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, ...).

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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
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

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()