醫療影像及報告實作指引 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Media

此Profile說明本IG如何進一步定義FHIR的Media Resource以呈現醫學影像內容

Usage:

• Use this Resource Profile: Image Bundle
• Refer to this Resource Profile: DiagnosticReport Image and Image Composition
• Examples for this Resource Profile: Media/MediaBase

Formal Views of Profile Content

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

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

This structure is derived from TWCoreMedia

Name	Flags	Card.	Type	Description & Constraints
Media			TWCoreMedia
identifier	S	0..*	Identifier	此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
code		0..1	code	Symbol in syntax defined by the system Required Pattern: ACSN
display		0..1	string	Representation defined by the system Required Pattern: Accession ID
text		0..1	string	Plain text representation of the concept Required Pattern: Accession No 檢查單號
system	S	1..1	uri	機構識別碼（identifier）的命名空間（namespace）
value	S	1..1	string	使用 Accession No
bodySite	S	1..1	CodeableConceptTW	影像檢查的身體部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
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。
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	SΣ	0..*	Identifier	此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	機構識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	使用 Accession No Example General: 123456
status	?!Σ	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
subject	SΣ	0..1	Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | Group | Device | TW Core Specimen | TW Core Location)	多媒體紀錄的對象是誰或什麼？
bodySite	S	1..1	CodeableConceptTW	影像檢查的身體部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas] Binding: SNOMEDCTBodyStructures (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。
content	Σ	1..1	Attachment	實際的多媒體 - 參照或資料。
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Media.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Media.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
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。
id	Σ	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。
meta	Σ	0..1	Meta	此Media Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
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
text		0..1	Narrative	Media Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	SΣ	0..*	Identifier	此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: ACSN
display	Σ	0..1	string	Representation defined by the system Required Pattern: Accession ID
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Accession No 檢查單號
system	SΣ	1..1	uri	機構識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	使用 Accession No Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	Σ	0..*	Reference(ServiceRequest | CarePlan)	導致產生此多媒體的程序
partOf	Σ	0..*	Reference(Resource)	參照事件的一部分
status	?!Σ	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
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。
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。
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。
subject	SΣ	0..1	Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | Group | Device | TW Core Specimen | TW Core Location)	多媒體紀錄的對象是誰或什麼？
encounter	Σ	0..1	Reference(TW Core Encounter)	與此Media相關的就醫事件（Encounter）
created[x]	Σ	0..1		Media被收集的時間
createdDateTime			dateTime
createdPeriod			Period
issued	Σ	0..1	instant	此版本提供的日期/時間
operator	Σ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | CareTeam | TW Core Patient | Device | RelatedPerson)	產生影像的人
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。
bodySite	S	1..1	CodeableConceptTW	影像檢查的身體部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas] Binding: SNOMEDCTBodyStructures (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。
deviceName	Σ	0..1	string	設備/製造商的名稱
device	Σ	0..1	Reference(Device | DeviceMetric | Device)	影像、影片、音檔的補捉設備。
height	Σ	0..1	positiveInt	以像素為單位的影像高度（影像/影像）
width	Σ	0..1	positiveInt	以像素為單位的影像寬度（影像/影像）
frames	Σ	0..1	positiveInt	> 1 的影格（影像）。
duration	Σ	0..1	decimal	以秒為單位的長度（音檔/影片）。
content	Σ	1..1	Attachment	實際的多媒體 - 參照或資料。
note		0..*	Annotation	對此Media的意見
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Media.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Media.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Media.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Media.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.type	extensible	MediaType http://hl7.org/fhir/ValueSet/media-type from the FHIR Standard
Media.modality	example	MediaModality http://hl7.org/fhir/ValueSet/media-modality from the FHIR Standard
Media.view	extensible	MediaCollectionView/Projection http://hl7.org/fhir/ValueSet/media-view from the FHIR Standard
Media.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Media.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 1 element(2 nested mandatory elements)
Must-Support: 4 elements

Differential View

This structure is derived from TWCoreMedia

Name	Flags	Card.	Type	Description & Constraints
Media			TWCoreMedia
identifier	S	0..*	Identifier	此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
code		0..1	code	Symbol in syntax defined by the system Required Pattern: ACSN
display		0..1	string	Representation defined by the system Required Pattern: Accession ID
text		0..1	string	Plain text representation of the concept Required Pattern: Accession No 檢查單號
system	S	1..1	uri	機構識別碼（identifier）的命名空間（namespace）
value	S	1..1	string	使用 Accession No
bodySite	S	1..1	CodeableConceptTW	影像檢查的身體部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas]
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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。
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	SΣ	0..*	Identifier	此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	機構識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	使用 Accession No Example General: 123456
status	?!Σ	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
subject	SΣ	0..1	Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | Group | Device | TW Core Specimen | TW Core Location)	多媒體紀錄的對象是誰或什麼？
bodySite	S	1..1	CodeableConceptTW	影像檢查的身體部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas] Binding: SNOMEDCTBodyStructures (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。
content	Σ	1..1	Attachment	實際的多媒體 - 參照或資料。
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Media.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Media.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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。
id	Σ	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。
meta	Σ	0..1	Meta	此Media Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
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
text		0..1	Narrative	Media Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	SΣ	0..*	Identifier	此影像的業務用識別碼。[應填入於醫學影像報告檢查單號Accession No.]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: https://hapi.fhir.tw/fhir/CodeSystem/ImageIdentifierType
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: ACSN
display	Σ	0..1	string	Representation defined by the system Required Pattern: Accession ID
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Accession No 檢查單號
system	SΣ	1..1	uri	機構識別碼（identifier）的命名空間（namespace） Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	使用 Accession No Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	Σ	0..*	Reference(ServiceRequest | CarePlan)	導致產生此多媒體的程序
partOf	Σ	0..*	Reference(Resource)	參照事件的一部分
status	?!Σ	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
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。
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。
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。
subject	SΣ	0..1	Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | Group | Device | TW Core Specimen | TW Core Location)	多媒體紀錄的對象是誰或什麼？
encounter	Σ	0..1	Reference(TW Core Encounter)	與此Media相關的就醫事件（Encounter）
created[x]	Σ	0..1		Media被收集的時間
createdDateTime			dateTime
createdPeriod			Period
issued	Σ	0..1	instant	此版本提供的日期/時間
operator	Σ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | CareTeam | TW Core Patient | Device | RelatedPerson)	產生影像的人
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。
bodySite	S	1..1	CodeableConceptTW	影像檢查的身體部位。[應填入於醫學影像報告檢查部位Physical Examination by Body Areas] Binding: SNOMEDCTBodyStructures (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。
deviceName	Σ	0..1	string	設備/製造商的名稱
device	Σ	0..1	Reference(Device | DeviceMetric | Device)	影像、影片、音檔的補捉設備。
height	Σ	0..1	positiveInt	以像素為單位的影像高度（影像/影像）
width	Σ	0..1	positiveInt	以像素為單位的影像寬度（影像/影像）
frames	Σ	0..1	positiveInt	> 1 的影格（影像）。
duration	Σ	0..1	decimal	以秒為單位的長度（音檔/影片）。
content	Σ	1..1	Attachment	實際的多媒體 - 參照或資料。
note		0..*	Annotation	對此Media的意見
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Media.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Media.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Media.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Media.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.type	extensible	MediaType http://hl7.org/fhir/ValueSet/media-type from the FHIR Standard
Media.modality	example	MediaModality http://hl7.org/fhir/ValueSet/media-modality from the FHIR Standard
Media.view	extensible	MediaCollectionView/Projection http://hl7.org/fhir/ValueSet/media-view from the FHIR Standard
Media.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Media.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 1 element(2 nested mandatory elements)
Must-Support: 4 elements

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