element id

Media.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

There are no (further) constraints on this element

Element id

Media.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Media.meta.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Media.meta.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

versionId

0..1

There are no (further) constraints on this element

Element id

Media.meta.versionId

Short description

Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

lastUpdated

S Σ

0..1

There are no (further) constraints on this element

Element id

Media.meta.lastUpdated

Short description

When the resource version last changed

Definition

When the resource last changed - e.g. when the version changed.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

source

0..1

There are no (further) constraints on this element

Element id

Media.meta.source

Short description

Identifies where the resource comes from

Definition

Comments

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

profile

S Σ

0..*

There are no (further) constraints on this element

Element id

Media.meta.profile

Short description

Profiles this resource claims to conform to

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

security

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Media.meta.security

Short description

Security Labels applied to this resource

Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

All Security Labels (extensible)

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

tag

0..*

There are no (further) constraints on this element

Element id

Media.meta.tag

Short description

Tags applied to this resource

Definition

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Media.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Media.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

There are no (further) constraints on this element

Element id

Media.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

There are no (further) constraints on this element

Element id

Media.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Mappings

rim: N/A

extension

0..*

There are no (further) constraints on this element

Element id

Media.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

Media.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

0..*

There are no (further) constraints on this element

Element id

Media.identifier

Short description

Identifier(s) for the image

Definition

Comments

The identifier label and use can be used to determine what kind of identifier it is.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
rim: .id
dicom: 0008,0018 | ~0008,0050 | 0020,000D | 0020,000E

basedOn

0..*

There are no (further) constraints on this element

Element id

Media.basedOn

Short description

Procedure that caused this media to be created

Alternate names

fulfills

Definition

A procedure that is fulfilled in whole or in part by the creation of this media.

Requirements

Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
rim: .outboundRelationship[typeCode=FLFS].target

partOf

S Σ

0..*

Element id

Media.partOf

Short description

Part of referenced event

Alternate names

container

Definition

A larger event of which this particular event is a component or step.

Requirements

E.g. Drug administration as part of a procedure, procedure as part of observation, etc.

Comments

Not to be used to link an event to an Encounter - use Media.encounter for that.

[The allowed reference resources may be adjusted as appropriate for the event resource].

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.partOf
rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]

status

S Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

Media.status

Short description

Definition

The current state of the {{title}}.

Comments

A nominal state-transition diagram can be found in the [[event.html#statemachine | Event pattern]] documentation

Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.

Data type

Binding

Codes identifying the lifecycle stage of an event.

EventStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.status
w5: FiveWs.status
v2: Varies by domain
rim: .status

type

S Σ

1..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Media.type

Short description

Classification of media as image, video, or audio

Definition

A code that classifies whether the media is an image, video or audio recording or some other media category.

Requirements

Used for filtering what observations are retrieved and displayed.

Data type

Binding

Codes for high level media categories.

MediaType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
rim: .code

0..1

There are no (further) constraints on this element

Element id

Media.type.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Media.type.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

coding

1..*

Element id

Media.type.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Slicing

Unordered, Open, by $this(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

image

1..1

CodingPattern

Element id

Media.type.coding:image

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "system": "http://terminology.hl7.org/CodeSystem/media-type",
  "code": "image"
}

Mappings

v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

text

0..1

There are no (further) constraints on this element

Element id

Media.type.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

modality

S Σ

0..1

CodeableConceptBinding

Element id

Media.modality

Short description

The type of acquisition equipment/process

Definition

Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.

Data type

MII_VS_Patho_Media_Modality_SNOMED_CT (extensible)

Binding

Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.code
w5: FiveWs.what[x]
rim: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
dicom: 0008,0060 | 0008,1032

view

0..1

There are no (further) constraints on this element

Element id

Media.view

Short description

Imaging view, e.g. Lateral or Antero-posterior

Definition

The name of the imaging view e.g. Lateral or Antero-posterior (AP).

Data type

MediaCollectionView/Projection (example)

Binding

Imaging view (projection) used when collecting an image.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: DiagnosticImage.subjectOrientationCode

subject

S Σ

0..1

Element id

Media.subject

Short description

Who/What this Media is a record of

Definition

Who/What this Media is a record of.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
rim: .participation[typeCode="SUBJ"]???
dicom: ~0010,0020
w5: FiveWs.subject

encounter

0..1

There are no (further) constraints on this element

Element id

Media.encounter

Short description

Encounter associated with media

Alternate names

context

Definition

The encounter that establishes the context for this media.

Requirements

Links the Media to the Encounter context.

Comments

This will typically be the encounter the media occurred within.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
rim: .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]

created[x]

0..1

There are no (further) constraints on this element

Element id

Media.created[x]

Short description

When Media was collected

Alternate names

timing

Definition

The date and time(s) at which the media was collected.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.done[x]
rim: .effectiveTime

createdDateTime

There are no (further) constraints on this element

Data type

createdPeriod

There are no (further) constraints on this element

Data type

issued

0..1

There are no (further) constraints on this element

Element id

Media.issued

Short description

Date/Time this version was made available

Definition

The date and time this version of the media was made available to providers, typically after having been reviewed.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.recorded
v2: OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
rim: participation[typeCode=AUT].time

operator

0..1

There are no (further) constraints on this element

Element id

Media.operator

Short description

The person who generated the image

Definition

The person who administered the collection of the image.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
rim: .participation[typeCode="PERF"]???
dicom: 0008,1060?

reasonCode

0..*

There are no (further) constraints on this element

Element id

Media.reasonCode

Short description

Why was event performed?

Definition

Describes why the event occurred in coded or textual form.

Comments

Textual reasons can be captured using reasonCode.text.

Data type

ProcedureReasonCodes (example)

Binding

The reason for the media.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.reasonCode
w5: FiveWs.why[x]
rim: .reasonCode

bodySite

0..1

There are no (further) constraints on this element

Element id

Media.bodySite

Short description

Observed body part

Definition

Indicates the site on the subject's body where the observation was made (i.e. the target site).

Comments

Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component.

If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension bodySite.

Data type

SNOMEDCTBodyStructures (example)

Binding

Codes describing anatomical locations. May include laterality.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

sct-concept: < 123037004 |Body structure|
rim: targetSiteCode
sct-attr: 718497002 |Inherent location|

deviceName

0..1

There are no (further) constraints on this element

Element id

Media.deviceName

Short description

Name of the device/manufacturer

Definition

The name of the device / manufacturer of the device that was used to make the recording.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .participation[typeCode="DEV"].role.player.Entity[classCode="DEV"].name
dicom: 0008,0070

device

0..1

There are no (further) constraints on this element

Element id

Media.device

Short description

Observing Device

Definition

The device used to collect the media.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

sct-concept: < 49062001 |Device|
rim: participation[typeCode=DEV]
sct-attr: 424226004 |Using device|

height

0..1

There are no (further) constraints on this element

Element id

Media.height

Short description

Height of the image in pixels (photo/video)

Definition

Height of the image in pixels (photo/video).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value
dicom: 0028,0010

width

0..1

There are no (further) constraints on this element

Element id

Media.width

Short description

Width of the image in pixels (photo/video)

Definition

Width of the image in pixels (photo/video).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value
dicom: 0028,0011

frames

0..1

There are no (further) constraints on this element

Element id

Media.frames

Short description

Number of frames if > 1 (photo)

Definition

Comments

if the number of frames is not supplied, the value may be unknown. Applications should not assume that there is only one frame unless it is explicitly stated.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value

duration

0..1

There are no (further) constraints on this element

Element id

Media.duration

Short description

Length in seconds (audio / video)

Definition

The duration of the recording in seconds - for audio and video.

Comments

The duration might differ from occurrencePeriod if recording was paused.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .outboundRelationship[typeCode="COMP].target[classCode="OBS", moodCode="EVN",code="<CODE>"].value
dicom: ~0028,0002

content

S Σ

1..1

There are no (further) constraints on this element

Element id

Media.content

Short description

Actual Media - reference or data

Definition

The actual content of the media - inline or by direct reference to the media source file.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .text

note

0..*

There are no (further) constraints on this element

Element id

Media.note

Short description

Comments made about the media

Definition

Comments made about the media by the performer, subject or other participants.

Comments

Not to be used for observations, conclusions, etc. Instead use an Observation based on the Media/ImagingStudy resource.

Data type