Extensions for Using Data Elements from FHIR R5 in FHIR STU3 - Downloaded Version null See the Directory of published versions

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Resource Profile: Profile_R5_DocumentReference_R3_Media

This cross-version profile allows R5 DocumentReference content to be represented via FHIR STU3 Media resources.

Usages:

• Refer to this Profile: R5: Contributing factors suspected to have increased the probability or severity of the adverse event (new), R5: Ameliorating actions taken after the adverse event occured in order to reduce the extent of harm (new), R5: Preventive actions that contributed to avoiding the adverse event (new), R5: Supporting information relevant to the event (new)... Show 30 more, R5: Detailed information and instructions for the patient (new), R5: item additional types, R5: Human Readable Policy (new), R5: Binding Contract (new), R5: Why is action (not) needed? (new), R5: Coded/Linked Reason for request additional types, R5: Supporting information (new), R5: reason additional types, R5: Why was family member history performed? additional types, R5: Genomic Analysis Event (new), R5: The imaging study from which the imaging selection is derived (new), R5: Why the study was requested / performed additional types, R5: Associated documentation about the medication (new), R5: Additional documentation about the medicinal product (new), R5: A master file for the medicinal product (e.g. Pharmacovigilance System Master File) (new), R5: Reason for why the food or fluid is /was consumed (new), R5: Additional information or supporting documentation about the packaged product (new), R5: The justification that the procedure was performed additional types, R5: Additional information or supporting documentation about the authorization (new), R5: Why the request orchestration is needed additional types, R5: reason additional types, R5: Patient or consumer-oriented instructions (new), R5: Explanation/Justification for procedure or service additional types, R5: Codes associated with the substance (new), R5: A link between this substance and another (new), R5: Structural information (new), R5: Todo (new), R5: Todo (new), R5: Todo (new) and R5: The reason why the supply item was requested additional types

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: mda-1, mda-2, mda-3, mda-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
type	Σ	1..1	code	photo | video | audio Binding: DigitalMediaType (required): Whether the media is a photo, video, or audio
content		1..1	Attachment	Actual Media - reference or data
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.type	Base	required	DigitalMediaType	📍3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Media	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mda-1	error	Media	Height can only be used for a photo or video	height.empty() or type != 'audio'
mda-2	error	Media	Width can only be used for a photo or video	width.empty() or type != 'audio'
mda-3	error	Media	Frames can only be used for a photo	frames.empty() or type = 'photo'
mda-4	error	Media	Duration can only be used for an audio or a video	duration.empty() or type != 'photo'

This structure is derived from Media

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester
basedOn
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn		0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: basedOn URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
subject
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subject		0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: Who/what is the subject of the document additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
bodySite
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite		0..*	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR STU3(0.1.0) | BodySite)	R5: Body part included additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite
content
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: mda-1, mda-2, mda-3, mda-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier(s) for the image
basedOn	Σ	0..*	Reference(ProcedureRequest)	Procedure that caused this media to be created
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn		0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: basedOn URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
type	Σ	1..1	code	photo | video | audio Binding: DigitalMediaType (required): Whether the media is a photo, video, or audio
subtype	Σ	0..1	CodeableConcept	The type of acquisition equipment/process Binding: Media SubType (example): Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it
view	Σ	0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: Media Collection View/Projection (example): Imaging view (projection) used when collecting an image
subject	Σ	0..1	Reference(Patient | Practitioner | Group | Device | Specimen)	Who/What this Media is a record of
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subject		0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: Who/what is the subject of the document additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with media
occurrence[x]	Σ	0..1		When Media was collected
occurrenceDateTime			dateTime
occurrencePeriod			Period
operator	Σ	0..1	Reference(Practitioner)	The person who generated the image
reasonCode	Σ	0..*	CodeableConcept	Why was event performed? Binding: Procedure Reason Codes (example): The reason for the media
bodySite	Σ	0..1	CodeableConcept	Body part in media Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite		0..*	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR STU3(0.1.0) | BodySite)	R5: Body part included additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
device	Σ	0..1	Reference(Device | DeviceMetric)	Observing Device
height	ΣC	0..1	positiveInt	Height of the image in pixels (photo/video)
width	ΣC	0..1	positiveInt	Width of the image in pixels (photo/video)
frames	ΣC	0..1	positiveInt	Number of frames if > 1 (photo)
duration	ΣC	0..1	unsignedInt	Length in seconds (audio / video)
content		1..1	Attachment	Actual Media - reference or data
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	uri	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
note		0..*	Annotation	Comments made about the media
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.language	Base	extensible	Common Languages	📍3.0.2	tx.fhir.org
Media.type	Base	required	DigitalMediaType	📍3.0.2	FHIR Std.
Media.subtype	Base	example	Media SubType	📍3.0.2	FHIR Std.
Media.view	Base	example	Media Collection View/Projection	📍3.0.2	FHIR Std.
Media.reasonCode	Base	example	Procedure Reason Codes	📍3.0.2	FHIR Std.
Media.bodySite	Base	example	SNOMED CT Body Structures	📍3.0.2	FHIR Std.
Media.content.contentType	Base	required	​ null (missing link)	📦	unknown?
Media.content.language	Base	extensible	Common Languages	📍3.0.2	tx.fhir.org

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Media	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mda-1	error	Media	Height can only be used for a photo or video	height.empty() or type != 'audio'
mda-2	error	Media	Width can only be used for a photo or video	width.empty() or type != 'audio'
mda-3	error	Media	Frames can only be used for a photo	frames.empty() or type = 'photo'
mda-4	error	Media	Duration can only be used for an audio or a video	duration.empty() or type != 'photo'

This structure is derived from Media

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester|0.1.0
• Unable to summarise extension http://hl7.org/fhir/StructureDefinition/alternate-reference (no extension found)
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile|0.1.0

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: mda-1, mda-2, mda-3, mda-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
type	Σ	1..1	code	photo | video | audio Binding: DigitalMediaType (required): Whether the media is a photo, video, or audio
content		1..1	Attachment	Actual Media - reference or data
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.type	Base	required	DigitalMediaType	📍3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Media	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mda-1	error	Media	Height can only be used for a photo or video	height.empty() or type != 'audio'
mda-2	error	Media	Width can only be used for a photo or video	width.empty() or type != 'audio'
mda-3	error	Media	Frames can only be used for a photo	frames.empty() or type = 'photo'
mda-4	error	Media	Duration can only be used for an audio or a video	duration.empty() or type != 'photo'

Differential View

This structure is derived from Media

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester
basedOn
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn		0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: basedOn URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
subject
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subject		0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: Who/what is the subject of the document additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
bodySite
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite		0..*	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR STU3(0.1.0) | BodySite)	R5: Body part included additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite
content
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media	C	0..*	Media	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference Constraints: mda-1, mda-2, mda-3, mda-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:version		0..1	string	R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier(s) for the image
basedOn	Σ	0..*	Reference(ProcedureRequest)	Procedure that caused this media to be created
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn		0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: basedOn URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
type	Σ	1..1	code	photo | video | audio Binding: DigitalMediaType (required): Whether the media is a photo, video, or audio
subtype	Σ	0..1	CodeableConcept	The type of acquisition equipment/process Binding: Media SubType (example): Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it
view	Σ	0..1	CodeableConcept	Imaging view, e.g. Lateral or Antero-posterior Binding: Media Collection View/Projection (example): Imaging view (projection) used when collecting an image
subject	Σ	0..1	Reference(Patient | Practitioner | Group | Device | Specimen)	Who/What this Media is a record of
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:subject		0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R5: Who/what is the subject of the document additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with media
occurrence[x]	Σ	0..1		When Media was collected
occurrenceDateTime			dateTime
occurrencePeriod			Period
operator	Σ	0..1	Reference(Practitioner)	The person who generated the image
reasonCode	Σ	0..*	CodeableConcept	Why was event performed? Binding: Procedure Reason Codes (example): The reason for the media
bodySite	Σ	0..1	CodeableConcept	Body part in media Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:bodySite		0..*	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR STU3(0.1.0) | BodySite)	R5: Body part included additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
device	Σ	0..1	Reference(Device | DeviceMetric)	Observing Device
height	ΣC	0..1	positiveInt	Height of the image in pixels (photo/video)
width	ΣC	0..1	positiveInt	Width of the image in pixels (photo/video)
frames	ΣC	0..1	positiveInt	Number of frames if > 1 (photo)
duration	ΣC	0..1	unsignedInt	Length in seconds (audio / video)
content		1..1	Attachment	Actual Media - reference or data
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	uri	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
note		0..*	Annotation	Comments made about the media
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.language	Base	extensible	Common Languages	📍3.0.2	tx.fhir.org
Media.type	Base	required	DigitalMediaType	📍3.0.2	FHIR Std.
Media.subtype	Base	example	Media SubType	📍3.0.2	FHIR Std.
Media.view	Base	example	Media Collection View/Projection	📍3.0.2	FHIR Std.
Media.reasonCode	Base	example	Procedure Reason Codes	📍3.0.2	FHIR Std.
Media.bodySite	Base	example	SNOMED CT Body Structures	📍3.0.2	FHIR Std.
Media.content.contentType	Base	required	​ null (missing link)	📦	unknown?
Media.content.language	Base	extensible	Common Languages	📍3.0.2	tx.fhir.org

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	Media	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mda-1	error	Media	Height can only be used for a photo or video	height.empty() or type != 'audio'
mda-2	error	Media	Width can only be used for a photo or video	width.empty() or type != 'audio'
mda-3	error	Media	Frames can only be used for a photo	frames.empty() or type = 'photo'
mda-4	error	Media	Duration can only be used for an audio or a video	duration.empty() or type != 'photo'

This structure is derived from Media

Summary

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester|0.1.0
• Unable to summarise extension http://hl7.org/fhir/StructureDefinition/alternate-reference (no extension found)
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile|0.1.0

Maturity: 0

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