臺灣健保事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.2.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 非DICOM影像-Media TWPAS

此非DICOM影像-Media TWPAS Profile說明本IG如何進一步定義臺灣核心-多媒體(TW Core Media) Profile以呈現事前審查中疾病資訊之影像報告的非DICOM影像

Usages:

• Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS and 癌藥事前審查-Bundle TWPAS
• Refer to this Profile: 影像報告-DiagnosticReport Image TWPAS
• Examples for this Profile: Media/med-min
• CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	TWCoreMedia	健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。
Media.meta	Σ This element is included in summaries.	1..1	Meta	此Media Resource的metadata
Media.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
Media.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Media.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Media.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): 代表事件生命週期階段的代碼；應填入所綁定值集中的其中一個代碼
Media.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(病人資訊-Patient TWPAS)	多媒體紀錄的對象是誰或什麼？
Media.bodySite	S This element must be supported.	0..1	CodeableConceptTW	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
Media.content	Σ This element is included in summaries. C	1..1	Attachment	實際的多媒體 - 參照或資料。 Constraints: UploadContent
Media.content.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required) Example General: text/plain; charset=UTF-8, image/png
Media.content.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: http://www.acme.com/logo-small.png Example General: file://US01.jpg
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Media.bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
Media.content.contentType	Base	required	HL7-非DICOM影像MimeType值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	Media.content	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	Media	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Media	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	error	Media	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	error	Media	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Media	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from TWCoreMedia

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media			TWCoreMedia
Media.meta		1..1	Meta	此Media Resource的metadata
Media.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
Media.subject		0..1	Reference(病人資訊-Patient TWPAS)	多媒體紀錄的對象是誰或什麼？
Media.bodySite	S This element must be supported.	0..1	CodeableConceptTW	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
Media.content	C	1..1	Attachment	實際的多媒體 - 參照或資料。 Constraints: UploadContent
Media.content.contentType	S This element must be supported.	1..1	code	Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required)
Media.content.url	S This element must be supported.	1..1	url	非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: file://US01.jpg
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Media.bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
Media.content.contentType	Base	required	HL7-非DICOM影像MimeType值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	Media.content	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	TWCoreMedia	健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。
Media.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Media紀錄，通常又稱為邏輯性ID。
Media.meta	Σ This element is included in summaries.	1..1	Meta	此Media Resource的metadata
Media.meta.id		0..1	string	Unique id for inter-element referencing
Media.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Media.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Media.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Media.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Media.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
Media.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Media.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Media.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Media.language		0..1	code	用以表述Media Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
Media.text		0..1	Narrative	Media Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Media.contained		0..*	Resource	Contained, inline Resources
Media.extension		0..*	Extension	Additional content defined by implementations
Media.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Media.identifier	Σ This element is included in summaries.	0..*	Identifier	影像的識別碼
Media.basedOn	Σ This element is included in summaries.	0..*	Reference(ServiceRequest | CarePlan)	導致產生此多媒體的程序
Media.partOf	Σ This element is included in summaries.	0..*	Reference(Resource)	參照事件的一部分
Media.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): 代表事件生命週期階段的代碼；應填入所綁定值集中的其中一個代碼
Media.type		0..1	CodeableConceptTW	將多媒體分類為影像、影片或音檔 Binding: MediaType (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Media.modality		0..1	CodeableConceptTW	取得影像的設備/過程 Binding: MediaModality (example): 可參考MediaModality代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
Media.view		0..1	CodeableConceptTW	影像視圖，從不同的角度拍攝醫學影像，例如：側位（Lateral，從旁邊看）或前後部位（Antero-posterior，從前面或後面看） Binding: MediaCollectionView/Projection (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Media.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(病人資訊-Patient TWPAS)	多媒體紀錄的對象是誰或什麼？
Media.encounter	Σ This element is included in summaries.	0..1	Reference(TW Core Encounter)	與此Media相關的就醫事件（Encounter）
Media.created[x]	Σ This element is included in summaries.	0..1		Media被收集的時間
Media.created[x].createdDateTime			dateTime
Media.created[x].createdPeriod			Period
Media.issued	Σ This element is included in summaries.	0..1	instant	此版本提供的日期/時間
Media.operator	Σ This element is included in summaries.	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson)	產生影像的人
Media.reasonCode		0..*	CodeableConceptTW	為什麼會進行這個事件？ Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Media.bodySite	S This element must be supported.	0..1	CodeableConceptTW	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
Media.deviceName	Σ This element is included in summaries.	0..1	string	設備/製造商的名稱
Media.device	Σ This element is included in summaries.	0..1	Reference(Device | DeviceMetric | Device)	影像、影片、音檔的補捉設備。
Media.height	Σ This element is included in summaries.	0..1	positiveInt	以像素為單位的影像高度（影像/影像）
Media.width	Σ This element is included in summaries.	0..1	positiveInt	以像素為單位的影像寬度（影像/影像）
Media.frames	Σ This element is included in summaries.	0..1	positiveInt	> 1 的影格（影像）。
Media.duration	Σ This element is included in summaries.	0..1	decimal	以秒為單位的長度（音檔/影片）。
Media.content	Σ This element is included in summaries. C	1..1	Attachment	實際的多媒體 - 參照或資料。 Constraints: UploadContent
Media.content.id		0..1	string	Unique id for inter-element referencing
Media.content.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Media.content.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required) Example General: text/plain; charset=UTF-8, image/png
Media.content.language	Σ This element is included in summaries.	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
Media.content.data		0..1	base64Binary	Data inline, base64ed
Media.content.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: http://www.acme.com/logo-small.png Example General: file://US01.jpg
Media.content.size	Σ This element is included in summaries.	0..1	unsignedInt	Number of bytes of content (if url provided)
Media.content.hash	Σ This element is included in summaries.	0..1	base64Binary	Hash of the data (sha-1, base64ed)
Media.content.title	Σ This element is included in summaries.	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
Media.content.creation	Σ This element is included in summaries.	0..1	dateTime	Date attachment was first created
Media.note		0..*	Annotation	對此Media的意見
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Media.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Media.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Media.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Media.type	Base	extensible	Media Type	📦4.0.1	FHIR Std.
Media.modality	Base	example	Media Modality	📦4.0.1	FHIR Std.
Media.view	Base	extensible	Media Collection View/Projection	📦4.0.1	FHIR Std.
Media.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
Media.bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
Media.content.contentType	Base	required	HL7-非DICOM影像MimeType值集	📦1.2.8	This IG
Media.content.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	Media.content	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	Media	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Media	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	error	Media	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	error	Media	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Media	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from TWCoreMedia

Summary

Mandatory: 4 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	TWCoreMedia	健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。
Media.meta	Σ This element is included in summaries.	1..1	Meta	此Media Resource的metadata
Media.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
Media.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Media.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Media.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): 代表事件生命週期階段的代碼；應填入所綁定值集中的其中一個代碼
Media.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(病人資訊-Patient TWPAS)	多媒體紀錄的對象是誰或什麼？
Media.bodySite	S This element must be supported.	0..1	CodeableConceptTW	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
Media.content	Σ This element is included in summaries. C	1..1	Attachment	實際的多媒體 - 參照或資料。 Constraints: UploadContent
Media.content.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required) Example General: text/plain; charset=UTF-8, image/png
Media.content.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: http://www.acme.com/logo-small.png Example General: file://US01.jpg
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Media.bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
Media.content.contentType	Base	required	HL7-非DICOM影像MimeType值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	Media.content	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	Media	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Media	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	error	Media	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	error	Media	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Media	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from TWCoreMedia

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media			TWCoreMedia
Media.meta		1..1	Meta	此Media Resource的metadata
Media.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
Media.subject		0..1	Reference(病人資訊-Patient TWPAS)	多媒體紀錄的對象是誰或什麼？
Media.bodySite	S This element must be supported.	0..1	CodeableConceptTW	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
Media.content	C	1..1	Attachment	實際的多媒體 - 參照或資料。 Constraints: UploadContent
Media.content.contentType	S This element must be supported.	1..1	code	Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required)
Media.content.url	S This element must be supported.	1..1	url	非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: file://US01.jpg
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Media.bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
Media.content.contentType	Base	required	HL7-非DICOM影像MimeType值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	Media.content	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	TWCoreMedia	健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。
Media.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Media紀錄，通常又稱為邏輯性ID。
Media.meta	Σ This element is included in summaries.	1..1	Meta	此Media Resource的metadata
Media.meta.id		0..1	string	Unique id for inter-element referencing
Media.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Media.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Media.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Media.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Media.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
Media.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Media.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Media.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Media.language		0..1	code	用以表述Media Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
Media.text		0..1	Narrative	Media Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Media.contained		0..*	Resource	Contained, inline Resources
Media.extension		0..*	Extension	Additional content defined by implementations
Media.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Media.identifier	Σ This element is included in summaries.	0..*	Identifier	影像的識別碼
Media.basedOn	Σ This element is included in summaries.	0..*	Reference(ServiceRequest | CarePlan)	導致產生此多媒體的程序
Media.partOf	Σ This element is included in summaries.	0..*	Reference(Resource)	參照事件的一部分
Media.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): 代表事件生命週期階段的代碼；應填入所綁定值集中的其中一個代碼
Media.type		0..1	CodeableConceptTW	將多媒體分類為影像、影片或音檔 Binding: MediaType (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Media.modality		0..1	CodeableConceptTW	取得影像的設備/過程 Binding: MediaModality (example): 可參考MediaModality代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
Media.view		0..1	CodeableConceptTW	影像視圖，從不同的角度拍攝醫學影像，例如：側位（Lateral，從旁邊看）或前後部位（Antero-posterior，從前面或後面看） Binding: MediaCollectionView/Projection (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Media.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(病人資訊-Patient TWPAS)	多媒體紀錄的對象是誰或什麼？
Media.encounter	Σ This element is included in summaries.	0..1	Reference(TW Core Encounter)	與此Media相關的就醫事件（Encounter）
Media.created[x]	Σ This element is included in summaries.	0..1		Media被收集的時間
Media.created[x].createdDateTime			dateTime
Media.created[x].createdPeriod			Period
Media.issued	Σ This element is included in summaries.	0..1	instant	此版本提供的日期/時間
Media.operator	Σ This element is included in summaries.	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson)	產生影像的人
Media.reasonCode		0..*	CodeableConceptTW	為什麼會進行這個事件？ Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Media.bodySite	S This element must be supported.	0..1	CodeableConceptTW	影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
Media.deviceName	Σ This element is included in summaries.	0..1	string	設備/製造商的名稱
Media.device	Σ This element is included in summaries.	0..1	Reference(Device | DeviceMetric | Device)	影像、影片、音檔的補捉設備。
Media.height	Σ This element is included in summaries.	0..1	positiveInt	以像素為單位的影像高度（影像/影像）
Media.width	Σ This element is included in summaries.	0..1	positiveInt	以像素為單位的影像寬度（影像/影像）
Media.frames	Σ This element is included in summaries.	0..1	positiveInt	> 1 的影格（影像）。
Media.duration	Σ This element is included in summaries.	0..1	decimal	以秒為單位的長度（音檔/影片）。
Media.content	Σ This element is included in summaries. C	1..1	Attachment	實際的多媒體 - 參照或資料。 Constraints: UploadContent
Media.content.id		0..1	string	Unique id for inter-element referencing
Media.content.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Media.content.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required) Example General: text/plain; charset=UTF-8, image/png
Media.content.language	Σ This element is included in summaries.	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
Media.content.data		0..1	base64Binary	Data inline, base64ed
Media.content.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: http://www.acme.com/logo-small.png Example General: file://US01.jpg
Media.content.size	Σ This element is included in summaries.	0..1	unsignedInt	Number of bytes of content (if url provided)
Media.content.hash	Σ This element is included in summaries.	0..1	base64Binary	Hash of the data (sha-1, base64ed)
Media.content.title	Σ This element is included in summaries.	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
Media.content.creation	Σ This element is included in summaries.	0..1	dateTime	Date attachment was first created
Media.note		0..*	Annotation	對此Media的意見
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Media.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Media.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Media.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Media.type	Base	extensible	Media Type	📦4.0.1	FHIR Std.
Media.modality	Base	example	Media Modality	📦4.0.1	FHIR Std.
Media.view	Base	extensible	Media Collection View/Projection	📦4.0.1	FHIR Std.
Media.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
Media.bodySite	Base	required	SNOMEDCT-健保事前審查-身體部位值集	📦1.2.8	This IG
Media.content.contentType	Base	required	HL7-非DICOM影像MimeType值集	📦1.2.8	This IG
Media.content.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	Media.content	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	Media	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Media	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	error	Media	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	error	Media	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Media	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from TWCoreMedia

Summary

Mandatory: 4 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Other representations of profile: CSV, Excel, Schematron