特定保健指導
0.8.0 - CI Build

このページは作成中の内容です。

## Resource Profile: Media - 詳細

JP-SPECIFIC-HEALTH-Media resource profile 定義

1. Media
Definition | 画像情報です。
Control | 0..*
Invariants | Defined on this element dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: 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 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(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (: text.`div`.exists())
2. Media.id
Definition | このリソースのIDです。
Control | 0..1
Type | string
Must Support | true
Comments | リソースIDは自動採番されます。
3. Media.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Control | 0..1
Type | Meta
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
4. Media.implicitRules
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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Control | 0..1
Type | uri
Is Modifier | true
Comments | 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
5. Media.language
Definition | The base language in which the resource is written.
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages Max Binding: AllLanguages A human language.
Type | code
Comments | 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).
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
6. Media.text
Definition | このリソースの概要です。
Control | 0..1
Type | Narrative
Must Support | true
Alternate Names | narrative, html, xhtml, display
Comments | 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 information is added later.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
7. Media.text.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
8. Media.text.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | 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.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on Media.text.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
9. Media.text.status
Definition | このリソースの概要がリソースのコンテンツから⽣成されたことを⽰す。
Control | 1..1
Binding | The codes SHALL be taken from NarrativeStatus The status of a resource narrative.
Type | code
Must Support | true
Fixed Value | generated
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
10. Media.text.div
Definition | このリソースの概要です。
Control | 1..1
Type | xhtml
Must Support | true
Comments | The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes (: htmlChecks()) txt-2: The narrative SHALL have some non-whitespace content (: htmlChecks())
11. Media.contained
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.
Control | 0..*
Type | Resource
Alternate Names | inline resources, anonymous resources, contained resources
Comments | 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
12. Media.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | 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.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
13. Media.modifierExtension
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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Control | 0..*
Type | Extension
Is Modifier | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Comments | 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.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
14. Media.identifier
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.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Comments | The identifier label and use can be used to determine what kind of identifier it is.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
15. Media.basedOn
Definition | A procedure that is fulfilled in whole or in part by the creation of this media.
Control | 0..*
Type | Reference(ServiceRequest | CarePlan)
Requirements | Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.
Alternate Names | fulfills
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
16. Media.partOf
Definition | A larger event of which this particular event is a component or step.
Control | 0..*
Type | Reference(Resource)
Requirements | E.g. Drug administration as part of a procedure, procedure as part of observation, etc.
Alternate Names | container
Comments | Not to be used to link an event to an Encounter - use Media.encounter for that. [The allowed reference resources may be adjusted as appropriate for the event resource].
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
17. Media.status
Definition | このリソースの状態です。
Control | 1..1
Binding | The codes SHALL be taken from EventStatus Codes identifying the lifecycle stage of an event.
Type | code
Is Modifier | true
Must Support | true
Comments | A nominal state-transition diagram can be found in the [[event.html#statemachine | Event pattern]] documentation Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.
Fixed Value | completed
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
18. Media.type
Definition | A code that classifies whether the media is an image, video or audio recording or some other media category.
Control | 0..1
Binding | The codes SHALL be taken from MediaType; other codes may be used where these codes are not suitable Codes for high level media categories.
Type | CodeableConcept
Requirements | Used for filtering what observations are retrieved and displayed.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
19. Media.modality
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.
Control | 0..1
Binding | For example codes, see MediaModality Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.
Type | CodeableConcept
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
20. Media.view
Definition | The name of the imaging view e.g. Lateral or Antero-posterior (AP).
Control | 0..1
Binding | For example codes, see MediaCollectionView/Projection Imaging view (projection) used when collecting an image.
Type | CodeableConcept
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
21. Media.subject
Definition | Who/What this Media is a record of.
Control | 0..1
Type | Reference(Patient | Practitioner | PractitionerRole | Group | Device | Specimen | Location)
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
22. Media.encounter
Definition | The encounter that establishes the context for this media.
Control | 0..1
Type | Reference(Encounter)
Requirements | Links the Media to the Encounter context.
Alternate Names | context
Comments | This will typically be the encounter the media occurred within.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
23. Media.created[x]
Definition | The date and time(s) at which the media was collected.
Control | 0..1
Type | Choice of: dateTime, Period
[x] Note | See Choice of Data Types for further information about how to use [x]
Alternate Names | timing
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
24. Media.issued
Definition | The date and time this version of the media was made available to providers, typically after having been reviewed.
Control | 0..1
Type | instant
Comments | It may be the same as the `lastUpdated` time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that does not require the new version to be reviewed and verified again.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
25. Media.operator
Definition | The person who administered the collection of the image.
Control | 0..1
Type | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
26. Media.reasonCode
Definition | Describes why the event occurred in coded or textual form.
Control | 0..*
Binding | For example codes, see ProcedureReasonCodes The reason for the media.
Type | CodeableConcept
Comments | Textual reasons can be captured using reasonCode.text.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
27. Media.bodySite
Definition | Indicates the site on the subject's body where the observation was made (i.e. the target site).
Control | 0..1
Binding | For example codes, see SNOMEDCTBodyStructures Codes describing anatomical locations. May include laterality.
Type | CodeableConcept
Comments | Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. 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 bodySite.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
28. Media.deviceName
Definition | The name of the device / manufacturer of the device that was used to make the recording.
Control | 0..1
Type | string
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
29. Media.device
Definition | The device used to collect the media.
Control | 0..1
Type | Reference(Device | DeviceMetric | Device)
Comments | An extension should be used if further typing of the device is needed. Secondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
30. Media.height
Definition | Height of the image in pixels (photo/video).
Control | 0..1
Type | positiveInt
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
31. Media.width
Definition | Width of the image in pixels (photo/video).
Control | 0..1
Type | positiveInt
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
32. Media.frames
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.
Control | 0..1
Type | positiveInt
Comments | if the number of frames is not supplied, the value may be unknown. Applications should not assume that there is only one frame unless it is explicitly stated.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
33. Media.duration
Definition | The duration of the recording in seconds - for audio and video.
Control | 0..1
Type | decimal
Comments | The duration might differ from occurrencePeriod if recording was paused.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
34. Media.content
Definition | 添付ファイルデータです。
Control | 1..1
Type | Attachment
Must Support | true
Comments | 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 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.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
35. Media.content.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Control | 0..1
Type | string
36. Media.content.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Comments | 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.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Slicing | This element introduces a set of slices on Media.content.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: value @ url
37. Media.content.contentType
Definition | 添付ファイルデータのMimeTypeです。
Control | 0..1
Binding | The codes SHALL be taken from Mime Types The mime type of an attachment. Any valid mime type is allowed.
Type | code
Must Support | true
Requirements | Processors of the data need to be able to know how to interpret the data.
Example | General:text/plain; charset=UTF-8, image/png
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
38. Media.content.language
Definition | The human language of the content. The value can be any valid value according to BCP 47.
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages Max Binding: AllLanguages A human language.
Type | code
Requirements | Users need to be able to choose between the languages in a set of attachments.
Example | General:en-AU
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
39. Media.content.data
Definition | 添付ファイルデータ(Base64符号化データ)です。
Control | 0..1
Type | base64Binary
Must Support | true
Requirements | The data needs to able to be transmitted inline.
Comments | データをリソースに内包する場合に定義する。
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
40. Media.content.url
Definition | 添付ファイルデータ(外部参照URL)です。
Control | 0..1
Type | url
Must Support | true
Requirements | The data needs to be transmitted by reference.
Comments | データを外部参照する場合に定義する。
Example | General:http://www.acme.com/logo-small.png
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
41. Media.content.size
Definition | The number of bytes of data that make up this attachment (before base64 encoding, if that is done).
Control | 0..1
Type | unsignedInt
Requirements | Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.
Comments | The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
42. Media.content.hash
Definition | 添付ファイルのハッシュ値です。
Control | 0..1
Type | base64Binary
Must Support | true
Requirements | Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).
Comments | The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see Provenance.signature for mechanism to protect a resource with a digital signature.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
43. Media.content.title
Definition | 添付ファイルを説明するタイトルです。
Control | 0..1
Type | string
Must Support | true
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.
Example | General:Official Corporate Logo
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
44. Media.content.creation
Definition | The date that the attachment was first created.
Control | 0..1
Type | dateTime
Requirements | This is often tracked as an integrity issue for use of the attachment.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
45. Media.note
Definition | Comments made about the media by the performer, subject or other participants.
Control | 0..*
Type | Annotation
Comments | Not to be used for observations, conclusions, etc. Instead use an Observation based on the Media/ImagingStudy resource.
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))