Scope and use

This profile is a MedCom Core profile for media and is intended to represent relevant attachments for a variety cases including:

• laboratory observations
• observations performed by a municipal acute care team

Only an attachment of the permitted formats must be included. Click here to see the permitted formats of an attachment

The attached file SHALL be base64-encoded and added to the element MedComCoreMedia.content.data If the attached file is sent, it is a requirement that the ID and title of the attached file SHALL be sent. The ID of the attachment SHALL be expressed using Media.identifier element. The Media.content.titel element SHALL be used to express the titel of the attachment.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	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. Obligations Actor SHALL:in-narrative Producer of FHIR resources
operator	Σ	0..1	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam | MedComCorePatient | Device | Danish Core Related Person Profile)	The person who generated the image
content	SΣ	1..1	Attachment	Actual Media - reference or data
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.text.status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
Media.status	Base	required	EventStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
txt-1	error	Media.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	Media.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

This structure is derived from Media

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
id	SO	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
status	SO	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Obligations Actor SHALL:in-narrative Producer of FHIR resources
operator		0..1	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam | MedComCorePatient | Device | Danish Core Related Person Profile)	The person who generated the image
content	S	1..1	Attachment	Actual Media - reference or data
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	?!SOΣ	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. Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	Σ	0..1	CodeableConcept	Classification of media as image, video, or audio 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	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Group | Device | Specimen | Location)	Who/What this Media is a record of
encounter	Σ	0..1	Reference(Encounter)	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	Σ	0..1	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam | MedComCorePatient | Device | Danish Core Related Person Profile)	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		0..*	Annotation	Comments made about the media
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Media.text.status	Base	required	NarrativeStatus	📍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	example	Media Collection View/Projection	📍4.0.1	FHIR Std.
Media.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
Media.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
txt-1	error	Media.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	Media.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	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. Obligations Actor SHALL:in-narrative Producer of FHIR resources
operator	Σ	0..1	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam | MedComCorePatient | Device | Danish Core Related Person Profile)	The person who generated the image
content	SΣ	1..1	Attachment	Actual Media - reference or data
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.text.status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
Media.status	Base	required	EventStatus	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
txt-1	error	Media.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	Media.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

Differential View

This structure is derived from Media

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
id	SO	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
status	SO	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Obligations Actor SHALL:in-narrative Producer of FHIR resources
operator		0..1	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam | MedComCorePatient | Device | Danish Core Related Person Profile)	The person who generated the image
content	S	1..1	Attachment	Actual Media - reference or data
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	?!SOΣ	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. Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	Σ	0..1	CodeableConcept	Classification of media as image, video, or audio 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	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Group | Device | Specimen | Location)	Who/What this Media is a record of
encounter	Σ	0..1	Reference(Encounter)	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	Σ	0..1	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam | MedComCorePatient | Device | Danish Core Related Person Profile)	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		0..*	Annotation	Comments made about the media
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Media.text.status	Base	required	NarrativeStatus	📍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	example	Media Collection View/Projection	📍4.0.1	FHIR Std.
Media.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
Media.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
txt-1	error	Media.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	Media.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

This structure is derived from Media

Summary

Mandatory: 2 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• MedComCorePractitioner (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-practitioner)
• MedComCorePractitionerRole (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-practitionerrole)
• MedComCoreOrganization (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-organization)
• MedComCoreCareTeam (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-careteam)
• MedComCorePatient (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-patient)
• Danish Core Related Person Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-related-person)