MII IG Modul Patho
2027.0.0-ballot - Germany

MII IG Modul Patho - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Ressourcenprofil: MII PR Patho Attached Image

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-attached-image Version: 2027.0.0-ballot
Active Stand: 2026-09-14 Maschinenlesbarer Name: MII_PR_Patho_Attached_Image

Mit dem Profil MII PR Patho Attached Image der Ressource Media wird die Beschreibung von in den Befund, d.h. den MII PR Patho Report, eingebetteten Bildern vorgenommen. Um Bilder in MII PR Patho Finding einzubinden, muss auf eine Referenz zu einer ImagingStudy zurückgegriffen werden. Das vorliegende Profil sollte vorzugsweise nur zur "Illustration" eines Pathologiebefundberichts verwendet werden.

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 SΣ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf SΣ 0..* Reference(Media) Teil von
... status ?!SΣ 1..1 code Status
Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.
... type SΣ 1..1 CodeableConcept Typ
Binding: MediaType (extensible): Codes for high level media categories.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:image Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/media-type
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... modality SΣ 0..1 CodeableConcept Modalität
Binding: MII VS Patho Media Modality [SNOMED CT] (extensible)
... subject SΣ 0..1 Reference(MII PR Patho Specimen) Gegenstand
... content SΣ 1..1 Attachment Inhalt

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Media.status Base required EventStatus 📍4.0.1 FHIR Std.
Media.type Base extensible Media Type 📍4.0.1 FHIR Std.
Media.modality Base extensible MII VS Patho Media Modality [SNOMED CT] 📦2027.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Media If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Media If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id 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()

Diese Struktur ist abgeleitet von Media

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 S 0..1 id Logical id of this artifact
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... status S 1..1 code Status
... type S 1..1 CodeableConcept Typ
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:image 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/media-type
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
... modality S 0..1 CodeableConcept Modalität
Binding: MII VS Patho Media Modality [SNOMED CT] (extensible)
... subject S 0..1 Reference(MII PR Patho Specimen) Gegenstand
... content S 1..1 Attachment Inhalt

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Media.modality Base extensible MII VS Patho Media Modality [SNOMED CT] 📦2027.0.0-ballot This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 SΣ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 BindingsPurpose
AllLanguages Max Binding
... text S 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) for the image
... basedOn Σ 0..* Reference(ServiceRequest | CarePlan) Procedure that caused this media to be created
... partOf SΣ 0..* Reference(Media) Teil von
... status ?!SΣ 1..1 code Status
Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.
... type SΣ 1..1 CodeableConcept Typ
Binding: MediaType (extensible): Codes for high level media categories.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:image Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/media-type
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... modality SΣ 0..1 CodeableConcept Modalität
Binding: MII VS Patho Media Modality [SNOMED CT] (extensible)
... 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 SΣ 0..1 Reference(MII PR Patho Specimen) Gegenstand
... 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 SΣ 1..1 Attachment Inhalt
... note 0..* Annotation Comments made about the media

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Media.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Media.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Media.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Media.status Base required EventStatus 📍4.0.1 FHIR Std.
Media.type Base extensible Media Type 📍4.0.1 FHIR Std.
Media.modality Base extensible MII VS Patho Media Modality [SNOMED CT] 📦2027.0.0-ballot This IG
Media.view Base example Media Collection View/Projection 📍4.0.1 FHIR Std.
Media.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Media.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Media If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Media If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id 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()

Diese Struktur ist abgeleitet von Media

Summary

Mandatory: 3 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Media.type.coding

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 SΣ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... partOf SΣ 0..* Reference(Media) Teil von
... status ?!SΣ 1..1 code Status
Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.
... type SΣ 1..1 CodeableConcept Typ
Binding: MediaType (extensible): Codes for high level media categories.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:image Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/media-type
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... modality SΣ 0..1 CodeableConcept Modalität
Binding: MII VS Patho Media Modality [SNOMED CT] (extensible)
... subject SΣ 0..1 Reference(MII PR Patho Specimen) Gegenstand
... content SΣ 1..1 Attachment Inhalt

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Media.status Base required EventStatus 📍4.0.1 FHIR Std.
Media.type Base extensible Media Type 📍4.0.1 FHIR Std.
Media.modality Base extensible MII VS Patho Media Modality [SNOMED CT] 📦2027.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Media If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Media If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id 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-Ansicht

Diese Struktur ist abgeleitet von Media

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 S 0..1 id Logical id of this artifact
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... status S 1..1 code Status
... type S 1..1 CodeableConcept Typ
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:image 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/media-type
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
... modality S 0..1 CodeableConcept Modalität
Binding: MII VS Patho Media Modality [SNOMED CT] (extensible)
... subject S 0..1 Reference(MII PR Patho Specimen) Gegenstand
... content S 1..1 Attachment Inhalt

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Media.modality Base extensible MII VS Patho Media Modality [SNOMED CT] 📦2027.0.0-ballot This IG

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 SΣ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 BindingsPurpose
AllLanguages Max Binding
... text S 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier(s) for the image
... basedOn Σ 0..* Reference(ServiceRequest | CarePlan) Procedure that caused this media to be created
... partOf SΣ 0..* Reference(Media) Teil von
... status ?!SΣ 1..1 code Status
Binding: EventStatus (required): Codes identifying the lifecycle stage of an event.
... type SΣ 1..1 CodeableConcept Typ
Binding: MediaType (extensible): Codes for high level media categories.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:image Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/media-type
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... modality SΣ 0..1 CodeableConcept Modalität
Binding: MII VS Patho Media Modality [SNOMED CT] (extensible)
... 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 SΣ 0..1 Reference(MII PR Patho Specimen) Gegenstand
... 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 SΣ 1..1 Attachment Inhalt
... note 0..* Annotation Comments made about the media

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Media.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Media.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Media.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Media.status Base required EventStatus 📍4.0.1 FHIR Std.
Media.type Base extensible Media Type 📍4.0.1 FHIR Std.
Media.modality Base extensible MII VS Patho Media Modality [SNOMED CT] 📦2027.0.0-ballot This IG
Media.view Base example Media Collection View/Projection 📍4.0.1 FHIR Std.
Media.reasonCode Base example Procedure Reason Codes 📍4.0.1 FHIR Std.
Media.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Media If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Media If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id 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()

Diese Struktur ist abgeleitet von Media

Summary

Mandatory: 3 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Media.type.coding

 

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