{ "resourceType": "StructureDefinition", "id": "images-Media", "url": "http://nictiz.nl/fhir/StructureDefinition/images-Media", "version": "1.0.0", "name": "images-Media", "title": "Images Media", "status": "active", "publisher": "Nictiz", "contact": [ { "name": "Nictiz", "telecom": [ { "system": "email", "value": "info@nictiz.nl", "use": "work" } ] } ], "description": "Profile on Media to support sending images from patient/PHR to a healtcare provider/XIS.\r\n\r\nA number of elements are made mandatory to accomodate succesfull entries in a XDS network. Mappings to the IHE MHD profile on DocumentReference and XDS DocumentEntry are provided to assists in this.", "copyright": "CC0", "fhirVersion": "3.0.1", "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "uri": "https://simplifier.net/search?canonical=http://ihe.net/fhir/structuredefinition/ihe.mhd.provide.comprehensive.documentreference", "name": "IHE MHD DocumentReference (XDS-on-FHIR)", "comment": "Profile for IHE MHD DocumentReference a.k.a. XDS-on-FHIR" }, { "identity": "xds", "uri": "https://wiki.ihe.net/index.php/Cross-Enterprise_Document_Sharing", "name": "XDS metadata equivalent" }, { "identity": "art-decor-beelden", "uri": "https://decor.nictiz.nl/art-decor/decor-datasets--bd-?id=2.16.840.1.113883.2.4.3.11.60.54.1.1&effectiveDate=2019-01-29T11:40:51&language=nl-NL", "name": "ART-DECOR Dataset Beelden" } ], "kind": "resource", "abstract": false, "type": "Media", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Media", "derivation": "constraint", "snapshot": { "element": [ { "id": "Media", "path": "Media", "short": "A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference", "definition": "A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.", "alias": [ "Beeld" ], "min": 0, "max": "*", "base": { "path": "Resource", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "DomainResource" }, { "key": "dom-1", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative", "expression": "contained.text.empty()", "xpath": "not(parent::f:contained and f:text)", "source": "DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource", "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()", "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))", "source": "DomainResource" }, { "key": "mda-1", "severity": "error", "human": "Height can only be used for a photo or video", "expression": "height.empty() or type != 'audio'", "xpath": "not(f:type/@value='audio') or not(f:height)" }, { "key": "mda-2", "severity": "error", "human": "Width can only be used for a photo or video", "expression": "width.empty() or type != 'audio'", "xpath": "not(f:type/@value='audio') or not(f:width)" }, { "key": "mda-3", "severity": "error", "human": "Frames can only be used for a photo", "expression": "frames.empty() or type = 'photo'", "xpath": "(f:type/@value='photo') or not(f:frames)" }, { "key": "mda-4", "severity": "error", "human": "Duration can only be used for an audio or a video", "expression": "duration.empty() or type != 'photo'", "xpath": "not(f:type/@value='photo') or not(f:duration)" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "Act[classCode=\"DGIMG\", moodCode=\"EVN\"]" }, { "identity": "w5", "map": "infrastructure.structure" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-1", "comment": "Beeld" } ] }, { "id": "Media.id", "path": "Media.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "isSummary": true }, { "id": "Media.meta", "path": "Media.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "isSummary": true }, { "id": "Media.meta.id", "path": "Media.meta.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.meta.extension", "path": "Media.meta.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.meta.versionId", "path": "Media.meta.versionId", "short": "Version specific identifier", "definition": "The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.", "comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.", "min": 0, "max": "1", "base": { "path": "Meta.versionId", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "isSummary": true }, { "id": "Media.meta.lastUpdated", "path": "Media.meta.lastUpdated", "short": "When the resource version last changed", "definition": "When the resource last changed - e.g. when the version changed.", "comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.", "min": 0, "max": "1", "base": { "path": "Meta.lastUpdated", "min": 0, "max": "1" }, "type": [ { "code": "instant" } ], "isSummary": true }, { "id": "Media.meta.profile", "path": "Media.meta.profile", "short": "Profiles this resource claims to conform to", "definition": "A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url]().", "comment": "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.", "min": 0, "max": "*", "base": { "path": "Meta.profile", "min": 0, "max": "*" }, "type": [ { "code": "uri" } ], "isSummary": true }, { "id": "Media.meta.security", "path": "Media.meta.security", "short": "Security Labels applied to this resource", "definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.", "comment": "The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.", "min": 0, "max": "*", "base": { "path": "Meta.security", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "SecurityLabels" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "extensible", "description": "Security Labels from the Healthcare Privacy and Security Classification System.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/security-labels" } }, "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.securityLabel", "comment": "If no value is present 'normal' as default" }, { "identity": "xds", "map": "DocumentEntry.confidentialityCode", "comment": "If no value is present 'normal' as default" } ] }, { "id": "Media.meta.tag", "path": "Media.meta.tag", "short": "Tags applied to this resource", "definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.", "comment": "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.", "min": 0, "max": "*", "base": { "path": "Meta.tag", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Tags" } ], "strength": "example", "description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/common-tags" } } }, { "id": "Media.implicitRules", "path": "Media.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "isModifier": true, "isSummary": true }, { "id": "Media.language", "path": "Media.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueReference": { "reference": "http://hl7.org/fhir/ValueSet/all-languages" } }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "extensible", "description": "A human language.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/languages" } } }, { "id": "Media.text", "path": "Media.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "dom-1" ], "mapping": [ { "identity": "rim", "map": "Act.text?" } ] }, { "id": "Media.contained", "path": "Media.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Media.extension", "path": "Media.extension", "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Media.modifierExtension", "path": "Media.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Media.identifier", "path": "Media.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "short": "Identifier(s) for the image", "definition": "Identifiers associated with the image - these may include identifiers for the image itself, identifiers for the context of its collection (e.g. series ids) and context ids such as accession numbers or other workflow identifiers.", "comment": "The identifier label and use can be used to determine what kind of identifier it is.", "alias": [ "Identifier" ], "min": 1, "max": "*", "base": { "path": "Media.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".id" }, { "identity": "dicom", "map": "0008,0018 | ~0008,0050 | 0020,000D | 0020,000E" }, { "identity": "w5", "map": "id" } ] }, { "id": "Media.identifier:masterIdentifier", "path": "Media.identifier", "sliceName": "masterIdentifier", "short": "Master Version Specific Identifier", "definition": "Image identifier as assigned by the source of the image / Media. This identifier is specific to this version of the image. This unique identifier may be used elsewhere to identify this version of the image.", "comment": "The identifier label and use can be used to determine what kind of identifier it is.", "min": 1, "max": "1", "base": { "path": "Media.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".id" }, { "identity": "dicom", "map": "0008,0018 | ~0008,0050 | 0020,000D | 0020,000E" }, { "identity": "w5", "map": "id" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.masterIdentifier" }, { "identity": "xds", "map": "DocumentEntry.uniqueId" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-40", "comment": "Identificatie" } ] }, { "id": "Media.identifier:masterIdentifier.id", "path": "Media.identifier.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.identifier:masterIdentifier.extension", "path": "Media.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.identifier:masterIdentifier.use", "path": "Media.identifier.use", "short": "usual | official | temp | secondary (If known)", "definition": "The purpose of this identifier.", "comment": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 0, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "isModifier": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/identifier-use" } }, "mapping": [ { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Media.identifier:masterIdentifier.type", "path": "Media.identifier.type", "short": "Description of identifier", "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. \n\nWhere the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 0, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/identifier-type" } }, "mapping": [ { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "Media.identifier:masterIdentifier.system", "path": "Media.identifier.system", "short": "The namespace for the identifier value", "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 1, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "Media.identifier:masterIdentifier.value", "path": "Media.identifier.value", "short": "The value that is unique", "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html).", "min": 1, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "Media.identifier:masterIdentifier.period", "path": "Media.identifier.period", "short": "Time period when id is/was valid for use", "definition": "Time period during which identifier is/was valid for use.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "Media.identifier:masterIdentifier.assigner", "path": "Media.identifier.assigner", "short": "Organization that issued id (may be just text)", "definition": "Organization that issued/manages the identifier.", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "Media.basedOn", "path": "Media.basedOn", "short": "Procedure that caused this media to be created", "definition": "A procedure that is fulfilled in whole or in part by the creation of this media.", "requirements": "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.", "alias": [ "fulfills" ], "min": 0, "max": "*", "base": { "path": "Media.basedOn", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=FLFS].target" } ] }, { "id": "Media.type", "path": "Media.type", "short": "photo | video | audio", "definition": "Whether the media is a photo (still image), an audio recording, or a video recording.", "comment": "The profile's use cases allows only sending images hence the fixed value 'photo'. This is value is mapped to XDS DocumentEntry.type with a fixed LOINC code: 72170-4 Photographic image Unspecified body region Document.", "min": 1, "max": "1", "base": { "path": "Media.type", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "photo", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DigitalMediaType" } ], "strength": "required", "description": "Whether the media is a photo, video, or audio", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/digital-media-type" } }, "mapping": [ { "identity": "rim", "map": ".code" }, { "identity": "w5", "map": "class" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.type", "comment": "Fixed LOINC code: 72170-4 Photographic image" }, { "identity": "xds", "map": "DocumentEntry.type", "comment": "Fixed LOINC code: 72170-4 Photographic image" } ] }, { "id": "Media.subtype", "path": "Media.subtype", "short": "The type of acquisition equipment/process", "definition": "Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.", "min": 0, "max": "1", "base": { "path": "Media.subtype", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DigitalMediaSubtype" } ], "strength": "example", "description": "Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/digital-media-subtype" } }, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" }, { "identity": "dicom", "map": "0008,0060 | 0008,1032" }, { "identity": "w5", "map": "class" } ] }, { "id": "Media.view", "path": "Media.view", "short": "Imaging view, e.g. Lateral or Antero-posterior", "definition": "The name of the imaging view e.g. Lateral or Antero-posterior (AP).", "min": 0, "max": "1", "base": { "path": "Media.view", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MediaView" } ], "strength": "example", "description": "Imaging view (projection) used when collecting an image", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/media-view" } }, "mapping": [ { "identity": "rim", "map": "DiagnosticImage.subjectOrientationCode" }, { "identity": "w5", "map": "class" } ] }, { "id": "Media.subject", "path": "Media.subject", "short": "Who this Media is a record of", "definition": "Who this Media is a record of.", "comment": "A reference to the Patient resource who is the subject of the Media resource. Not a contained resource. URL Points to an existing Patient Resource representing the XDS Affinity Domain Patient.", "min": 0, "max": "1", "base": { "path": "Media.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient", "aggregation": [ "bundled" ] } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".participation[typeCode=\"SUBJ\"]???" }, { "identity": "dicom", "map": "~0010,0020" }, { "identity": "w5", "map": "who.focus" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.subject" }, { "identity": "xds", "map": "DocumentEntry.patientId" } ] }, { "id": "Media.context", "path": "Media.context", "short": "Encounter / Episode associated with media", "definition": "The encounter or episode of care that establishes the context for this media.", "comment": "This will typically be the encounter the media occurred within.", "requirements": "Links the media to the Encounter context.", "alias": [ "encounter" ], "min": 0, "max": "1", "base": { "path": "Media.context", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]" }, { "identity": "w5", "map": "context" } ] }, { "id": "Media.occurrence[x]:occurrenceDateTime", "path": "Media.occurrenceDateTime", "sliceName": "occurrenceDateTime", "short": "When Media was collected", "definition": "The date and time at which the media was collected.", "alias": [ "timing", "MaakDatumTijd" ], "min": 0, "max": "1", "base": { "path": "Media.occurrence[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".effectiveTime" }, { "identity": "w5", "map": "when.done" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.indexed" }, { "identity": "xds", "map": "DocumentEntry.submissionTime" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-4", "comment": "MaakDatumTijd" } ] }, { "id": "Media.operator", "path": "Media.operator", "short": "The person who generated the image", "definition": "The person who administered the collection of the image.", "min": 0, "max": "1", "base": { "path": "Media.operator", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner", "aggregation": [ "bundled" ] } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".participation[typeCode=\"PERF\"]???" }, { "identity": "dicom", "map": "0008,1060?" }, { "identity": "w5", "map": "who.actor" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.author" }, { "identity": "xds", "map": "DocumentEntry.author" } ] }, { "id": "Media.operator.id", "path": "Media.operator.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.operator.extension", "path": "Media.operator.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.operator.extension:practitionerRole", "path": "Media.operator.extension", "sliceName": "practitionerRole", "short": "Optional Extensions Element", "definition": "Optional Extension Element - found in all resources.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Media.operator.reference", "path": "Media.operator.reference", "short": "Literal reference, Relative, internal or absolute URL", "definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min": 0, "max": "1", "base": { "path": "Reference.reference", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ref-1" ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Media.operator.identifier", "path": "Media.operator.identifier", "short": "Logical reference, when literal reference is not known", "definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.", "min": 0, "max": "1", "base": { "path": "Reference.identifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".identifier" } ] }, { "id": "Media.operator.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Media.operator.display", "short": "Text alternative for the resource", "definition": "Plain text narrative that identifies the resource in addition to the resource reference.", "comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min": 0, "max": "1", "base": { "path": "Reference.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "Media.reasonCode", "path": "Media.reasonCode", "short": "Why was event performed?", "definition": "Describes why the event occurred in coded or textual form.", "comment": "Textual reasons can be caprued using reasonCode.text.", "min": 0, "max": "*", "base": { "path": "Media.reasonCode", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MediaReason" } ], "strength": "example", "description": "The reason for the media", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/procedure-reason" } }, "mapping": [ { "identity": "rim", "map": ".reasonCode" }, { "identity": "w5", "map": "why" } ] }, { "id": "Media.bodySite", "path": "Media.bodySite", "short": "Body part in media", "definition": "Indicates the site on the subject's body where the media was collected (i.e. the target site).", "comment": "If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use The standard extension[ body-site-instance](extension-body-site-instance.html).", "alias": [ "AnatomischeLocatie" ], "min": 0, "max": "1", "base": { "path": "Media.bodySite", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodySite" } ], "strength": "example", "description": "Codes describing anatomical locations. May include laterality.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/body-site" } }, "mapping": [ { "identity": "sct-concept", "map": "< 123037004 |Body structure|" }, { "identity": "rim", "map": "targetSiteCode" }, { "identity": "sct-attr", "map": "718497002 |Inherent location|" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-23", "comment": "AnatomischeLocatie" } ] }, { "id": "Media.device", "path": "Media.device", "short": "Observing Device", "definition": "The device used to collect the media.", "comment": "An extension should be used if further typing of the device is needed. Scondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.", "min": 0, "max": "1", "base": { "path": "Media.device", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/DeviceMetric" } ], "isSummary": true, "mapping": [ { "identity": "sct-concept", "map": "< 49062001 |Device|" }, { "identity": "rim", "map": "participation[typeCode=DEV]" }, { "identity": "sct-attr", "map": "424226004 |Using device|" } ] }, { "id": "Media.height", "path": "Media.height", "short": "Height of the image in pixels (photo/video)", "definition": "Height of the image in pixels (photo/video).", "min": 0, "max": "1", "base": { "path": "Media.height", "min": 0, "max": "1" }, "type": [ { "code": "positiveInt" } ], "condition": [ "mda-1" ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value" }, { "identity": "dicom", "map": "0028,0010" } ] }, { "id": "Media.width", "path": "Media.width", "short": "Width of the image in pixels (photo/video)", "definition": "Width of the image in pixels (photo/video).", "min": 0, "max": "1", "base": { "path": "Media.width", "min": 0, "max": "1" }, "type": [ { "code": "positiveInt" } ], "condition": [ "mda-2" ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value" }, { "identity": "dicom", "map": "0028,0011" } ] }, { "id": "Media.frames", "path": "Media.frames", "short": "Number of frames if > 1 (photo)", "definition": "The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.", "min": 0, "max": "1", "base": { "path": "Media.frames", "min": 0, "max": "1" }, "type": [ { "code": "positiveInt" } ], "defaultValuePositiveInt": 1, "condition": [ "mda-3" ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value" } ] }, { "id": "Media.duration", "path": "Media.duration", "short": "Length in seconds (audio / video)", "definition": "The duration of the recording in seconds - for audio and video.", "comment": "The duration might differ from occurrencePeriod if recording was paused.", "min": 0, "max": "1", "base": { "path": "Media.duration", "min": 0, "max": "1" }, "type": [ { "code": "unsignedInt" } ], "condition": [ "mda-4" ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value" }, { "identity": "dicom", "map": "~0028,0002" } ] }, { "id": "Media.content", "path": "Media.content", "short": "Actual Media - reference or data", "definition": "The actual content of the media - inline or by direct reference to the media source file.", "comment": "Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter. For an media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.", "min": 1, "max": "1", "base": { "path": "Media.content", "min": 1, "max": "1" }, "type": [ { "code": "Attachment" } ], "mapping": [ { "identity": "rim", "map": ".text" } ] }, { "id": "Media.content.id", "path": "Media.content.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.content.extension", "path": "Media.content.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.content.contentType", "path": "Media.content.contentType", "short": "Mime type of the image", "definition": "Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. \r\nShall be one of the following: jpeg, gif, png, jp2.", "requirements": "Processors of the data need to be able to know how to interpret the data.", "alias": [ "Beeldformaat" ], "min": 1, "max": "1", "base": { "path": "Attachment.contentType", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "example": [ { "label": "General", "valueCode": "text/plain; charset=UTF-8, image/png" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MimeType" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "required", "description": "MediaContentTypeCodelijst based on Dicom's Web Services rendered Media Types for single frame images.", "valueSetReference": { "reference": "http://nictiz.nl/fhir/ValueSet/images-MediaContentTypeCodelijst" } }, "mapping": [ { "identity": "v2", "map": "ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used" }, { "identity": "rim", "map": "./mediaType, ./charset" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.content.attachment.contentType" }, { "identity": "xds", "map": "DocumentEntry.mimeType" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-18", "comment": "Beeldformaat" } ] }, { "id": "Media.content.language", "path": "Media.content.language", "short": "Human language of the content (BCP-47)", "definition": "The human language of the content. The value can be any valid value according to BCP 47.", "requirements": "Users need to be able to choose between the languages in a set of attachments.", "min": 0, "max": "1", "base": { "path": "Attachment.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "example": [ { "label": "General", "valueCode": "en-AU" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueReference": { "reference": "http://hl7.org/fhir/ValueSet/all-languages" } }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "extensible", "description": "A human language.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/languages" } }, "mapping": [ { "identity": "rim", "map": "./language" } ] }, { "id": "Media.content.data", "path": "Media.content.data", "short": "Data inline, base64ed", "definition": "The actual data of the attachment - a sequence of bytes. In XML, represented using base64.", "comment": "The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.", "requirements": "The data needs to able to be transmitted inline.", "min": 0, "max": "1", "base": { "path": "Attachment.data", "min": 0, "max": "1" }, "type": [ { "code": "base64Binary" } ], "mapping": [ { "identity": "v2", "map": "ED.5" }, { "identity": "rim", "map": "./data" } ] }, { "id": "Media.content.url", "path": "Media.content.url", "short": "Uri where the data can be found", "definition": "An alternative location where the data can be accessed.", "comment": "The Media.content.url points at the image content, which shall be in the Bundle as a Binary resource. \r\n\r\nIf both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.", "requirements": "The data needs to be transmitted by reference.", "alias": [ "Beeldbestand" ], "min": 1, "max": "1", "base": { "path": "Attachment.url", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/logo-small.png" }, { "label": "Reference to Binary", "valueUri": "Binary/eczeem-detail-acuut" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "RP.1+RP.2 - if they refer to a URL (see v2.6)" }, { "identity": "rim", "map": "./reference/literal" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.content.attachment.url" }, { "identity": "xds", "map": "DocumentEntry.URI" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-37", "comment": "Beeldbestand - provided in a Binary Resource" } ] }, { "id": "Media.content.size", "path": "Media.content.size", "short": "Number of bytes of content (if url provided)", "definition": "The number of bytes of data that make up this attachment (before base64 encoding, if that is done).", "comment": "The size is calculated on the data prior to base64 encoding, if the data is base64 encoded.", "requirements": "Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.", "alias": [ "Grootte" ], "min": 1, "max": "1", "base": { "path": "Attachment.size", "min": 0, "max": "1" }, "type": [ { "code": "unsignedInt" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A (needs data type R3 proposal)" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.content.attachment.size" }, { "identity": "xds", "map": "DocumentEntry.size" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-19", "comment": "Grootte" } ] }, { "id": "Media.content.hash", "path": "Media.content.hash", "short": "Hash of the data (sha-1, base64ed)", "definition": "The calculated hash of the data using SHA-1. Represented using base64.", "comment": "The IHE Document Sharing metadata element hash holds the SHA1 hash of the document. The hash is encoded in FHIR in base64Binary, whereas in XDS hexbinary is used. The hash is calculated on the data prior to base64 encoding, if the data is base64 encoded.", "requirements": "Included so that applications can verify that the contents of a location have not changed and so that a signature of the content can implicitly sign the content of an image without having to include the data in the instance or reference the url in the signature.", "min": 1, "max": "1", "base": { "path": "Attachment.hash", "min": 0, "max": "1" }, "type": [ { "code": "base64Binary" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": ".integrityCheck[parent::ED/integrityCheckAlgorithm=\"SHA-1\"]" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.content.attachment.hash" }, { "identity": "xds", "map": "DocumentEntry.hash" } ] }, { "id": "Media.content.title", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Media.content.title", "short": "Label to display in place of the data", "definition": "A label or set of text to display in place of the data.", "requirements": "Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.", "alias": [ "Titel" ], "min": 0, "max": "1", "base": { "path": "Attachment.title", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "Official Corporate Logo" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "./title/data" }, { "identity": "xds", "map": "DocumentEntry.title" } ] }, { "id": "Media.content.creation", "path": "Media.content.creation", "short": "Date attachment was first created", "definition": "The date that the attachment was first created.", "comment": "This HL7 FHIR STU3 element is not used in IHE MHD XDS, therefore would not be present.", "requirements": "This is often tracked as an integrity issue for use of the attachment.", "min": 0, "max": "1", "base": { "path": "Attachment.creation", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A (needs data type R3 proposal)" } ] }, { "id": "Media.note", "path": "Media.note", "short": "Comments made about the media", "definition": "Comments made about the media by the performer, subject or other participants.", "alias": [ "Toelichting" ], "min": 0, "max": "*", "base": { "path": "Media.note", "min": 0, "max": "*" }, "type": [ { "code": "Annotation" } ], "mapping": [ { "identity": "v2", "map": "NTE" }, { "identity": "rim", "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]" }, { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.description" }, { "identity": "xds", "map": "DocumentEntry.description" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-21", "comment": "Toelichting" } ] }, { "id": "Media.note.id", "path": "Media.note.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.note.extension", "path": "Media.note.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Media.note.author[x]", "path": "Media.note.author[x]", "short": "Individual responsible for the annotation", "definition": "The individual responsible for making the annotation.", "min": 0, "max": "1", "base": { "path": "Annotation.author[x]", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" }, { "code": "string" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act.participant[typeCode=AUT].role" } ] }, { "id": "Media.note.time", "path": "Media.note.time", "short": "When the annotation was made", "definition": "Indicates when this particular annotation was made.", "min": 0, "max": "1", "base": { "path": "Annotation.time", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "isSummary": true, "mapping": [ { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act.effectiveTime" } ] }, { "id": "Media.note.text", "path": "Media.note.text", "short": "The annotation - text content", "definition": "The text of the annotation.", "min": 1, "max": "1", "base": { "path": "Annotation.text", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "mapping": [ { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act.text" } ] } ] }, "differential": { "element": [ { "id": "Media", "path": "Media", "alias": [ "Beeld" ], "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-1", "comment": "Beeld" } ] }, { "id": "Media.meta.security", "path": "Media.meta.security", "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.securityLabel", "comment": "If no value is present 'normal' as default" }, { "identity": "xds", "map": "DocumentEntry.confidentialityCode", "comment": "If no value is present 'normal' as default" } ] }, { "id": "Media.identifier", "path": "Media.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "open" }, "alias": [ "Identifier" ], "min": 1 }, { "id": "Media.identifier:masterIdentifier", "path": "Media.identifier", "sliceName": "masterIdentifier", "short": "Master Version Specific Identifier", "definition": "Image identifier as assigned by the source of the image / Media. This identifier is specific to this version of the image. This unique identifier may be used elsewhere to identify this version of the image.", "min": 1, "max": "1", "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.masterIdentifier" }, { "identity": "xds", "map": "DocumentEntry.uniqueId" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-40", "comment": "Identificatie" } ] }, { "id": "Media.identifier:masterIdentifier.system", "path": "Media.identifier.system", "min": 1 }, { "id": "Media.identifier:masterIdentifier.value", "path": "Media.identifier.value", "min": 1 }, { "id": "Media.basedOn", "path": "Media.basedOn", "type": [ { "code": "Reference", "targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest" } ] }, { "id": "Media.type", "path": "Media.type", "comment": "The profile's use cases allows only sending images hence the fixed value 'photo'. This is value is mapped to XDS DocumentEntry.type with a fixed LOINC code: 72170-4 Photographic image Unspecified body region Document.", "fixedCode": "photo", "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.type", "comment": "Fixed LOINC code: 72170-4 Photographic image" }, { "identity": "xds", "map": "DocumentEntry.type", "comment": "Fixed LOINC code: 72170-4 Photographic image" } ] }, { "id": "Media.subject", "path": "Media.subject", "short": "Who this Media is a record of", "definition": "Who this Media is a record of.", "comment": "A reference to the Patient resource who is the subject of the Media resource. Not a contained resource. URL Points to an existing Patient Resource representing the XDS Affinity Domain Patient.", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient", "aggregation": [ "bundled" ] } ], "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.subject" }, { "identity": "xds", "map": "DocumentEntry.patientId" } ] }, { "id": "Media.occurrence[x]:occurrenceDateTime", "path": "Media.occurrenceDateTime", "sliceName": "occurrenceDateTime", "definition": "The date and time at which the media was collected.", "alias": [ "MaakDatumTijd" ], "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.indexed" }, { "identity": "xds", "map": "DocumentEntry.submissionTime" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-4", "comment": "MaakDatumTijd" } ] }, { "id": "Media.operator", "path": "Media.operator", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner", "aggregation": [ "bundled" ] } ], "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.author" }, { "identity": "xds", "map": "DocumentEntry.author" } ] }, { "id": "Media.operator.extension", "path": "Media.operator.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "Media.operator.extension:practitionerRole", "path": "Media.operator.extension", "sliceName": "practitionerRole", "max": "1", "type": [ { "code": "Extension", "profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" } ] }, { "id": "Media.bodySite", "path": "Media.bodySite", "alias": [ "AnatomischeLocatie" ], "mapping": [ { "identity": "art-decor-beelden", "map": "bd-dataelement-23", "comment": "AnatomischeLocatie" } ] }, { "id": "Media.content.contentType", "path": "Media.content.contentType", "short": "Mime type of the image", "definition": "Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. \r\nShall be one of the following: jpeg, gif, png, jp2.", "alias": [ "Beeldformaat" ], "min": 1, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MimeType" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "required", "description": "MediaContentTypeCodelijst based on Dicom's Web Services rendered Media Types for single frame images.", "valueSetReference": { "reference": "http://nictiz.nl/fhir/ValueSet/images-MediaContentTypeCodelijst" } }, "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.content.attachment.contentType" }, { "identity": "xds", "map": "DocumentEntry.mimeType" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-18", "comment": "Beeldformaat" } ] }, { "id": "Media.content.url", "path": "Media.content.url", "comment": "The Media.content.url points at the image content, which shall be in the Bundle as a Binary resource. \r\n\r\nIf both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.", "alias": [ "Beeldbestand" ], "min": 1, "example": [ { "label": "Reference to Binary", "valueUri": "Binary/eczeem-detail-acuut" } ], "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.content.attachment.url" }, { "identity": "xds", "map": "DocumentEntry.URI" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-37", "comment": "Beeldbestand - provided in a Binary Resource" } ] }, { "id": "Media.content.size", "path": "Media.content.size", "comment": "The size is calculated on the data prior to base64 encoding, if the data is base64 encoded.", "alias": [ "Grootte" ], "min": 1, "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.content.attachment.size" }, { "identity": "xds", "map": "DocumentEntry.size" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-19", "comment": "Grootte" } ] }, { "id": "Media.content.hash", "path": "Media.content.hash", "comment": "The IHE Document Sharing metadata element hash holds the SHA1 hash of the document. The hash is encoded in FHIR in base64Binary, whereas in XDS hexbinary is used. The hash is calculated on the data prior to base64 encoding, if the data is base64 encoded.", "min": 1, "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.content.attachment.hash" }, { "identity": "xds", "map": "DocumentEntry.hash" } ] }, { "id": "Media.content.title", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Media.content.title", "alias": [ "Titel" ], "mapping": [ { "identity": "xds", "map": "DocumentEntry.title" } ] }, { "id": "Media.content.creation", "path": "Media.content.creation", "comment": "This HL7 FHIR STU3 element is not used in IHE MHD XDS, therefore would not be present." }, { "id": "Media.note", "path": "Media.note", "alias": [ "Toelichting" ], "mapping": [ { "identity": "ihe-mhd-documentreference-xds-on-fhir", "map": "DocumentReference.description" }, { "identity": "xds", "map": "DocumentEntry.description" }, { "identity": "art-decor-beelden", "map": "bd-dataelement-21", "comment": "Toelichting" } ] }, { "id": "Media.note.author[x]", "path": "Media.note.author[x]", "type": [ { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient" }, { "code": "Reference", "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson" }, { "code": "string" } ] } ] } }