This profile identifies the additional constraints, extensions, and value sets that build on and extend Media that are supported.

This profile is designed to set a core Media standard for:

• Query for a generic media observation for a patient
• Record or update a generic media observation belonging to a patient

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

• When generated during a diagnostic examination a Media resource may contain the same identifier in Media.identifier as in the order or report connecting the resources that are related to a single request fulfilment workflow.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Media

Name	Flags	Card.	Type	Description & Constraints
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference inv-dh-media-02: If present, an operator shall at least have a reference, an identifier or a display
identifier	S	0..*	Identifier	Identifier(s) for the image
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed
type	S	1..1	CodeableConcept	Classification of media as image, video, or audio
modality	S	0..1	CodeableConcept	The type of acquisition equipment/process
subject	SC	1..1	Reference(ADHA Core Patient)	Who/What this Media is a record of inv-dh-media-01: At least reference or a valid identifier shall be present
created[x]	SC	1..1	dateTime, Period	When Media was collected inv-dh-media-03: Date shall be at least to day
issued	S	0..1	instant	Date/Time this version was made available
operator	SC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA System Device | ADHA Core RelatedPerson)	The person who generated the image
content	S	1..1	Attachment	Actual Media - reference or data
note	S	0..*	Annotation	Comments made about the media
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-media-01	error	Media.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-media-02	error	Media	If present, an operator shall at least have a reference, an identifier or a display : operator.exists() implies operator.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-media-03	error	Media.created[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10

Name	Flags	Card.	Type	Description & Constraints
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference inv-dh-media-02: If present, an operator shall at least have a reference, an identifier or a display
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) for the image
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): Codes identifying the lifecycle stage of an event. Required Pattern: completed
type	SΣ	1..1	CodeableConcept	Classification of media as image, video, or audio Binding: MediaType (extensible): Codes for high level media categories.
modality	SΣ	0..1	CodeableConcept	The type of acquisition equipment/process Binding: MediaModality (example): Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who/What this Media is a record of inv-dh-media-01: At least reference or a valid identifier shall be present
created[x]	SΣC	1..1		When Media was collected inv-dh-media-03: Date shall be at least to day
createdDateTime			dateTime
createdPeriod			Period
issued	SΣ	0..1	instant	Date/Time this version was made available
operator	SΣC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA System Device | ADHA Core RelatedPerson)	The person who generated the image
content	SΣ	1..1	Attachment	Actual Media - reference or data
note	S	0..*	Annotation	Comments made about the media
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Media.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.type	extensible	MediaType http://hl7.org/fhir/ValueSet/media-type from the FHIR Standard
Media.modality	example	MediaModality http://hl7.org/fhir/ValueSet/media-modality from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-media-01	error	Media.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-media-02	error	Media	If present, an operator shall at least have a reference, an identifier or a display : operator.exists() implies operator.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-media-03	error	Media.created[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10

Name	Flags	Card.	Type	Description & Constraints
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference inv-dh-media-02: If present, an operator shall at least have a reference, an identifier or a display
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) for the image
basedOn	Σ	0..*	Reference(ServiceRequest | CarePlan)	Procedure that caused this media to be created
partOf	Σ	0..*	Reference(Resource)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): Codes identifying the lifecycle stage of an event. Required Pattern: completed
type	SΣ	1..1	CodeableConcept	Classification of media as image, video, or audio Binding: MediaType (extensible): Codes for high level media categories.
modality	SΣ	0..1	CodeableConcept	The type of acquisition equipment/process Binding: MediaModality (example): Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.
view	Σ	0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: MediaCollectionView/Projection (example): Imaging view (projection) used when collecting an image.
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who/What this Media is a record of inv-dh-media-01: At least reference or a valid identifier shall be present
encounter	Σ	0..1	Reference(Encounter)	Encounter associated with media
created[x]	SΣC	1..1		When Media was collected inv-dh-media-03: Date shall be at least to day
createdDateTime			dateTime
createdPeriod			Period
issued	SΣ	0..1	instant	Date/Time this version was made available
operator	SΣC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA System Device | ADHA Core RelatedPerson)	The person who generated the image
reasonCode	Σ	0..*	CodeableConcept	Why was event performed? Binding: ProcedureReasonCodes (example): The reason for the media.
bodySite	Σ	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
deviceName	Σ	0..1	string	Name of the device/manufacturer
device	Σ	0..1	Reference(Device | DeviceMetric | Device)	Observing Device
height	Σ	0..1	positiveInt	Height of the image in pixels (photo/video)
width	Σ	0..1	positiveInt	Width of the image in pixels (photo/video)
frames	Σ	0..1	positiveInt	Number of frames if > 1 (photo)
duration	Σ	0..1	decimal	Length in seconds (audio / video)
content	SΣ	1..1	Attachment	Actual Media - reference or data
note	S	0..*	Annotation	Comments made about the media
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Media.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Media.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.type	extensible	MediaType http://hl7.org/fhir/ValueSet/media-type from the FHIR Standard
Media.modality	example	MediaModality http://hl7.org/fhir/ValueSet/media-modality from the FHIR Standard
Media.view	example	MediaCollectionView/Projection http://hl7.org/fhir/ValueSet/media-view from the FHIR Standard
Media.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Media.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-media-01	error	Media.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-media-02	error	Media	If present, an operator shall at least have a reference, an identifier or a display : operator.exists() implies operator.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-media-03	error	Media.created[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10

Differential View

This structure is derived from Media

Name	Flags	Card.	Type	Description & Constraints
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference inv-dh-media-02: If present, an operator shall at least have a reference, an identifier or a display
identifier	S	0..*	Identifier	Identifier(s) for the image
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed
type	S	1..1	CodeableConcept	Classification of media as image, video, or audio
modality	S	0..1	CodeableConcept	The type of acquisition equipment/process
subject	SC	1..1	Reference(ADHA Core Patient)	Who/What this Media is a record of inv-dh-media-01: At least reference or a valid identifier shall be present
created[x]	SC	1..1	dateTime, Period	When Media was collected inv-dh-media-03: Date shall be at least to day
issued	S	0..1	instant	Date/Time this version was made available
operator	SC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA System Device | ADHA Core RelatedPerson)	The person who generated the image
content	S	1..1	Attachment	Actual Media - reference or data
note	S	0..*	Annotation	Comments made about the media
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-media-01	error	Media.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-media-02	error	Media	If present, an operator shall at least have a reference, an identifier or a display : operator.exists() implies operator.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-media-03	error	Media.created[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference inv-dh-media-02: If present, an operator shall at least have a reference, an identifier or a display
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) for the image
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): Codes identifying the lifecycle stage of an event. Required Pattern: completed
type	SΣ	1..1	CodeableConcept	Classification of media as image, video, or audio Binding: MediaType (extensible): Codes for high level media categories.
modality	SΣ	0..1	CodeableConcept	The type of acquisition equipment/process Binding: MediaModality (example): Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who/What this Media is a record of inv-dh-media-01: At least reference or a valid identifier shall be present
created[x]	SΣC	1..1		When Media was collected inv-dh-media-03: Date shall be at least to day
createdDateTime			dateTime
createdPeriod			Period
issued	SΣ	0..1	instant	Date/Time this version was made available
operator	SΣC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA System Device | ADHA Core RelatedPerson)	The person who generated the image
content	SΣ	1..1	Attachment	Actual Media - reference or data
note	S	0..*	Annotation	Comments made about the media
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Media.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.type	extensible	MediaType http://hl7.org/fhir/ValueSet/media-type from the FHIR Standard
Media.modality	example	MediaModality http://hl7.org/fhir/ValueSet/media-modality from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-media-01	error	Media.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-media-02	error	Media	If present, an operator shall at least have a reference, an identifier or a display : operator.exists() implies operator.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-media-03	error	Media.created[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference inv-dh-media-02: If present, an operator shall at least have a reference, an identifier or a display
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identifier(s) for the image
basedOn	Σ	0..*	Reference(ServiceRequest | CarePlan)	Procedure that caused this media to be created
partOf	Σ	0..*	Reference(Resource)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): Codes identifying the lifecycle stage of an event. Required Pattern: completed
type	SΣ	1..1	CodeableConcept	Classification of media as image, video, or audio Binding: MediaType (extensible): Codes for high level media categories.
modality	SΣ	0..1	CodeableConcept	The type of acquisition equipment/process Binding: MediaModality (example): Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.
view	Σ	0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: MediaCollectionView/Projection (example): Imaging view (projection) used when collecting an image.
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who/What this Media is a record of inv-dh-media-01: At least reference or a valid identifier shall be present
encounter	Σ	0..1	Reference(Encounter)	Encounter associated with media
created[x]	SΣC	1..1		When Media was collected inv-dh-media-03: Date shall be at least to day
createdDateTime			dateTime
createdPeriod			Period
issued	SΣ	0..1	instant	Date/Time this version was made available
operator	SΣC	0..1	Reference(ADHA Core PractitionerRole | ADHA Core Organization | ADHA Core Patient | ADHA System Device | ADHA Core RelatedPerson)	The person who generated the image
reasonCode	Σ	0..*	CodeableConcept	Why was event performed? Binding: ProcedureReasonCodes (example): The reason for the media.
bodySite	Σ	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
deviceName	Σ	0..1	string	Name of the device/manufacturer
device	Σ	0..1	Reference(Device | DeviceMetric | Device)	Observing Device
height	Σ	0..1	positiveInt	Height of the image in pixels (photo/video)
width	Σ	0..1	positiveInt	Width of the image in pixels (photo/video)
frames	Σ	0..1	positiveInt	Number of frames if > 1 (photo)
duration	Σ	0..1	decimal	Length in seconds (audio / video)
content	SΣ	1..1	Attachment	Actual Media - reference or data
note	S	0..*	Annotation	Comments made about the media
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Media.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Media.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.type	extensible	MediaType http://hl7.org/fhir/ValueSet/media-type from the FHIR Standard
Media.modality	example	MediaModality http://hl7.org/fhir/ValueSet/media-modality from the FHIR Standard
Media.view	example	MediaCollectionView/Projection http://hl7.org/fhir/ValueSet/media-view from the FHIR Standard
Media.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Media.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-media-01	error	Media.subject	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-media-02	error	Media	If present, an operator shall at least have a reference, an identifier or a display : operator.exists() implies operator.all($this.reference.exists() or $this.identifier.exists() or $this.display.exists())
inv-dh-media-03	error	Media.created[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10

This structure is derived from Media

Summary

Mandatory: 3 elements
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
• ADHA Core PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1)
• ADHA Core Organization (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-organization-core-1)
• ADHA System Device (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-system-1)
• ADHA Core RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-core-1)

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.