Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions

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Resource Profile: Profile_R5_DocumentReference_R4B_Media

This cross-version profile allows R5 DocumentReference content to be represented via FHIR R4B 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 22 more, R5: patientInstruction additional types, R5: What was found additional types, R5: Human Readable Policy (new), R5: Why is action (not) needed? additional types, R5: Coded/Linked Reason for request additional types, R5: Why device was used 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: 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: Why the assessment was necessary? additional types, R5: Patient or consumer-oriented instructions (new), R5: Explanation/Justification for procedure or service additional types, 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		0..*	Media(4.3.0)	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
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 Constraints: ext-1
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 Constraints: ext-1
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.
content	Σ	1..1	Attachment	Actual Media - reference or data
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile Constraints: ext-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.status	Base	required	EventStatus	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Media	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Media	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Media	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Media	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Media	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Media.implicitRules, Media.extension, Media.extension:version, Media.extension:attester, Media.modifierExtension, Media.status, Media.content, Media.content.extension, Media.content.extension:profile	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Media.extension, Media.extension:version, Media.extension:attester, Media.modifierExtension, Media.content.extension, Media.content.extension:profile	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Media

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media(4.3.0)	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..*	Reference(Resource)	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	Reference(Resource)	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 R4B(0.1.0) | BodyStructure)	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		0..*	Media(4.3.0)	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
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: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages 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 Constraints: dom-r4b
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
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 Constraints: ext-1
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Identifier(s) for the image
basedOn	Σ	0..*	Reference(ServiceRequest | CarePlan)	Procedure that caused this media to be created
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:basedOn		0..1	Reference(Resource)	R5: basedOn URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
partOf	Σ	0..*	Reference(Resource)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.
type	Σ	0..1	CodeableConcept	Classification of media as image, video, or audio Binding: MediaType (extensible): Codes for high level media categories.
modality	Σ	0..1	CodeableConcept	The type of acquisition equipment/process Binding: MediaModality (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: MediaCollectionView/Projection (example): Imaging view (projection) used when collecting an image.
subject	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Group | Device | Specimen | Location)	Who/What this Media is a record of
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:subject		0..1	Reference(Resource)	R5: Who/what is the subject of the document additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter associated with media
created[x]	Σ	0..1		When Media was collected
createdDateTime			dateTime
createdPeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available
operator	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	The person who generated the image
reasonCode	Σ	0..*	CodeableConcept	Why was event performed? Binding: ProcedureReasonCodes (example): The reason for the media.
bodySite	Σ	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:bodySite		0..*	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4B(0.1.0) | BodyStructure)	R5: Body part included additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
deviceName	Σ	0..1	string	Name of the device/manufacturer
device	Σ	0..1	Reference(Device | DeviceMetric | Device)	Observing Device
height	Σ	0..1	positiveInt	Height of the image in pixels (photo/video)
width	Σ	0..1	positiveInt	Width of the image in pixels (photo/video)
frames	Σ	0..1	positiveInt	Number of frames if > 1 (photo)
duration	Σ	0..1	decimal	Length in seconds (audio / video)
content	Σ	1..1	Attachment	Actual Media - reference or data
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile Constraints: ext-1
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	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	preferred	Common Languages	📍4.3.0	FHIR Std.
Media.basedOn.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Media.status	Base	required	EventStatus	📍4.3.0	FHIR Std.
Media.type	Base	extensible	Media Type	📍4.3.0	FHIR Std.
Media.modality	Base	example	Media Modality	📍4.3.0	FHIR Std.
Media.view	Base	example	Media Collection View/Projection	📍4.3.0	FHIR Std.
Media.subject.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Media.reasonCode	Base	example	Procedure Reason Codes	📍4.3.0	FHIR Std.
Media.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.
Media.content.contentType	Base	required	MimeType	📍4.3.0	FHIR Std.
Media.content.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Media	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Media	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Media	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Media	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Media	A resource should have narrative for robust management	text.`div`.exists()
dom-r4b	warning	Media.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	Media.meta, Media.implicitRules, Media.language, Media.text, Media.extension, Media.extension:version, Media.extension:attester, Media.modifierExtension, Media.identifier, Media.basedOn, Media.basedOn.extension, Media.basedOn.extension:basedOn, Media.basedOn.reference, Media.basedOn.type, Media.basedOn.identifier, Media.basedOn.display, Media.partOf, Media.status, Media.type, Media.modality, Media.view, Media.subject, Media.subject.extension, Media.subject.extension:subject, Media.subject.reference, Media.subject.type, Media.subject.identifier, Media.subject.display, Media.encounter, Media.created[x], Media.issued, Media.operator, Media.reasonCode, Media.bodySite, Media.bodySite.extension, Media.bodySite.extension:bodySite, Media.bodySite.coding, Media.bodySite.text, Media.deviceName, Media.device, Media.height, Media.width, Media.frames, Media.duration, Media.content, Media.content.extension, Media.content.extension:profile, Media.content.contentType, Media.content.language, Media.content.data, Media.content.url, Media.content.size, Media.content.hash, Media.content.title, Media.content.creation, Media.note	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Media.extension, Media.extension:version, Media.extension:attester, Media.modifierExtension, Media.basedOn.extension, Media.basedOn.extension:basedOn, Media.subject.extension, Media.subject.extension:subject, Media.bodySite.extension, Media.bodySite.extension:bodySite, Media.content.extension, Media.content.extension:profile	Must have either extensions or value[x], not both	extension.exists() != value.exists()

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
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0
• 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		0..*	Media(4.3.0)	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
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 Constraints: ext-1
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 Constraints: ext-1
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.
content	Σ	1..1	Attachment	Actual Media - reference or data
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile Constraints: ext-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Media.status	Base	required	EventStatus	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Media	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Media	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Media	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Media	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Media	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Media.implicitRules, Media.extension, Media.extension:version, Media.extension:attester, Media.modifierExtension, Media.status, Media.content, Media.content.extension, Media.content.extension:profile	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Media.extension, Media.extension:version, Media.extension:attester, Media.modifierExtension, Media.content.extension, Media.content.extension:profile	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Media

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Media		0..*	Media(4.3.0)	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..*	Reference(Resource)	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	Reference(Resource)	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 R4B(0.1.0) | BodyStructure)	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		0..*	Media(4.3.0)	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
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: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages 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 Constraints: dom-r4b
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
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 Constraints: ext-1
extension:attester		0..*	(Complex)	R5: Attests to accuracy of the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Identifier(s) for the image
basedOn	Σ	0..*	Reference(ServiceRequest | CarePlan)	Procedure that caused this media to be created
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:basedOn		0..1	Reference(Resource)	R5: basedOn URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
partOf	Σ	0..*	Reference(Resource)	Part of referenced event
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.
type	Σ	0..1	CodeableConcept	Classification of media as image, video, or audio Binding: MediaType (extensible): Codes for high level media categories.
modality	Σ	0..1	CodeableConcept	The type of acquisition equipment/process Binding: MediaModality (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: MediaCollectionView/Projection (example): Imaging view (projection) used when collecting an image.
subject	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | Group | Device | Specimen | Location)	Who/What this Media is a record of
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:subject		0..1	Reference(Resource)	R5: Who/what is the subject of the document additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter associated with media
created[x]	Σ	0..1		When Media was collected
createdDateTime			dateTime
createdPeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available
operator	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	The person who generated the image
reasonCode	Σ	0..*	CodeableConcept	Why was event performed? Binding: ProcedureReasonCodes (example): The reason for the media.
bodySite	Σ	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:bodySite		0..*	Reference(Cross-version Profile for R5.BodyStructure for use in FHIR R4B(0.1.0) | BodyStructure)	R5: Body part included additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.bodySite Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
deviceName	Σ	0..1	string	Name of the device/manufacturer
device	Σ	0..1	Reference(Device | DeviceMetric | Device)	Observing Device
height	Σ	0..1	positiveInt	Height of the image in pixels (photo/video)
width	Σ	0..1	positiveInt	Width of the image in pixels (photo/video)
frames	Σ	0..1	positiveInt	Number of frames if > 1 (photo)
duration	Σ	0..1	decimal	Length in seconds (audio / video)
content	Σ	1..1	Attachment	Actual Media - reference or data
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:profile		0..*	(Complex)	R5: Content profile rules for the document (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.content.profile Constraints: ext-1
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	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	preferred	Common Languages	📍4.3.0	FHIR Std.
Media.basedOn.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Media.status	Base	required	EventStatus	📍4.3.0	FHIR Std.
Media.type	Base	extensible	Media Type	📍4.3.0	FHIR Std.
Media.modality	Base	example	Media Modality	📍4.3.0	FHIR Std.
Media.view	Base	example	Media Collection View/Projection	📍4.3.0	FHIR Std.
Media.subject.type	Base	extensible	ResourceType	📍4.3.0	FHIR Std.
Media.reasonCode	Base	example	Procedure Reason Codes	📍4.3.0	FHIR Std.
Media.bodySite	Base	example	SNOMED CT Body Structures	📍4.3.0	FHIR Std.
Media.content.contentType	Base	required	MimeType	📍4.3.0	FHIR Std.
Media.content.language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Media	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Media	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Media	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Media	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Media	A resource should have narrative for robust management	text.`div`.exists()
dom-r4b	warning	Media.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	Media.meta, Media.implicitRules, Media.language, Media.text, Media.extension, Media.extension:version, Media.extension:attester, Media.modifierExtension, Media.identifier, Media.basedOn, Media.basedOn.extension, Media.basedOn.extension:basedOn, Media.basedOn.reference, Media.basedOn.type, Media.basedOn.identifier, Media.basedOn.display, Media.partOf, Media.status, Media.type, Media.modality, Media.view, Media.subject, Media.subject.extension, Media.subject.extension:subject, Media.subject.reference, Media.subject.type, Media.subject.identifier, Media.subject.display, Media.encounter, Media.created[x], Media.issued, Media.operator, Media.reasonCode, Media.bodySite, Media.bodySite.extension, Media.bodySite.extension:bodySite, Media.bodySite.coding, Media.bodySite.text, Media.deviceName, Media.device, Media.height, Media.width, Media.frames, Media.duration, Media.content, Media.content.extension, Media.content.extension:profile, Media.content.contentType, Media.content.language, Media.content.data, Media.content.url, Media.content.size, Media.content.hash, Media.content.title, Media.content.creation, Media.note	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Media.extension, Media.extension:version, Media.extension:attester, Media.modifierExtension, Media.basedOn.extension, Media.basedOn.extension:basedOn, Media.subject.extension, Media.subject.extension:subject, Media.bodySite.extension, Media.bodySite.extension:bodySite, Media.content.extension, Media.content.extension:profile	Must have either extensions or value[x], not both	extension.exists() != value.exists()

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
• http://hl7.org/fhir/StructureDefinition/alternate-reference|5.2.0
• 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

Other representations of profile: CSV, Excel, Schematron