Guia de implementação do Sumário Internacional do Paciente: Release 1 - BR Realm | STU1
1.0.0 - STU1 Brazil flag

This page is part of the IPS Brasil (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MediaObservationBRIPS - Descrições detalhadas

Active as of 2024-12-23

Definitions for the MediaObservationBRIPS resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Media
2. Media.id
Definition

ID lógico deste artefato

ShortID do artefato
4. Media.meta
Definition

Metadados sobre este recurso

ShortMetadados sobre recurso
6. Media.implicitRules
Definition

Um conjunto de regras sob as quais este conteúdo foi criado

ShortUm conjunto de regras sob as quais este conteúdo foi criado
8. Media.language
Definition

Idioma do conteúdo do recurso

ShortIdioma do conteúdo do recurso
10. Media.text
Definition

Resumo do texto do recurso, para interpretação humana

ShortResumo do texto do recurso, para interpretação humana
12. Media.contained
Definition

Recursos contidos neste artefato

ShortRecursos contidos neste artefato
14. Media.extension
Definition

Conteúdo adicional definido por implementações

ShortConteúdo adicional definido por implementações
16. Media.modifierExtension
Definition

Extensões que não podem ser ignoradas

ShortExtensões que não podem ser ignoradas
18. Media.identifier
Definition

Identificador(es) das imagem (ns)

ShortIdentificador(es) da(s) imagem (ns)
NoteThis is a business identifier, not a resource identifier (see discussion)
20. Media.basedOn
Definition

Procedimento que causou a criação desta mídia

ShortProcedimento que causou a criação desta mídia
22. Media.partOf
Definition

Parte do evento referenciado

ShortParte do evento referenciado
24. Media.status
Definition

Status: preparação | em andamento | não feito | em espera | parou | concluído | inserido com erro | desconhecido

ShortStatus do evento
26. Media.type
Definition

Código do tipo mídia

ShortCódigo do tipo mídia
28. Media.modality
Definition

O tipo de equipamento/processo na aquisição da imagem

ShortO tipo de equipamento/processo utilizado na aquisição da imagem
30. Media.view
Definition

Projeção da imagem, por exemplo: lateral ou antero-posterior

ShortProjeção da imagem, por exemplo: lateral ou antero-posterior
32. Media.subject
Definition

De quem/o quê está registrado nesta mídia

ShortDe quem/o quê está registrado nesta mídia
TypeReference(PatientBRIPS)
34. Media.subject.id
Definition

ID exclusivo para referência entre elementos

ShortID exclusivo para referência entre elementos
36. Media.subject.extension
Definition

Conteúdo adicional definido por implementações

ShortConteúdo adicional definido por implementações
38. Media.subject.reference
Definition

Referência literal, URL relativa, interna ou absoluta.

ShortReferência literal, URL relativa, interna ou absoluta.
40. Media.subject.type
Definition

Tipo ao qual a referência se refere (por exemplo: Paciente)

ShortTipo ao qual a referência se refere (por exemplo: Paciente)
42. Media.subject.identifier
Definition

Referência lógica, quando a referência literal não é conhecida

ShortReferência lógica, quando a referência literal não é conhecida
NoteThis is a business identifier, not a resource identifier (see discussion)
44. Media.subject.display
Definition

Texto alternativo para este recurso

ShortTexto alternativo para este rescurso
46. Media.encounter
Definition

Atendimento associado à esta mídia

ShortAtendimento associado à esta mídia
48. Media.created[x]
Definition

Quando a mídia foi capturada

ShortQuando a mídia foi capturada
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
50. Media.issued
Definition

Data/hora em que esta versão foi disponibilizada

ShortData/hora em que esta versão foi disponibilizada
52. Media.operator
Definition

A pessoa responsável pela geração da imagem

ShortA pessoa responsável pela geração da imagem
TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS, OrganizationBRIPS, CareTeam, PatientBRIPS, Device, RelatedPerson)
54. Media.reasonCode
Definition

Motivo pelo qual a mídia foi criada

ShortMotivo pelo qual a mídia foi criada
56. Media.bodySite
Definition

Parte anatômica observada

ShortParte anatômica observada
58. Media.deviceName
Definition

Nome do dispositivo/fabricante

ShortNome do dispositivo/fabricante
60. Media.device
Definition

Dispositivo utilizado para capturar a imagem

ShortDispositivo utilizado para capturar a imagem
TypeReference(Device, DeviceMetric)
62. Media.height
Definition

Altura da imagem em pixels (foto/vídeo)

ShortAltura da imagem em pixels (foto/vídeo)
64. Media.width
Definition

Largura da imagem em pixels (foto/vídeo)

ShortLargura da imagem em pixels (foto/vídeo)
66. Media.frames
Definition

Número de frames, se maior que 1 (foto)

ShortNúmero de frames se > 1 (foto)
68. Media.duration
Definition

Duração em segundos (áudio / vídeo)

ShortDuração em segundos (áudio / vídeo)
70. Media.content
Definition

Mídia - referência ou dado

ShortMídia - referência ou dado
72. Media.note
Definition

Comentários sobre a mídia

ShortComentários sobre a mídia

Guidance on how to interpret the contents of this table can be found here

0. Media
Definition

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

ShortA photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-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

ID lógico deste artefato


The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortID do artefatoLogical id of this artifact
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeidstring
Is Modifierfalse
Summarytrue
4. Media.meta
Definition

Metadados sobre este recurso


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.

ShortMetadados sobre recursoMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Media.implicitRules
Definition

Um conjunto de regras sob as quais este conteúdo foi criado


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.

ShortUm conjunto de regras sob as quais este conteúdo foi criadoA set of rules under which this content was created
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.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Media.language
Definition

Idioma do conteúdo do recurso


The base language in which the resource is written.

ShortIdioma do conteúdo do recursoLanguage of the resource content
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).

Control0..1
BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Media.text
Definition

Resumo do texto do recurso, para interpretação humana


A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortResumo do texto do recurso, para interpretação humanaText summary of the resource, for human interpretation
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.

Control0..1
TypeNarrative
Is Modifierfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Media.contained
Definition

Recursos contidos neste artefato


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.

ShortRecursos contidos neste artefatoContained, inline 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.

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Media.extension
Definition

Conteúdo adicional definido por implementações


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.

ShortConteúdo adicional definido por implementaçõesAdditional content defined by implementations
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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
16. Media.modifierExtension
Definition

Extensões que não podem ser ignoradas


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).

ShortExtensões que não podem ser ignoradasExtensions that cannot be ignored
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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
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 Namesextensions, user content
Invariantsele-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())
18. Media.identifier
Definition

Identificador(es) das imagem (ns)


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.

ShortIdentificador(es) da(s) imagem (ns)Identifier(s) for the image
Comments

The identifier label and use can be used to determine what kind of identifier it is.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Media.basedOn
Definition

Procedimento que causou a criação desta mídia


A procedure that is fulfilled in whole or in part by the creation of this media.

ShortProcedimento que causou a criação desta mídiaProcedure that caused this media to be created
Control0..*
TypeReference(ServiceRequest, CarePlan)
Is Modifierfalse
Summarytrue
Requirements

Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

Alternate Namesfulfills
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Media.partOf
Definition

Parte do evento referenciado


A larger event of which this particular event is a component or step.

ShortParte do evento referenciadoPart of referenced event
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].

Control0..*
TypeReference(Resource)
Is Modifierfalse
Summarytrue
Requirements

E.g. Drug administration as part of a procedure, procedure as part of observation, etc.

Alternate Namescontainer
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Media.status
Definition

Status: preparação | em andamento | não feito | em espera | parou | concluído | inserido com erro | desconhecido


The current state of the {{title}}.

ShortStatus do eventopreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
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.

Control1..1
BindingThe codes SHALL be taken from EventStatushttp://hl7.org/fhir/ValueSet/event-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/event-status|4.0.1)

Codes identifying the lifecycle stage of an event.

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Fixed Valuecompleted
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Media.type
Definition

Código do tipo mídia


A code that classifies whether the media is an image, video or audio recording or some other media category.

ShortCódigo do tipo mídiaClassification of media as image, video, or audio
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Control0..1
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from MediaTypehttp://hl7.org/fhir/ValueSet/media-type
(extensible to http://hl7.org/fhir/ValueSet/media-type)

Codes for high level media categories.

TypeCodeableConcept(Codeable Concept (IPS))
Is Modifierfalse
Requirements

Used for filtering what observations are retrieved and displayed.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Media.modality
Definition

O tipo de equipamento/processo na aquisição da imagem


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.

ShortO tipo de equipamento/processo utilizado na aquisição da imagemThe type of acquisition equipment/process
Control0..1
BindingFor example codes, see MediaModalityhttp://hl7.org/fhir/ValueSet/media-modality
(example to http://hl7.org/fhir/ValueSet/media-modality)

Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Media.view
Definition

Projeção da imagem, por exemplo: lateral ou antero-posterior


The name of the imaging view e.g. Lateral or Antero-posterior (AP).

ShortProjeção da imagem, por exemplo: lateral ou antero-posteriorImaging view, e.g. Lateral or Antero-posterior
Control0..1
BindingFor example codes, see MediaCollectionView/Projectionhttp://hl7.org/fhir/ValueSet/media-view
(example to http://hl7.org/fhir/ValueSet/media-view)

Imaging view (projection) used when collecting an image.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Media.subject
Definition

De quem/o quê está registrado nesta mídia


Who/What this Media is a record of.

ShortDe quem/o quê está registrado nesta mídiaWho/What this Media is a record of
Control10..1
TypeReference(PatientBRIPS, Patient, Practitioner, PractitionerRole, Group, Device, Specimen, Location)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Media.subject.id
Definition

ID exclusivo para referência entre elementos


Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortID exclusivo para referência entre elementosUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
36. Media.subject.extension
Definition

Conteúdo adicional definido por implementações


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.

ShortConteúdo adicional definido por implementaçõesAdditional content defined by implementations
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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on Media.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 38. Media.subject.reference
    Definition

    Referência literal, URL relativa, interna ou absoluta.


    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

    ShortReferência literal, URL relativa, interna ou absoluta.Literal reference, Relative, internal or absolute URL
    Comments

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Control10..1
    This element is affected by the following invariants: ref-1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Media.subject.type
    Definition

    Tipo ao qual a referência se refere (por exemplo: Paciente)


    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    ShortTipo ao qual a referência se refere (por exemplo: Paciente)Type the reference refers to (e.g. "Patient")
    Comments

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Media.subject.identifier
    Definition

    Referência lógica, quando a referência literal não é conhecida


    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

    ShortReferência lógica, quando a referência literal não é conhecidaLogical reference, when literal reference is not known
    Comments

    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Media.subject.display
    Definition

    Texto alternativo para este recurso


    Plain text narrative that identifies the resource in addition to the resource reference.

    ShortTexto alternativo para este rescursoText alternative for the resource
    Comments

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. Media.encounter
    Definition

    Atendimento associado à esta mídia


    The encounter that establishes the context for this media.

    ShortAtendimento associado à esta mídiaEncounter associated with media
    Comments

    This will typically be the encounter the media occurred within.

    Control0..1
    TypeReference(Encounter)
    Is Modifierfalse
    Summarytrue
    Requirements

    Links the Media to the Encounter context.

    Alternate Namescontext
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. Media.created[x]
    Definition

    Quando a mídia foi capturada


    The date and time(s) at which the media was collected.

    ShortQuando a mídia foi capturadaWhen Media was collected
    Control0..1
    TypeChoice of: dateTime, Period
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate Namestiming
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. Media.issued
    Definition

    Data/hora em que esta versão foi disponibilizada


    The date and time this version of the media was made available to providers, typically after having been reviewed.

    ShortData/hora em que esta versão foi disponibilizadaDate/Time this version was made available
    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.

    Control0..1
    Typeinstant
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. Media.operator
    Definition

    A pessoa responsável pela geração da imagem


    The person who administered the collection of the image.

    ShortA pessoa responsável pela geração da imagemThe person who generated the image
    Control0..1
    TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS, OrganizationBRIPS, CareTeam, PatientBRIPS, Device, RelatedPerson, Practitioner, PractitionerRole, Organization, Patient)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    54. Media.reasonCode
    Definition

    Motivo pelo qual a mídia foi criada


    Describes why the event occurred in coded or textual form.

    ShortMotivo pelo qual a mídia foi criadaWhy was event performed?
    Comments

    Textual reasons can be captured using reasonCode.text.

    Control0..*
    BindingFor example codes, see ProcedureReasonCodeshttp://hl7.org/fhir/ValueSet/procedure-reason
    (example to http://hl7.org/fhir/ValueSet/procedure-reason)

    The reason for the media.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. Media.bodySite
    Definition

    Parte anatômica observada


    Indicates the site on the subject's body where the observation was made (i.e. the target site).

    ShortParte anatômica observadaObserved body part
    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.

    Control0..1
    BindingFor example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site
    (example to http://hl7.org/fhir/ValueSet/body-site)

    Codes describing anatomical locations. May include laterality.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. Media.deviceName
    Definition

    Nome do dispositivo/fabricante


    The name of the device / manufacturer of the device that was used to make the recording.

    ShortNome do dispositivo/fabricanteName of the device/manufacturer
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. Media.device
    Definition

    Dispositivo utilizado para capturar a imagem


    The device used to collect the media.

    ShortDispositivo utilizado para capturar a imagemObserving 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.

    Control0..1
    TypeReference(Device, DeviceMetric)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. Media.height
    Definition

    Altura da imagem em pixels (foto/vídeo)


    Height of the image in pixels (photo/video).

    ShortAltura da imagem em pixels (foto/vídeo)Height of the image in pixels (photo/video)
    Control0..1
    TypepositiveInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    64. Media.width
    Definition

    Largura da imagem em pixels (foto/vídeo)


    Width of the image in pixels (photo/video).

    ShortLargura da imagem em pixels (foto/vídeo)Width of the image in pixels (photo/video)
    Control0..1
    TypepositiveInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. Media.frames
    Definition

    Número de frames, se maior que 1 (foto)


    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.

    ShortNúmero de frames se > 1 (foto)Number of frames if > 1 (photo)
    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.

    Control0..1
    TypepositiveInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. Media.duration
    Definition

    Duração em segundos (áudio / vídeo)


    The duration of the recording in seconds - for audio and video.

    ShortDuração em segundos (áudio / vídeo)Length in seconds (audio / video)
    Comments

    The duration might differ from occurrencePeriod if recording was paused.

    Control0..1
    Typedecimal
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    70. Media.content
    Definition

    Mídia - referência ou dado


    The actual content of the media - inline or by direct reference to the media source file.

    ShortMídia - referência ou dadoActual Media - reference or data
    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.

    Control1..1
    TypeAttachment
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    72. Media.note
    Definition

    Comentários sobre a mídia


    Comments made about the media by the performer, subject or other participants.

    ShortComentários sobre a mídiaComments made about the media
    Comments

    Not to be used for observations, conclusions, etc. Instead use an Observation based on the Media/ImagingStudy resource.

    Control0..*
    TypeAnnotation
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be found here

    0. Media
    Definition

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

    ShortA photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsdom-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

    ID lógico deste artefato

    ShortID do artefato
    Comments

    The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

    Control0..1
    Typeid
    Is Modifierfalse
    Summarytrue
    4. Media.meta
    Definition

    Metadados sobre este recurso

    ShortMetadados sobre recurso
    Control0..1
    TypeMeta
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. Media.implicitRules
    Definition

    Um conjunto de regras sob as quais este conteúdo foi criado

    ShortUm conjunto de regras sob as quais este conteúdo foi criado
    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.

    Control0..1
    Typeuri
    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. Media.language
    Definition

    Idioma do conteúdo do recurso

    ShortIdioma do conteúdo do recurso
    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).

    Control0..1
    BindingThe codes SHOULD be taken from CommonLanguages
    (preferred to http://hl7.org/fhir/ValueSet/languages)

    A human language.

    Additional BindingsPurpose
    AllLanguagesMax Binding
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Media.text
    Definition

    Resumo do texto do recurso, para interpretação humana

    ShortResumo do texto do recurso, para interpretação humana
    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.

    Control0..1
    TypeNarrative
    Is Modifierfalse
    Summaryfalse
    Alternate Namesnarrative, html, xhtml, display
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. Media.contained
    Definition

    Recursos contidos neste artefato

    ShortRecursos contidos neste artefato
    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.

    Control0..*
    TypeResource
    Is Modifierfalse
    Summaryfalse
    Alternate Namesinline resources, anonymous resources, contained resources
    14. Media.extension
    Definition

    Conteúdo adicional definido por implementações

    ShortConteúdo adicional definido por implementações
    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-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())
    16. Media.modifierExtension
    Definition

    Extensões que não podem ser ignoradas

    ShortExtensões que não podem ser ignoradas
    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Invariantsele-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())
    18. Media.identifier
    Definition

    Identificador(es) das imagem (ns)

    ShortIdentificador(es) da(s) imagem (ns)
    Comments

    The identifier label and use can be used to determine what kind of identifier it is.

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Media.basedOn
    Definition

    Procedimento que causou a criação desta mídia

    ShortProcedimento que causou a criação desta mídia
    Control0..*
    TypeReference(ServiceRequest, CarePlan)
    Is Modifierfalse
    Summarytrue
    Requirements

    Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

    Alternate Namesfulfills
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Media.partOf
    Definition

    Parte do evento referenciado

    ShortParte do evento referenciado
    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].

    Control0..*
    TypeReference(Resource)
    Is Modifierfalse
    Summarytrue
    Requirements

    E.g. Drug administration as part of a procedure, procedure as part of observation, etc.

    Alternate Namescontainer
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Media.status
    Definition

    Status: preparação | em andamento | não feito | em espera | parou | concluído | inserido com erro | desconhecido

    ShortStatus do evento
    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.

    Control1..1
    BindingThe codes SHALL be taken from EventStatus
    (required to http://hl7.org/fhir/ValueSet/event-status|4.0.1)

    Codes identifying the lifecycle stage of an event.

    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Fixed Valuecompleted
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Media.type
    Definition

    Código do tipo mídia

    ShortCódigo do tipo mídia
    Comments

    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from MediaType
    (extensible to http://hl7.org/fhir/ValueSet/media-type)

    Codes for high level media categories.

    TypeCodeableConcept(Codeable Concept (IPS))
    Is Modifierfalse
    Requirements

    Used for filtering what observations are retrieved and displayed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Media.modality
    Definition

    O tipo de equipamento/processo na aquisição da imagem

    ShortO tipo de equipamento/processo utilizado na aquisição da imagem
    Control0..1
    BindingFor example codes, see MediaModality
    (example to http://hl7.org/fhir/ValueSet/media-modality)

    Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Media.view
    Definition

    Projeção da imagem, por exemplo: lateral ou antero-posterior

    ShortProjeção da imagem, por exemplo: lateral ou antero-posterior
    Control0..1
    BindingFor example codes, see MediaCollectionView/Projection
    (example to http://hl7.org/fhir/ValueSet/media-view)

    Imaging view (projection) used when collecting an image.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Media.subject
    Definition

    De quem/o quê está registrado nesta mídia

    ShortDe quem/o quê está registrado nesta mídia
    Control1..1
    TypeReference(PatientBRIPS)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Media.subject.id
    Definition

    ID exclusivo para referência entre elementos

    ShortID exclusivo para referência entre elementos
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    36. Media.subject.extension
    Definition

    Conteúdo adicional definido por implementações

    ShortConteúdo adicional definido por implementações
    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Invariantsele-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())
    SlicingThis element introduces a set of slices on Media.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 38. Media.subject.reference
      Definition

      Referência literal, URL relativa, interna ou absoluta.

      ShortReferência literal, URL relativa, interna ou absoluta.
      Comments

      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

      Control1..1
      This element is affected by the following invariants: ref-1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Media.subject.type
      Definition

      Tipo ao qual a referência se refere (por exemplo: Paciente)

      ShortTipo ao qual a referência se refere (por exemplo: Paciente)
      Comments

      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ResourceType
      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

      Aa resource (or, for logical models, the URI of the logical model).

      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Media.subject.identifier
      Definition

      Referência lógica, quando a referência literal não é conhecida

      ShortReferência lógica, quando a referência literal não é conhecida
      Comments

      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      TypeIdentifier
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Media.subject.display
      Definition

      Texto alternativo para este recurso

      ShortTexto alternativo para este rescurso
      Comments

      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Media.encounter
      Definition

      Atendimento associado à esta mídia

      ShortAtendimento associado à esta mídia
      Comments

      This will typically be the encounter the media occurred within.

      Control0..1
      TypeReference(Encounter)
      Is Modifierfalse
      Summarytrue
      Requirements

      Links the Media to the Encounter context.

      Alternate Namescontext
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. Media.created[x]
      Definition

      Quando a mídia foi capturada

      ShortQuando a mídia foi capturada
      Control0..1
      TypeChoice of: dateTime, Period
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Alternate Namestiming
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. Media.issued
      Definition

      Data/hora em que esta versão foi disponibilizada

      ShortData/hora em que esta versão foi disponibilizada
      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.

      Control0..1
      Typeinstant
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Media.operator
      Definition

      A pessoa responsável pela geração da imagem

      ShortA pessoa responsável pela geração da imagem
      Control0..1
      TypeReference(PractitionerBRIPS, PractitionerRoleBRIPS, OrganizationBRIPS, CareTeam, PatientBRIPS, Device, RelatedPerson)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. Media.reasonCode
      Definition

      Motivo pelo qual a mídia foi criada

      ShortMotivo pelo qual a mídia foi criada
      Comments

      Textual reasons can be captured using reasonCode.text.

      Control0..*
      BindingFor example codes, see ProcedureReasonCodes
      (example to http://hl7.org/fhir/ValueSet/procedure-reason)

      The reason for the media.

      TypeCodeableConcept
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. Media.bodySite
      Definition

      Parte anatômica observada

      ShortParte anatômica observada
      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.

      Control0..1
      BindingFor example codes, see SNOMEDCTBodyStructures
      (example to http://hl7.org/fhir/ValueSet/body-site)

      Codes describing anatomical locations. May include laterality.

      TypeCodeableConcept
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. Media.deviceName
      Definition

      Nome do dispositivo/fabricante

      ShortNome do dispositivo/fabricante
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. Media.device
      Definition

      Dispositivo utilizado para capturar a imagem

      ShortDispositivo utilizado para capturar a imagem
      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.

      Control0..1
      TypeReference(Device, DeviceMetric)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. Media.height
      Definition

      Altura da imagem em pixels (foto/vídeo)

      ShortAltura da imagem em pixels (foto/vídeo)
      Control0..1
      TypepositiveInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. Media.width
      Definition

      Largura da imagem em pixels (foto/vídeo)

      ShortLargura da imagem em pixels (foto/vídeo)
      Control0..1
      TypepositiveInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. Media.frames
      Definition

      Número de frames, se maior que 1 (foto)

      ShortNúmero de frames se > 1 (foto)
      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.

      Control0..1
      TypepositiveInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. Media.duration
      Definition

      Duração em segundos (áudio / vídeo)

      ShortDuração em segundos (áudio / vídeo)
      Comments

      The duration might differ from occurrencePeriod if recording was paused.

      Control0..1
      Typedecimal
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. Media.content
      Definition

      Mídia - referência ou dado

      ShortMídia - referência ou dado
      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.

      Control1..1
      TypeAttachment
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. Media.note
      Definition

      Comentários sobre a mídia

      ShortComentários sobre a mídia
      Comments

      Not to be used for observations, conclusions, etc. Instead use an Observation based on the Media/ImagingStudy resource.

      Control0..*
      TypeAnnotation
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))