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{
  "resourceType": "StructureDefinition",
  "id": "images-Media",
  "url": "http://nictiz.nl/fhir/StructureDefinition/images-Media",
  "version": "1.0.1",
  "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": "3.0.2",
  "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",
  "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",
        "definition": "Image identifier as assigned by the source of the image / Media. \r\nThe Media SHALL contain a \"Master Version Specific Identifier\" which is specific to this version of the image. This unique identifier may be used elsewhere to identify this version of the image.",
        "alias": [
          "Identifier"
        ],
        "min": 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.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"
          }
        ]
      }
    ]
  }
}

name : images-Media

{

}