This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3 R2

6.2 Resource Media - Content

A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.

6.2.1 Scope and Usage

The Media resource contains photos, videos, and audio recordings. It is used with media acquired or used as part of the healthcare process. Here are some typical usages:

The Media resource may contain medical images in a DICOM format. While such images may also be accessible through an ImagingStudy resource, the Media resource enables "ready for presentation" access to a specific image. Such images would preferentially be made available in a FHIR ecosystem by the Media.content.url providing a reference to a WADO-RS service to access the image. That WADO-RS service may include rendering the image with annotations and display parameters from an associated DICOM presentation state. Although the Media resource is allowed to contain images collected by a DICOM based system, DICOM images would preferentially be made available in a FHIR ecosystem by provision of a resource with references to a WADO-RS server.

6.2.2 Resource Content

Media (Resource)Whether the media is a photo (still image), an audio recording, or a video recordingtype : code 1..1 <<Whether the Media is a photo, video, or audioMediaType>>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 modalitysubtype : CodeableConcept 0..1 <<Detailed information about the type of the image - it's kind, purpose, or the kind of equipment used to generate itMediaSubtype>>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 identifiersidentifier : Identifier 0..*When the media was originally recorded. For video and audio, if the length of the recording is not insignificant, this is the end of the recordingdateTime : dateTime 0..1Who/What this Media is a record ofsubject : Resource(Patient|Practitioner|Group| Device|Specimen) 0..1The person who administered the collection of the imageoperator : Resource(Practitioner) 0..1The name of the imaging view e.g Lateral or Antero-posterior (AP)view : CodeableConcept 0..1 <<Imaging view (projection) used when collecting an imageMediaView>>The name of the device / manufacturer of the device that was used to make the recordingdeviceName : string 0..1Height of the image in pixels(photo/video)height : integer 0..1Width of the image in pixels (photo/video)width : integer 0..1The 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 requiredframes : integer 0..1The length of the recording in seconds - for audio and videolength : integer 0..1The actual content of the media - inline or by direct reference to the media source filecontent : Attachment 1..1

This resource is referenced by DiagnosticReport and DocumentManifest

<Media xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: extension, modifierExtension, language, text, and contained -->
 <type value="[code]"/><!-- 1..1 photo | video | audio § -->
 <subtype><!-- 0..1 CodeableConcept The type of acquisition equipment/process § --></subtype>
 <identifier><!-- 0..* Identifier Identifier(s) for the image § --></identifier>
 <dateTime value="[dateTime]"/><!-- 0..1 When the media was taken/recorded (end) § -->
 <subject><!-- 0..1 Resource(Patient|Practitioner|Group|Device|Specimen) 
     Who/What this Media is a record of § --></subject>
 <operator><!-- 0..1 Resource(Practitioner) The person who generated the image § --></operator>
 <view><!-- 0..1 CodeableConcept Imaging view e.g Lateral or Antero-posterior § --></view>
 <deviceName value="[string]"/><!-- 0..1 Name of the device/manufacturer § -->
 <height value="[integer]"/><!-- ?? 0..1 Height of the image in pixels(photo/video) § -->
 <width value="[integer]"/><!-- ?? 0..1 Width of the image in pixels (photo/video) § -->
 <frames value="[integer]"/><!-- ?? 0..1 Number of frames if > 1 (photo) § -->
 <length value="[integer]"/><!-- ?? 0..1 Length in seconds (audio / video) § -->
 <content><!-- 1..1 Attachment Actual Media - reference or data --></content>
</Media>

Alternate definitions: Schema/Schematron, Resource Profile

6.2.2.1 Terminology Bindings

PathDefinitionTypeReference
Media.type Whether the Media is a photo, video, or audioFixedhttp://hl7.org/fhir/media-type
Media.subtype Detailed information about the type of the image - it's kind, purpose, or the kind of equipment used to generate itExamplehttp://hl7.org/fhir/vs/media-subtype
Media.view Imaging view (projection) used when collecting an imageExamplehttp://hl7.org/fhir/vs/media-view

6.2.2.2 Constraints

6.2.3 Search Parameters

Search parameters for this resource. The standard parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionPaths
_idtokenThe logical resource id associated with the resource (must be supported by all servers)
_languagetokenThe language of the resource
datedateWhen the media was taken/recorded (end)Media.dateTime
identifiertokenIdentifier(s) for the imageMedia.identifier
operatorreferenceThe person who generated the imageMedia.operator
(Practitioner)
subjectreferenceWho/What this Media is a record ofMedia.subject
(Specimen, Device, Patient, Practitioner, Group)
subtypetokenThe type of acquisition equipment/processMedia.subtype
typetokenphoto | video | audioMedia.type
viewtokenImaging view e.g Lateral or Antero-posteriorMedia.view
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