Guia de Implementação da SES GO - CORE - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Imagens do Exame

Imagens do exame

Usage:

• Refer to this Resource Profile: Acesso a Exames com Imagens e/ou Laudos

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
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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	Identifier(s) for the image ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Sistema de origem do exame ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do exame no sistema de origem ele-1: All FHIR elements must have a @value or children Example General: 123456
basedOn	Σ	1..1	Reference(Solicitação de exame de imagem e/ou laudo)	Procedure that caused this media to be created ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
partOf	Σ	1..1	Reference(Acesso a Exames com Imagens e/ou Laudos)	Part of referenced event ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
subject	Σ	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
content	Σ	1..1	Attachment	Actual Media - reference or data ele-1: All FHIR elements must have a @value or children
data		1..1	base64Binary	Dados da(s) imagem(ns) do exame ele-1: All FHIR elements must have a @value or children
url	Σ	1..1	url	Localização(ões) da(s) imagem(ns) do exame ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/logo-small.png
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Media.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Media.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 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	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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	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
Media			Media
identifier		1..1	Identifier	Identifier(s) for the image
system		1..1	uri	Sistema de origem do exame
value		1..1	string	Identificador do exame no sistema de origem
basedOn		1..1	Reference(Solicitação de exame de imagem e/ou laudo)	Procedure that caused this media to be created
reference		1..1	string	Literal reference, Relative, internal or absolute URL
partOf		1..1	Reference(Acesso a Exames com Imagens e/ou Laudos)	Part of referenced event
reference		1..1	string	Literal reference, Relative, internal or absolute URL
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed
subject		1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
reference		1..1	string	Literal reference, Relative, internal or absolute URL
content
data		1..1	base64Binary	Dados da(s) imagem(ns) do exame
url		1..1	url	Localização(ões) da(s) imagem(ns) do exame
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
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
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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identifier(s) for the image
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Sistema de origem do exame Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do exame no sistema de origem Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	Σ	1..1	Reference(Solicitação de exame de imagem e/ou laudo)	Procedure that caused this media to be created
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..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): Aa resource (or, for logical models, the URI of the logical model).
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	1..1	Reference(Acesso a Exames com Imagens e/ou Laudos)	Part of referenced event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..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): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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. Required Pattern: completed
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	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..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): Aa resource (or, for logical models, the URI of the logical model).
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): Codes describing anatomical locations. May include laterality.
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	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		1..1	base64Binary	Dados da(s) imagem(ns) do exame
url	Σ	1..1	url	Localização(ões) da(s) imagem(ns) do exame 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	Conformance	ValueSet / Code	URI
Media.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Media.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Media.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Media.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Media.partOf.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Media.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.type	extensible	MediaType http://hl7.org/fhir/ValueSet/media-type from the FHIR Standard
Media.modality	example	MediaModality http://hl7.org/fhir/ValueSet/media-modality from the FHIR Standard
Media.view	example	MediaCollectionView/Projection http://hl7.org/fhir/ValueSet/media-view from the FHIR Standard
Media.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Media.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Media.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Media.content.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
Media.content.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
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 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	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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Media

Summary

Mandatory: 11 elements

Structures

This structure refers to these other structures:

• Solicitação de exame de imagem e/ou laudo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/solicitacao-exame-imagem-laudo)
• Acesso a Exames com Imagens e/ou Laudos (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/ExameImagemLaudo)
• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	Identifier(s) for the image ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Sistema de origem do exame ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do exame no sistema de origem ele-1: All FHIR elements must have a @value or children Example General: 123456
basedOn	Σ	1..1	Reference(Solicitação de exame de imagem e/ou laudo)	Procedure that caused this media to be created ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
partOf	Σ	1..1	Reference(Acesso a Exames com Imagens e/ou Laudos)	Part of referenced event ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
subject	Σ	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
content	Σ	1..1	Attachment	Actual Media - reference or data ele-1: All FHIR elements must have a @value or children
data		1..1	base64Binary	Dados da(s) imagem(ns) do exame ele-1: All FHIR elements must have a @value or children
url	Σ	1..1	url	Localização(ões) da(s) imagem(ns) do exame ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/logo-small.png
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Media.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Media.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 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	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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	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
Media			Media
identifier		1..1	Identifier	Identifier(s) for the image
system		1..1	uri	Sistema de origem do exame
value		1..1	string	Identificador do exame no sistema de origem
basedOn		1..1	Reference(Solicitação de exame de imagem e/ou laudo)	Procedure that caused this media to be created
reference		1..1	string	Literal reference, Relative, internal or absolute URL
partOf		1..1	Reference(Acesso a Exames com Imagens e/ou Laudos)	Part of referenced event
reference		1..1	string	Literal reference, Relative, internal or absolute URL
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed
subject		1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
reference		1..1	string	Literal reference, Relative, internal or absolute URL
content
data		1..1	base64Binary	Dados da(s) imagem(ns) do exame
url		1..1	url	Localização(ões) da(s) imagem(ns) do exame
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
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): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	Identifier(s) for the image
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Sistema de origem do exame Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	Identificador do exame no sistema de origem Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	Σ	1..1	Reference(Solicitação de exame de imagem e/ou laudo)	Procedure that caused this media to be created
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..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): Aa resource (or, for logical models, the URI of the logical model).
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	1..1	Reference(Acesso a Exames com Imagens e/ou Laudos)	Part of referenced event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..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): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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. Required Pattern: completed
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	1..1	Reference(Indivíduo)	Cidadão(ã) ao qual o exame se refere
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..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): Aa resource (or, for logical models, the URI of the logical model).
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): Codes describing anatomical locations. May include laterality.
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	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		1..1	base64Binary	Dados da(s) imagem(ns) do exame
url	Σ	1..1	url	Localização(ões) da(s) imagem(ns) do exame 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	Conformance	ValueSet / Code	URI
Media.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Media.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Media.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Media.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Media.partOf.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Media.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Media.type	extensible	MediaType http://hl7.org/fhir/ValueSet/media-type from the FHIR Standard
Media.modality	example	MediaModality http://hl7.org/fhir/ValueSet/media-modality from the FHIR Standard
Media.view	example	MediaCollectionView/Projection http://hl7.org/fhir/ValueSet/media-view from the FHIR Standard
Media.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Media.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Media.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Media.content.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
Media.content.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
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 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	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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Media

Summary

Mandatory: 11 elements

Structures

This structure refers to these other structures:

• Solicitação de exame de imagem e/ou laudo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/solicitacao-exame-imagem-laudo)
• Acesso a Exames com Imagens e/ou Laudos (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/ExameImagemLaudo)
• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)

Other representations of profile: CSV, Excel, Schematron