臺灣健保癌症用藥事前審查實作指引
1.0.8 - STU1.0.8

臺灣健保癌症用藥事前審查實作指引 - Downloaded Version 1.0.8 See the Directory of published versions

## Resource Profile: 非DICOM影像-Media TWPAS

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas | Version: 1.0.8
Active as of 2025-09-26 | Computable Name: MediaTWPAS

此非DICOM影像-Media TWPAS Profile說明本IG如何進一步定義臺灣核心-多媒體(TW Core Media) Profile以呈現癌藥事前審查中疾病資訊之影像報告的非DICOM影像

Usages:

- Use this Profile: 事前審查-Bundle TWPAS
- Refer to this Profile: 影像報告-DiagnosticReport Image TWPAS
- Examples for this Profile: Media/med-min
- CapabilityStatements using this Profile: 臺灣癌藥事前審查-用戶端(TWPAS Client) and 臺灣癌藥事前審查-伺服端(TWPAS Server)

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Media |  | 0..* | TWCoreMedia | 健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。
meta | Σ | 1..1 | Meta | 此Media Resource的metadata
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): 代表事件生命週期階段的代碼；應填入所綁定值集中的其中一個代碼
subject | S Σ | 0..1 | Reference(病人資訊-Patient TWPAS) | 多媒體紀錄的對象是誰或什麼？
bodySite | S | 0..1 | CodeableConceptTW | 影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
content | Σ C | 1..1 | Attachment | 實際的多媒體 - 參照或資料。 Constraints: UploadContent
contentType | S Σ | 1..1 | code | Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required) Example General: text/plain; charset=UTF-8, image/png
url | S Σ | 1..1 | url | 非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: http://www.acme.com/logo-small.png Example General: file://US01.jpg
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Media.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status|4.0.1` From the FHIR Standard
Media.bodySite | required | SNOMEDCTBodySite `https://nhicore.nhi.gov.tw/pas/ValueSet/sct-body-site` From this IG
Media.content.contentType | required | MediaMimeTypes `https://nhicore.nhi.gov.tw/pas/ValueSet/media-mimetypes` From this IG

#### Constraints

Id | Grade | Path(s) | Details | Requirements
UploadContent | error | Media.content | 填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$') |
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 TWCoreMedia

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Media |  |  | TWCoreMedia |
meta |  | 1..1 | Meta | 此Media Resource的metadata
profile |  | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
subject |  | 0..1 | Reference(病人資訊-Patient TWPAS) | 多媒體紀錄的對象是誰或什麼？
bodySite | S | 0..1 | CodeableConceptTW | 影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
content | C | 1..1 | Attachment | 實際的多媒體 - 參照或資料。 Constraints: UploadContent
contentType | S | 1..1 | code | Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required)
url | S | 1..1 | url | 非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: file://US01.jpg
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Media.bodySite | required | SNOMEDCTBodySite `https://nhicore.nhi.gov.tw/pas/ValueSet/sct-body-site` From this IG
Media.content.contentType | required | MediaMimeTypes `https://nhicore.nhi.gov.tw/pas/ValueSet/media-mimetypes` From this IG

#### Constraints

Id | Grade | Path(s) | Details | Requirements
UploadContent | error | Media.content | 填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$') |

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Media |  | 0..* | TWCoreMedia | 健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Media紀錄，通常又稱為邏輯性ID。
meta | Σ | 1..1 | Meta | 此Media Resource的metadata
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 | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
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 | 創建此內容所依據的一組規則
language |  | 0..1 | code | 用以表述Media Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional Bindings | Purpose
AllLanguages | Max Binding
Example Value: zh-TW
text |  | 0..1 | Narrative | Media Resource之內容摘要以供人閱讀 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 | 影像的識別碼
basedOn | Σ | 0..* | Reference(ServiceRequest | CarePlan) | 導致產生此多媒體的程序
partOf | Σ | 0..* | Reference(Resource) | 參照事件的一部分
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): 代表事件生命週期階段的代碼；應填入所綁定值集中的其中一個代碼
type |  | 0..1 | CodeableConceptTW | 將多媒體分類為影像、影片或音檔 Binding: MediaType (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
modality |  | 0..1 | CodeableConceptTW | 取得影像的設備/過程 Binding: MediaModality (example): 可參考MediaModality代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
view |  | 0..1 | CodeableConceptTW | 影像視圖，從不同的角度拍攝醫學影像，例如：側位（Lateral，從旁邊看）或前後部位（Antero-posterior，從前面或後面看） Binding: MediaCollectionView/Projection (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject | S Σ | 0..1 | Reference(病人資訊-Patient TWPAS) | 多媒體紀錄的對象是誰或什麼？
encounter | Σ | 0..1 | Reference(TW Core Encounter) | 與此Media相關的就醫事件（Encounter）
created[x] | Σ | 0..1 |  | Media被收集的時間
createdDateTime |  |  | dateTime |
createdPeriod |  |  | Period |
issued | Σ | 0..1 | instant | 此版本提供的日期/時間
operator | Σ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson) | 產生影像的人
reasonCode |  | 0..* | CodeableConceptTW | 為什麼會進行這個事件？ Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
bodySite | S | 0..1 | CodeableConceptTW | 影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
deviceName | Σ | 0..1 | string | 設備/製造商的名稱
device | Σ | 0..1 | Reference(Device | DeviceMetric | Device) | 影像、影片、音檔的補捉設備。
height | Σ | 0..1 | positiveInt | 以像素為單位的影像高度（影像/影像）
width | Σ | 0..1 | positiveInt | 以像素為單位的影像寬度（影像/影像）
frames | Σ | 0..1 | positiveInt | > 1 的影格（影像）。
duration | Σ | 0..1 | decimal | 以秒為單位的長度（音檔/影片）。
content | Σ C | 1..1 | Attachment | 實際的多媒體 - 參照或資料。 Constraints: UploadContent
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 | S Σ | 1..1 | code | Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required) 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 |  | 0..1 | base64Binary | Data inline, base64ed
url | S Σ | 1..1 | url | 非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: http://www.acme.com/logo-small.png Example General: file://US01.jpg
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 | 對此Media的意見
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Media.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
Media.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
Media.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Media.status | required | EventStatus `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 | extensible | MediaCollectionView/Projection `http://hl7.org/fhir/ValueSet/media-view` From the FHIR Standard
Media.reasonCode | extensible | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` From the FHIR Standard
Media.bodySite | required | SNOMEDCTBodySite `https://nhicore.nhi.gov.tw/pas/ValueSet/sct-body-site` From this IG
Media.content.contentType | required | MediaMimeTypes `https://nhicore.nhi.gov.tw/pas/ValueSet/media-mimetypes` From this IG
Media.content.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding

#### Constraints

Id | Grade | Path(s) | Details | Requirements
UploadContent | error | Media.content | 填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$') |
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 TWCoreMedia

Summary

Mandatory: 4 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Media |  | 0..* | TWCoreMedia | 健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。
meta | Σ | 1..1 | Meta | 此Media Resource的metadata
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): 代表事件生命週期階段的代碼；應填入所綁定值集中的其中一個代碼
subject | S Σ | 0..1 | Reference(病人資訊-Patient TWPAS) | 多媒體紀錄的對象是誰或什麼？
bodySite | S | 0..1 | CodeableConceptTW | 影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
content | Σ C | 1..1 | Attachment | 實際的多媒體 - 參照或資料。 Constraints: UploadContent
contentType | S Σ | 1..1 | code | Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required) Example General: text/plain; charset=UTF-8, image/png
url | S Σ | 1..1 | url | 非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: http://www.acme.com/logo-small.png Example General: file://US01.jpg
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Media.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status|4.0.1` From the FHIR Standard
Media.bodySite | required | SNOMEDCTBodySite `https://nhicore.nhi.gov.tw/pas/ValueSet/sct-body-site` From this IG
Media.content.contentType | required | MediaMimeTypes `https://nhicore.nhi.gov.tw/pas/ValueSet/media-mimetypes` From this IG

#### Constraints

Id | Grade | Path(s) | Details | Requirements
UploadContent | error | Media.content | 填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$') |
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 TWCoreMedia

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Media |  |  | TWCoreMedia |
meta |  | 1..1 | Meta | 此Media Resource的metadata
profile |  | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
subject |  | 0..1 | Reference(病人資訊-Patient TWPAS) | 多媒體紀錄的對象是誰或什麼？
bodySite | S | 0..1 | CodeableConceptTW | 影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
content | C | 1..1 | Attachment | 實際的多媒體 - 參照或資料。 Constraints: UploadContent
contentType | S | 1..1 | code | Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required)
url | S | 1..1 | url | 非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: file://US01.jpg
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Media.bodySite | required | SNOMEDCTBodySite `https://nhicore.nhi.gov.tw/pas/ValueSet/sct-body-site` From this IG
Media.content.contentType | required | MediaMimeTypes `https://nhicore.nhi.gov.tw/pas/ValueSet/media-mimetypes` From this IG

#### Constraints

Id | Grade | Path(s) | Details | Requirements
UploadContent | error | Media.content | 填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$') |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Media |  | 0..* | TWCoreMedia | 健康照護中獲取或使用的影像、影片或音檔，實際內容可能置於行內或透過直接參照提供。
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Media紀錄，通常又稱為邏輯性ID。
meta | Σ | 1..1 | Meta | 此Media Resource的metadata
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 | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
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 | 創建此內容所依據的一組規則
language |  | 0..1 | code | 用以表述Media Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional Bindings | Purpose
AllLanguages | Max Binding
Example Value: zh-TW
text |  | 0..1 | Narrative | Media Resource之內容摘要以供人閱讀 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 | 影像的識別碼
basedOn | Σ | 0..* | Reference(ServiceRequest | CarePlan) | 導致產生此多媒體的程序
partOf | Σ | 0..* | Reference(Resource) | 參照事件的一部分
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): 代表事件生命週期階段的代碼；應填入所綁定值集中的其中一個代碼
type |  | 0..1 | CodeableConceptTW | 將多媒體分類為影像、影片或音檔 Binding: MediaType (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
modality |  | 0..1 | CodeableConceptTW | 取得影像的設備/過程 Binding: MediaModality (example): 可參考MediaModality代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
view |  | 0..1 | CodeableConceptTW | 影像視圖，從不同的角度拍攝醫學影像，例如：側位（Lateral，從旁邊看）或前後部位（Antero-posterior，從前面或後面看） Binding: MediaCollectionView/Projection (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject | S Σ | 0..1 | Reference(病人資訊-Patient TWPAS) | 多媒體紀錄的對象是誰或什麼？
encounter | Σ | 0..1 | Reference(TW Core Encounter) | 與此Media相關的就醫事件（Encounter）
created[x] | Σ | 0..1 |  | Media被收集的時間
createdDateTime |  |  | dateTime |
createdPeriod |  |  | Period |
issued | Σ | 0..1 | instant | 此版本提供的日期/時間
operator | Σ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | TW Core Patient | Device | TW Core RelatedPerson) | 產生影像的人
reasonCode |  | 0..* | CodeableConceptTW | 為什麼會進行這個事件？ Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
bodySite | S | 0..1 | CodeableConceptTW | 影像檢查的身體部位 Binding: SNOMEDCT-健保事前審查-身體部位值集 (required)
deviceName | Σ | 0..1 | string | 設備/製造商的名稱
device | Σ | 0..1 | Reference(Device | DeviceMetric | Device) | 影像、影片、音檔的補捉設備。
height | Σ | 0..1 | positiveInt | 以像素為單位的影像高度（影像/影像）
width | Σ | 0..1 | positiveInt | 以像素為單位的影像寬度（影像/影像）
frames | Σ | 0..1 | positiveInt | > 1 的影格（影像）。
duration | Σ | 0..1 | decimal | 以秒為單位的長度（音檔/影片）。
content | Σ C | 1..1 | Attachment | 實際的多媒體 - 參照或資料。 Constraints: UploadContent
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 | S Σ | 1..1 | code | Mime type of the content, with charset etc. Binding: HL7-非DICOM影像MimeType值集 (required) 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 |  | 0..1 | base64Binary | Data inline, base64ed
url | S Σ | 1..1 | url | 非DICOM影像（請填寫完整檔案路徑）。填寫上傳附件檔名，例如：file://US01.jpg，且需上傳壓縮後的影像圖檔。 Example General: http://www.acme.com/logo-small.png Example General: file://US01.jpg
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 | 對此Media的意見
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Media.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
Media.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
Media.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Media.status | required | EventStatus `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 | extensible | MediaCollectionView/Projection `http://hl7.org/fhir/ValueSet/media-view` From the FHIR Standard
Media.reasonCode | extensible | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` From the FHIR Standard
Media.bodySite | required | SNOMEDCTBodySite `https://nhicore.nhi.gov.tw/pas/ValueSet/sct-body-site` From this IG
Media.content.contentType | required | MediaMimeTypes `https://nhicore.nhi.gov.tw/pas/ValueSet/media-mimetypes` From this IG
Media.content.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding

#### Constraints

Id | Grade | Path(s) | Details | Requirements
UploadContent | error | Media.content | 填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9_一-龥()（）－]+.[a-zA-Z]{2,5}$') |
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 TWCoreMedia

Summary

Mandatory: 4 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Other representations of profile: CSV, Excel, Schematron