International Patient Summary Implementation Guide
1.1.0 - CI Build International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

Resource Profile: Media observation (Results: laboratory, media)

Official URL: http://hl7.org/fhir/uv/ips/StructureDefinition/Media-observation-uv-ips Version: 1.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: MediaObservationUvIps

This profile constrains the Media resource (which is a specialized observation).

This specialized observation is used to convey illustrative media content.

Usage:

Formal Views of Profile Content

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

This structure is derived from Media

NameFlagsCard.TypeDescription & Constraintsdoco
.. Media 0..*MediaA photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
... status 1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Fixed Value: completed
... type 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... subject 1..1Reference(Patient (IPS))Who/What this Media is a record of
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... device 0..1Reference(Device | DeviceMetric | Device)Observing Device
... content 1..1AttachmentActual Media - reference or data

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Media 0..*MediaA photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.


Fixed Value: completed
... subject Σ1..1Reference(Patient (IPS))Who/What this Media is a record of
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... operator Σ0..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)The person who generated the image
... device Σ0..1Reference(Device | DeviceMetric | Device)Observing Device
... content Σ1..1AttachmentActual Media - reference or data

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Media.statusrequiredFixed Value: completed
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Media.typeextensibleMediaType
http://hl7.org/fhir/ValueSet/media-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMediaIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMediaIf 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-4errorMediaIf 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-5errorMediaIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMediaA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Media 0..*MediaA photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) for the image
... basedOn Σ0..*Reference(ServiceRequest | CarePlan)Procedure that caused this media to be created
... partOf Σ0..*Reference(Resource)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.


Fixed Value: completed
... type 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: MediaType (extensible): Codes for high level media categories.

... modality Σ0..1CodeableConceptThe 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 Σ0..1CodeableConceptImaging view, e.g. Lateral or Antero-posterior
Binding: MediaCollectionView/Projection (example): Imaging view (projection) used when collecting an image.

... subject Σ1..1Reference(Patient (IPS))Who/What this Media is a record of
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(Encounter)Encounter associated with media
... created[x] Σ0..1When Media was collected
.... createdDateTimedateTime
.... createdPeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... operator Σ0..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)The person who generated the image
... reasonCode Σ0..*CodeableConceptWhy was event performed?
Binding: ProcedureReasonCodes (example): The reason for the media.


... bodySite Σ0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... deviceName Σ0..1stringName of the device/manufacturer
... device Σ0..1Reference(Device | DeviceMetric | Device)Observing Device
... height Σ0..1positiveIntHeight of the image in pixels (photo/video)
... width Σ0..1positiveIntWidth of the image in pixels (photo/video)
... frames Σ0..1positiveIntNumber of frames if > 1 (photo)
... duration Σ0..1decimalLength in seconds (audio / video)
... content Σ1..1AttachmentActual Media - reference or data
... note 0..*AnnotationComments made about the media

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Media.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Media.statusrequiredFixed Value: completed
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Media.typeextensibleMediaType
http://hl7.org/fhir/ValueSet/media-type
from the FHIR Standard
Media.modalityexampleMediaModality
http://hl7.org/fhir/ValueSet/media-modality
from the FHIR Standard
Media.viewexampleMediaCollectionView/Projection
http://hl7.org/fhir/ValueSet/media-view
from the FHIR Standard
Media.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Media.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Media.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMediaIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMediaIf 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-4errorMediaIf 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-5errorMediaIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMediaA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Media

Differential View

This structure is derived from Media

NameFlagsCard.TypeDescription & Constraintsdoco
.. Media 0..*MediaA photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
... status 1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Fixed Value: completed
... type 0..1CodeableConceptIPSConcept - reference to a terminology or just text
... subject 1..1Reference(Patient (IPS))Who/What this Media is a record of
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... device 0..1Reference(Device | DeviceMetric | Device)Observing Device
... content 1..1AttachmentActual Media - reference or data

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Media 0..*MediaA photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.


Fixed Value: completed
... subject Σ1..1Reference(Patient (IPS))Who/What this Media is a record of
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... operator Σ0..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)The person who generated the image
... device Σ0..1Reference(Device | DeviceMetric | Device)Observing Device
... content Σ1..1AttachmentActual Media - reference or data

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Media.statusrequiredFixed Value: completed
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Media.typeextensibleMediaType
http://hl7.org/fhir/ValueSet/media-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMediaIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMediaIf 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-4errorMediaIf 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-5errorMediaIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMediaA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Media 0..*MediaA photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier(s) for the image
... basedOn Σ0..*Reference(ServiceRequest | CarePlan)Procedure that caused this media to be created
... partOf Σ0..*Reference(Resource)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.


Fixed Value: completed
... type 0..1CodeableConceptIPSConcept - reference to a terminology or just text
Binding: MediaType (extensible): Codes for high level media categories.

... modality Σ0..1CodeableConceptThe 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 Σ0..1CodeableConceptImaging view, e.g. Lateral or Antero-posterior
Binding: MediaCollectionView/Projection (example): Imaging view (projection) used when collecting an image.

... subject Σ1..1Reference(Patient (IPS))Who/What this Media is a record of
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(Encounter)Encounter associated with media
... created[x] Σ0..1When Media was collected
.... createdDateTimedateTime
.... createdPeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... operator Σ0..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)The person who generated the image
... reasonCode Σ0..*CodeableConceptWhy was event performed?
Binding: ProcedureReasonCodes (example): The reason for the media.


... bodySite Σ0..1CodeableConceptObserved body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... deviceName Σ0..1stringName of the device/manufacturer
... device Σ0..1Reference(Device | DeviceMetric | Device)Observing Device
... height Σ0..1positiveIntHeight of the image in pixels (photo/video)
... width Σ0..1positiveIntWidth of the image in pixels (photo/video)
... frames Σ0..1positiveIntNumber of frames if > 1 (photo)
... duration Σ0..1decimalLength in seconds (audio / video)
... content Σ1..1AttachmentActual Media - reference or data
... note 0..*AnnotationComments made about the media

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Media.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Media.statusrequiredFixed Value: completed
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Media.typeextensibleMediaType
http://hl7.org/fhir/ValueSet/media-type
from the FHIR Standard
Media.modalityexampleMediaModality
http://hl7.org/fhir/ValueSet/media-modality
from the FHIR Standard
Media.viewexampleMediaCollectionView/Projection
http://hl7.org/fhir/ValueSet/media-view
from the FHIR Standard
Media.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Media.reasonCodeexampleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Media.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMediaIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMediaIf 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-4errorMediaIf 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-5errorMediaIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMediaA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Media

 

Other representations of profile: CSV, Excel, Schematron