Introduction

A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.

Scope and Usage

In scope of the eHealth infrastructure Media resources are used with measurements, so that submitted measurement bundles can consist of e.g. Observations, QuestionnaireResponses, and Media. The actual media data can be contained as a payload of the Media resource (using the content.data element) or be referenced from the Media resource (using the content.url element).

Usage mode

The use of a Media resource is defined by the usageMode element. The following values are allowed:

• raw: The media is an original raw data file, eg. an original image of a wound.
• metadata: The media has no content, but it specifies metadata about the media, eg. the location of a wound specified by the bodySite element.
• overlay: The media is an overlay on top of a raw media, eg. a perimeter drawing on top of an image of a wound.

Media grouping

Media resources can grouped together using the relatedTo element. Eg. an overlay media is related to the raw media. Media connected through relatedTo will be grouped together by means of a series id in the element series. The series id is maintained by the eHealth infrastructure. Grouping can only done among media resources that are based on the same service request. A group of media can be retrieved by searching for media resources by series id.

Storage of media

Media content delivered inline in the content.data element will be extracted and stored outside the resource in the eHealth infrastructure, and the element content.url will be set to allow retrieval of the content. The eHealth infrastructure will anonymize media image content. Sensitive metadata in the image will be removed before the image is stored. Media content delivered by reference in the content.url element will not be stored or anonymized by the eHealth infrastructure.

Image thumbnails

The eHealth infrastructure will automatically generate thumbnail representations of media image content delivered inline. The sizes of thumbnails are determined by configuration in the eHealth infrastructure. When retrieving a media, the thumbnail representations can be found in the thumbnail element. Thumbnails are generated asynchronously, so they may not be available immediately after the media is submitted. Each thumbnail representations will have status set to 'requested' and have no content element until the thumbnail is generated. In case that errors prevent the generation of a thumbnail, the status of the thumbnail will be set to 'failed'.

Update of media

Media resources can be updated, to change status, or to allow grouping of media that was not grouped at the time of submission by updating relatedTo, or to modify the content of a media submitted with usage mode 'overlay'. Update of content is only allowed for media with usageMode 'overlay'. The status of a Media resource can be updated from any of: 'preparation' | 'in-progress' | 'on-hold' | 'completed' to 'stopped'. Update of any other elements is denied.

Searching media

It is possible to search for Media based on:

• episodeOfCare
• subject
• type
• period
• deviceMeasuringQuality
• qualityCode
• qualityType
• series
• usageMode
• relatedTo

At least one of "subject" and "episodeOfCare" must be provided. "period" searches on range of "occurence".

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: ehealth-media-usageMode-metadata-no-content
Media.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Media.Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.Slices for extension.extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Media.Slices for extension.extension:episodeOfCare.extension		0..0		Extension Slice: Unordered, Open by value:url
Media.Slices for extension.extension:episodeOfCare.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
Media.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
Media.Slices for extension.extension:quality		0..*	(Complex)	Minimum requirements for qualities URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-quality
Media.Slices for extension.extension:resolvedTiming		1..1	(Complex)	Resolved Timing URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-resolved-timing
Media.Slices for extension.extension:thumbnail		0..*	(Complex)	Media Thumbnail URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-thumbnail
Media.Slices for extension.extension:usageMode		1..1	code	Usage mode URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode Binding: Media Usage Mode (required)
Media.Slices for extension.extension:relatedTo		0..*	Reference(ehealth-media) {r}	Related to URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-related-to
Media.Slices for extension.extension:series		0..1	string	Series ID URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-series-id
Media.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Media.basedOn	Σ This element is included in summaries.	1..1	Reference(ehealth-servicerequest) {r}	Procedure that caused this media to be created
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): Codes identifying the lifecycle stage of an event.
Media.modality	Σ This element is included in summaries.	0..1	CodeableConcept	The type of acquisition equipment/process Binding: Media modality (required)
Media.view	Σ This element is included in summaries.	0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: Media view (required)
Media.subject	Σ This element is included in summaries.	1..1	Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device | Specimen) {r}	Who/What this Media is a record of
Media.subject.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Media.created[x]	Σ This element is included in summaries.	1..1		When Media was collected
Media.created[x].createdDateTime			dateTime
Media.created[x].createdPeriod			Period
Media.operator	Σ This element is included in summaries.	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) {r}	The person who generated the image
Media.bodySite	Σ This element is included in summaries.	0..1	CodeableConcept	Observed body part Binding: Body site (required)
Media.device	Σ This element is included in summaries.	0..1	Reference(ehealth-device | ehealth-devicemetric) {r}	Observing Device
Media.content	Σ This element is included in summaries.	1..1	Attachment	Actual Media - reference or data
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Media.modality	Base	required	Media modality	📦11.0.1	This IG
Media.view	Base	required	Media view	📦11.0.1	This IG
Media.bodySite	Base	required	Body site	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ehealth-media-usageMode-metadata-no-content	error	Media	Media with usage mode 'metadata' cannot have content.	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode').value = 'metadata' implies (content.data.empty() and content.url.empty())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: ehealth-media-usageMode-metadata-no-content
Media.Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.Slices for extension.extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Media.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
Media.Slices for extension.extension:quality		0..*	(Complex)	Minimum requirements for qualities URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-quality
Media.Slices for extension.extension:resolvedTiming		1..1	(Complex)	Resolved Timing URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-resolved-timing
Media.Slices for extension.extension:thumbnail		0..*	(Complex)	Media Thumbnail URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-thumbnail
Media.Slices for extension.extension:usageMode		1..1	code	Usage mode URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode Binding: Media Usage Mode (required)
Media.Slices for extension.extension:relatedTo		0..*	Reference(ehealth-media) {r}	Related to URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-related-to
Media.Slices for extension.extension:series		0..1	string	Series ID URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-series-id
Media.basedOn		1..1	Reference(ehealth-servicerequest) {r}	Procedure that caused this media to be created
Media.modality		0..1	CodeableConcept	The type of acquisition equipment/process Binding: Media modality (required)
Media.view		0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: Media view (required)
Media.subject		1..1	Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device | Specimen) {r}	Who/What this Media is a record of
Media.subject.reference		1..1	string	Literal reference, Relative, internal or absolute URL
Media.created[x]		1..1	dateTime, Period	When Media was collected
Media.operator		0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) {r}	The person who generated the image
Media.bodySite		0..1	CodeableConcept	Observed body part Binding: Body site (required)
Media.device		0..1	Reference(ehealth-device | ehealth-devicemetric) {r}	Observing Device
Media.note
Media.note.Slices for author[x]		0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.note.Slices for author[x].author[x]:authorReference		0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
Media.note.Slices for author[x].author[x]:authorString		0..1	string	Individual responsible for the annotation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Media.modality	Base	required	Media modality	📦11.0.1	This IG
Media.view	Base	required	Media view	📦11.0.1	This IG
Media.bodySite	Base	required	Body site	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ehealth-media-usageMode-metadata-no-content	error	Media	Media with usage mode 'metadata' cannot have content.	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode').value = 'metadata' implies (content.data.empty() and content.url.empty())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: ehealth-media-usageMode-metadata-no-content
Media.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Media.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Media.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Media.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Media.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
Media.contained		0..*	Resource	Contained, inline Resources
Media.Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.Slices for extension.extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Media.Slices for extension.extension:episodeOfCare.id		0..1	string	Unique id for inter-element referencing
Media.Slices for extension.extension:episodeOfCare.extension		0..0		Extension Slice: Unordered, Open by value:url
Media.Slices for extension.extension:episodeOfCare.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
Media.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
Media.Slices for extension.extension:quality		0..*	(Complex)	Minimum requirements for qualities URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-quality
Media.Slices for extension.extension:resolvedTiming		1..1	(Complex)	Resolved Timing URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-resolved-timing
Media.Slices for extension.extension:thumbnail		0..*	(Complex)	Media Thumbnail URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-thumbnail
Media.Slices for extension.extension:usageMode		1..1	code	Usage mode URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode Binding: Media Usage Mode (required)
Media.Slices for extension.extension:relatedTo		0..*	Reference(ehealth-media) {r}	Related to URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-related-to
Media.Slices for extension.extension:series		0..1	string	Series ID URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-series-id
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	Identifier(s) for the image
Media.basedOn	Σ This element is included in summaries.	1..1	Reference(ehealth-servicerequest) {r}	Procedure that caused this media to be created
Media.partOf	Σ This element is included in summaries.	0..*	Reference(Resource)	Part of referenced event
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): Codes identifying the lifecycle stage of an event.
Media.type	Σ This element is included in summaries.	0..1	CodeableConcept	Classification of media as image, video, or audio Binding: MediaType (extensible): Codes for high level media categories.
Media.modality	Σ This element is included in summaries.	0..1	CodeableConcept	The type of acquisition equipment/process Binding: Media modality (required)
Media.view	Σ This element is included in summaries.	0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: Media view (required)
Media.subject	Σ This element is included in summaries.	1..1	Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device | Specimen) {r}	Who/What this Media is a record of
Media.subject.id		0..1	string	Unique id for inter-element referencing
Media.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Media.subject.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Media.subject.type	Σ This element is included in summaries.	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).
Media.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Media.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Media.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Encounter associated with media
Media.created[x]	Σ This element is included in summaries.	1..1		When Media was collected
Media.created[x].createdDateTime			dateTime
Media.created[x].createdPeriod			Period
Media.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Media.operator	Σ This element is included in summaries.	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) {r}	The person who generated the image
Media.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Why was event performed? Binding: ProcedureReasonCodes (example): The reason for the media.
Media.bodySite	Σ This element is included in summaries.	0..1	CodeableConcept	Observed body part Binding: Body site (required)
Media.deviceName	Σ This element is included in summaries.	0..1	string	Name of the device/manufacturer
Media.device	Σ This element is included in summaries.	0..1	Reference(ehealth-device | ehealth-devicemetric) {r}	Observing Device
Media.height	Σ This element is included in summaries.	0..1	positiveInt	Height of the image in pixels (photo/video)
Media.width	Σ This element is included in summaries.	0..1	positiveInt	Width of the image in pixels (photo/video)
Media.frames	Σ This element is included in summaries.	0..1	positiveInt	Number of frames if > 1 (photo)
Media.duration	Σ This element is included in summaries.	0..1	decimal	Length in seconds (audio / video)
Media.content	Σ This element is included in summaries.	1..1	Attachment	Actual Media - reference or data
Media.note		0..*	Annotation	Comments made about the media
Media.note.id		0..1	string	Unique id for inter-element referencing
Media.note.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Media.note.Slices for author[x]	Σ This element is included in summaries.	0..1		Individual responsible for the annotation Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.note.Slices for author[x].authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
Media.note.Slices for author[x].authorString			string
Media.note.Slices for author[x].author[x]:authorReference	Σ This element is included in summaries.	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
Media.note.Slices for author[x].author[x]:authorString	Σ This element is included in summaries.	0..1	string	Individual responsible for the annotation
Media.note.time	Σ This element is included in summaries.	0..1	dateTime	When the annotation was made
Media.note.text	Σ This element is included in summaries.	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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	required	Media modality	📦11.0.1	This IG
Media.view	Base	required	Media view	📦11.0.1	This IG
Media.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Media.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
Media.bodySite	Base	required	Body site	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ehealth-media-usageMode-metadata-no-content	error	Media	Media with usage mode 'metadata' cannot have content.	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode').value = 'metadata' implies (content.data.empty() and content.url.empty())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: ehealth-media-usageMode-metadata-no-content
Media.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Media.Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.Slices for extension.extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Media.Slices for extension.extension:episodeOfCare.extension		0..0		Extension Slice: Unordered, Open by value:url
Media.Slices for extension.extension:episodeOfCare.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
Media.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
Media.Slices for extension.extension:quality		0..*	(Complex)	Minimum requirements for qualities URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-quality
Media.Slices for extension.extension:resolvedTiming		1..1	(Complex)	Resolved Timing URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-resolved-timing
Media.Slices for extension.extension:thumbnail		0..*	(Complex)	Media Thumbnail URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-thumbnail
Media.Slices for extension.extension:usageMode		1..1	code	Usage mode URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode Binding: Media Usage Mode (required)
Media.Slices for extension.extension:relatedTo		0..*	Reference(ehealth-media) {r}	Related to URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-related-to
Media.Slices for extension.extension:series		0..1	string	Series ID URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-series-id
Media.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Media.basedOn	Σ This element is included in summaries.	1..1	Reference(ehealth-servicerequest) {r}	Procedure that caused this media to be created
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): Codes identifying the lifecycle stage of an event.
Media.modality	Σ This element is included in summaries.	0..1	CodeableConcept	The type of acquisition equipment/process Binding: Media modality (required)
Media.view	Σ This element is included in summaries.	0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: Media view (required)
Media.subject	Σ This element is included in summaries.	1..1	Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device | Specimen) {r}	Who/What this Media is a record of
Media.subject.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Media.created[x]	Σ This element is included in summaries.	1..1		When Media was collected
Media.created[x].createdDateTime			dateTime
Media.created[x].createdPeriod			Period
Media.operator	Σ This element is included in summaries.	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) {r}	The person who generated the image
Media.bodySite	Σ This element is included in summaries.	0..1	CodeableConcept	Observed body part Binding: Body site (required)
Media.device	Σ This element is included in summaries.	0..1	Reference(ehealth-device | ehealth-devicemetric) {r}	Observing Device
Media.content	Σ This element is included in summaries.	1..1	Attachment	Actual Media - reference or data
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Media.modality	Base	required	Media modality	📦11.0.1	This IG
Media.view	Base	required	Media view	📦11.0.1	This IG
Media.bodySite	Base	required	Body site	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ehealth-media-usageMode-metadata-no-content	error	Media	Media with usage mode 'metadata' cannot have content.	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode').value = 'metadata' implies (content.data.empty() and content.url.empty())

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: ehealth-media-usageMode-metadata-no-content
Media.Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.Slices for extension.extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Media.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
Media.Slices for extension.extension:quality		0..*	(Complex)	Minimum requirements for qualities URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-quality
Media.Slices for extension.extension:resolvedTiming		1..1	(Complex)	Resolved Timing URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-resolved-timing
Media.Slices for extension.extension:thumbnail		0..*	(Complex)	Media Thumbnail URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-thumbnail
Media.Slices for extension.extension:usageMode		1..1	code	Usage mode URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode Binding: Media Usage Mode (required)
Media.Slices for extension.extension:relatedTo		0..*	Reference(ehealth-media) {r}	Related to URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-related-to
Media.Slices for extension.extension:series		0..1	string	Series ID URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-series-id
Media.basedOn		1..1	Reference(ehealth-servicerequest) {r}	Procedure that caused this media to be created
Media.modality		0..1	CodeableConcept	The type of acquisition equipment/process Binding: Media modality (required)
Media.view		0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: Media view (required)
Media.subject		1..1	Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device | Specimen) {r}	Who/What this Media is a record of
Media.subject.reference		1..1	string	Literal reference, Relative, internal or absolute URL
Media.created[x]		1..1	dateTime, Period	When Media was collected
Media.operator		0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) {r}	The person who generated the image
Media.bodySite		0..1	CodeableConcept	Observed body part Binding: Body site (required)
Media.device		0..1	Reference(ehealth-device | ehealth-devicemetric) {r}	Observing Device
Media.note
Media.note.Slices for author[x]		0..1	Reference(Practitioner | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.note.Slices for author[x].author[x]:authorReference		0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
Media.note.Slices for author[x].author[x]:authorString		0..1	string	Individual responsible for the annotation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Media.modality	Base	required	Media modality	📦11.0.1	This IG
Media.view	Base	required	Media view	📦11.0.1	This IG
Media.bodySite	Base	required	Body site	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ehealth-media-usageMode-metadata-no-content	error	Media	Media with usage mode 'metadata' cannot have content.	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode').value = 'metadata' implies (content.data.empty() and content.url.empty())

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: ehealth-media-usageMode-metadata-no-content
Media.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Media.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Media.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Media.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Media.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
Media.contained		0..*	Resource	Contained, inline Resources
Media.Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.Slices for extension.extension:episodeOfCare		1..1	(Complex)	Associated Encounter episode of care URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
Media.Slices for extension.extension:episodeOfCare.id		0..1	string	Unique id for inter-element referencing
Media.Slices for extension.extension:episodeOfCare.extension		0..0		Extension Slice: Unordered, Open by value:url
Media.Slices for extension.extension:episodeOfCare.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare"
Media.Slices for extension.extension:episodeOfCare.value[x]		1..1	Reference(ehealth-episodeofcare) {r}	Value of extension
Media.Slices for extension.extension:quality		0..*	(Complex)	Minimum requirements for qualities URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-quality
Media.Slices for extension.extension:resolvedTiming		1..1	(Complex)	Resolved Timing URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-resolved-timing
Media.Slices for extension.extension:thumbnail		0..*	(Complex)	Media Thumbnail URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-thumbnail
Media.Slices for extension.extension:usageMode		1..1	code	Usage mode URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode Binding: Media Usage Mode (required)
Media.Slices for extension.extension:relatedTo		0..*	Reference(ehealth-media) {r}	Related to URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-related-to
Media.Slices for extension.extension:series		0..1	string	Series ID URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-series-id
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	Identifier(s) for the image
Media.basedOn	Σ This element is included in summaries.	1..1	Reference(ehealth-servicerequest) {r}	Procedure that caused this media to be created
Media.partOf	Σ This element is included in summaries.	0..*	Reference(Resource)	Part of referenced event
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): Codes identifying the lifecycle stage of an event.
Media.type	Σ This element is included in summaries.	0..1	CodeableConcept	Classification of media as image, video, or audio Binding: MediaType (extensible): Codes for high level media categories.
Media.modality	Σ This element is included in summaries.	0..1	CodeableConcept	The type of acquisition equipment/process Binding: Media modality (required)
Media.view	Σ This element is included in summaries.	0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: Media view (required)
Media.subject	Σ This element is included in summaries.	1..1	Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device | Specimen) {r}	Who/What this Media is a record of
Media.subject.id		0..1	string	Unique id for inter-element referencing
Media.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Media.subject.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
Media.subject.type	Σ This element is included in summaries.	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).
Media.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Media.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Media.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Encounter associated with media
Media.created[x]	Σ This element is included in summaries.	1..1		When Media was collected
Media.created[x].createdDateTime			dateTime
Media.created[x].createdPeriod			Period
Media.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Media.operator	Σ This element is included in summaries.	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) {r}	The person who generated the image
Media.reasonCode	Σ This element is included in summaries.	0..*	CodeableConcept	Why was event performed? Binding: ProcedureReasonCodes (example): The reason for the media.
Media.bodySite	Σ This element is included in summaries.	0..1	CodeableConcept	Observed body part Binding: Body site (required)
Media.deviceName	Σ This element is included in summaries.	0..1	string	Name of the device/manufacturer
Media.device	Σ This element is included in summaries.	0..1	Reference(ehealth-device | ehealth-devicemetric) {r}	Observing Device
Media.height	Σ This element is included in summaries.	0..1	positiveInt	Height of the image in pixels (photo/video)
Media.width	Σ This element is included in summaries.	0..1	positiveInt	Width of the image in pixels (photo/video)
Media.frames	Σ This element is included in summaries.	0..1	positiveInt	Number of frames if > 1 (photo)
Media.duration	Σ This element is included in summaries.	0..1	decimal	Length in seconds (audio / video)
Media.content	Σ This element is included in summaries.	1..1	Attachment	Actual Media - reference or data
Media.note		0..*	Annotation	Comments made about the media
Media.note.id		0..1	string	Unique id for inter-element referencing
Media.note.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Media.note.Slices for author[x]	Σ This element is included in summaries.	0..1		Individual responsible for the annotation Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Media.note.Slices for author[x].authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
Media.note.Slices for author[x].authorString			string
Media.note.Slices for author[x].author[x]:authorReference	Σ This element is included in summaries.	0..1	Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson)	Individual responsible for the annotation
Media.note.Slices for author[x].author[x]:authorString	Σ This element is included in summaries.	0..1	string	Individual responsible for the annotation
Media.note.time	Σ This element is included in summaries.	0..1	dateTime	When the annotation was made
Media.note.text	Σ This element is included in summaries.	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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	required	Media modality	📦11.0.1	This IG
Media.view	Base	required	Media view	📦11.0.1	This IG
Media.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Media.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
Media.bodySite	Base	required	Body site	📦11.0.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ehealth-media-usageMode-metadata-no-content	error	Media	Media with usage mode 'metadata' cannot have content.	extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode').value = 'metadata' implies (content.data.empty() and content.url.empty())

Summary

Mandatory: 7 elements

Structures

This structure refers to these other structures:

• ehealth-episodeofcare (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare)
• ehealth-servicerequest (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest)
• ehealth-patient (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-patient)
• ehealth-practitioner (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner)
• ehealth-device (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-device)
• ehealth-relatedperson (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-relatedperson)
• ehealth-devicemetric (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-devicemetric)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-quality
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-resolved-timing
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-thumbnail
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-usage-mode
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-related-to
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-media-series-id

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Media.note.author[x]