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Bản hướng dẫn thực thi (IG) dành cho các hệ thống thông tin Y tế tại Việt Nam
1.0.0 - CI Build

Bản hướng dẫn thực thi (IG) dành cho các hệ thống thông tin Y tế tại Việt Nam, published by Cục Công nghệ thông tin - Bộ Y tế. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7vn/vn-core-ig/ and changes regularly. See the Directory of published versions

Resource Profile: VNCoreMediaObservation

Thông tin về các file Media (hình ảnh tổn thương, video, …) được ghi nhận

Đường dẫn URL chính thức của Profile này: 

http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-media-observation

Nội dung Profile

Thông tin bổ sung cho các thông tin hiển thị (Nội dung mô tả, Differential Table, Snapshot Table, ...).

Profile này được dựa trên Resource MediaObservationUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Media MediaObservationUvIps
... type 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
... subject 1..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Who/What this Media is a record of
... encounter 0..1 Reference(Encounter | Encounter Profile - VN Core R4) Encounter associated with media
... device 0..1 Reference(Device | DeviceMetric | Device | Device profile - VN Core R4) Observing Device

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Media S 0..* MediaObservationUvIps A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 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 ?!SΣ 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.
Fixed Value: completed
... type S 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: MediaType (extensible): Codes for high level media categories.
... modality Σ 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 SΣ 1..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Who/What this Media is a record of
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter | Encounter Profile - VN Core R4) Encounter associated with media
... created[x] Σ 0..1 When Media was collected
.... createdDateTime dateTime
.... createdPeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... operator SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4 | Device profile - VN Core R4) 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 SΣ 0..1 Reference(Device | DeviceMetric | Device | Device profile - VN Core R4) 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 0..* Annotation Comments made about the media

doco Documentation for this format

Differential View

Profile này được dựa trên Resource MediaObservationUvIps

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Media MediaObservationUvIps
... type 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
... subject 1..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Who/What this Media is a record of
... encounter 0..1 Reference(Encounter | Encounter Profile - VN Core R4) Encounter associated with media
... device 0..1 Reference(Device | DeviceMetric | Device | Device profile - VN Core R4) Observing Device

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Media S 0..* MediaObservationUvIps A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 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 ?!SΣ 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.
Fixed Value: completed
... type S 0..1 CodeableConceptIPS, VNCoreCodeableConcept Concept - reference to a terminology or just text
Binding: MediaType (extensible): Codes for high level media categories.
... modality Σ 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 SΣ 1..1 Reference(Patient (IPS) | Patient Profile - VN Core R4) Who/What this Media is a record of
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter | Encounter Profile - VN Core R4) Encounter associated with media
... created[x] Σ 0..1 When Media was collected
.... createdDateTime dateTime
.... createdPeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... operator SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | Practitioner Profile - VN Core R4 | Device profile - VN Core R4) 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 SΣ 0..1 Reference(Device | DeviceMetric | Device | Device profile - VN Core R4) 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 0..* Annotation Comments made about the media

doco Documentation for this format

 

Hình thức mô tả khác: Schematron

Thông tin bổ sung

Terminology Bindings

Terminology Bindings

PathConformanceValueSet / CodeURI
Media.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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

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()