{ "resourceType": "StructureDefinition", "id": "BodyStructure", "meta": { "lastUpdated": "2021-01-01T21:58:31.578+00:00" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category", "valueString": "Clinical.Diagnostics" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category", "valueCode": "patient" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "oo" }, { "url": "http://hl7.org/fhir/build/StructureDefinition/entered-in-error-status", "valueCode": ".active = false" } ], "url": "http://hl7.org/fhir/StructureDefinition/BodyStructure", "version": "4.6.0", "name": "BodyStructure", "status": "draft", "date": "2021-01-01T21:58:31+00:00", "publisher": "Health Level Seven International (Orders and Observations)", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" } ] }, { "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/orders/index.cfm" } ] } ], "description": "Record details about an anatomical structure. This resource may be used when a coded concept does not provide the necessary detail needed for the use case.", "fhirVersion": "4.6.0", "mapping": [ { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "openehr", "uri": "http://openehr.org", "name": "Open EHR Archetype Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "BodyStructure", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource", "derivation": "specialization", "differential": { "element": [ { "id": "BodyStructure", "path": "BodyStructure", "short": "Specific and identified anatomical structure", "definition": "Record details about an anatomical structure. This resource may be used when a coded concept does not provide the necessary detail needed for the use case.", "alias": [ "anatomical location" ], "min": 0, "max": "*", "mapping": [ { "identity": "rim", "map": "Act" }, { "identity": "openehr", "map": "Archetype ID openEHR-EHR-CLUSTER.anatomical_location.v1 Concept name Anatomical Location Concept description Record details about an anatomical location. Keywords location, site, anatomical Copyright © openEHR Foundation Purpose To record details about anatomical location. Misuse Not for specifiying unilateral/bilateral occurrence - this is related to an evaluation which perhaps includes multiple locations. Author Author name: Heather Leslie Organization: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date of Origination: 2008-11-10 Translator Norwegian Bokmål: Lars Bitsch-Larsen, Haukeland University Hospital of Bergen, Norway, MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine. Arabic (Syria): Mona Saleh Other contributors Heather Leslie, Ocean Informatics, Australia (Editor) Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor) Dunmail Hodkinson, Black Pear Software Ltd, UK References Use cases: - 5LICS, midclavicular line - L forearm, 2cm anterior to the cubital fossa - Right iliac fossa - 5 cm below L tibial tuberosity - 2 cm medial to R nipple - 4 cm below R costal margin in midclavicular line - R femur - midline nose - medial aspect of R great toe nail." }, { "identity": "w5", "map": "clinical.diagnostics" } ] }, { "id": "BodyStructure.identifier", "path": "BodyStructure.identifier", "short": "Bodystructure identifier", "definition": "Identifier for this instance of the anatomical structure.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "rim", "map": ".id" }, { "identity": "openehr", "map": "Specific location Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)" } ] }, { "id": "BodyStructure.active", "path": "BodyStructure.active", "short": "Whether this record is in active use", "definition": "Whether this body site is in active use.", "comment": "This element is labeled as a modifier because it may be used to mark that the resource was created in error.", "requirements": "Need to be able to mark a body site entry as not to be used because it was created in error.", "min": 0, "max": "1", "type": [ { "code": "boolean" } ], "meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element", "isModifier": true, "isModifierReason": "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid", "isSummary": true, "mapping": [ { "identity": "w5", "map": "FiveWs.status" }, { "identity": "rim", "map": "statusCode" } ] }, { "id": "BodyStructure.morphology", "extension": [ { "url": "http://hl7.org/fhir/build/StructureDefinition/committee-notes", "valueString": "#13394." } ], "path": "BodyStructure.morphology", "short": "Kind of Structure", "definition": "The kind of structure being represented by the body structure at `BodyStructure.location`. This can define both normal and abnormal morphologies.", "comment": "The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodyStructureCode" } ], "strength": "example", "description": "Codes describing anatomic morphology.", "valueSet": "http://hl7.org/fhir/ValueSet/bodystructure-code" }, "mapping": [ { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "SPM-4/SPM-5" } ] }, { "id": "BodyStructure.includedStructure", "path": "BodyStructure.includedStructure", "short": "Included anatomic location(s)", "definition": "The anatomical location(s) or region(s) of the specimen, lesion, or body structure.", "min": 1, "max": "*", "type": [ { "code": "BackboneElement" } ] }, { "id": "BodyStructure.includedStructure.structure", "path": "BodyStructure.includedStructure.structure", "short": "Code that represents the included structure", "definition": "Code that represents the included structure.", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodySite" }, { "url": "http://hl7.org/fhir/build/StructureDefinition/definition", "valueString": "Codes describing anatomical locations. May include laterality." } ], "strength": "example", "description": "SNOMED CT Body site concepts", "valueSet": "http://hl7.org/fhir/ValueSet/body-site" }, "mapping": [ { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "OBX-20/SPM-8/SPM-10" }, { "identity": "rim", "map": ".targetSiteCode" }, { "identity": "openehr", "map": "Name of location" } ] }, { "id": "BodyStructure.includedStructure.laterality", "path": "BodyStructure.includedStructure.laterality", "short": "Code that represents the included structure laterality", "definition": "Code that represents the included structure laterality.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodyStructureQualifier" } ], "strength": "example", "description": "Concepts modifying the anatomic location.", "valueSet": "http://hl7.org/fhir/ValueSet/bodystructure-relative-location" }, "mapping": [ { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9" }, { "identity": "rim", "map": ".targetSiteCode" }, { "identity": "openehr", "map": "Combines Side, Numerical identifier, Anatomical plane,and Aspect" } ] }, { "id": "BodyStructure.includedStructure.qualifier", "path": "BodyStructure.includedStructure.qualifier", "short": "Code that represents the included structure qualifier", "definition": "Code that represents the included structure qualifier.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodyStructureQualifier" } ], "strength": "example", "description": "Concepts modifying the anatomic location.", "valueSet": "http://hl7.org/fhir/ValueSet/bodystructure-relative-location" }, "mapping": [ { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9" }, { "identity": "rim", "map": ".targetSiteCode" }, { "identity": "openehr", "map": "Combines Side, Numerical identifier, Anatomical plane,and Aspect" } ] }, { "id": "BodyStructure.excludedStructure", "path": "BodyStructure.excludedStructure", "short": "Excluded anatomic locations(s)", "definition": "The anatomical location(s) or region(s) not occupied or represented by the specimen, lesion, or body structure.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ] }, { "id": "BodyStructure.excludedStructure.structure", "path": "BodyStructure.excludedStructure.structure", "short": "Code that represents the excluded structure", "definition": "Code that represents the excluded structure.", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodySite" }, { "url": "http://hl7.org/fhir/build/StructureDefinition/definition", "valueString": "Codes describing anatomical locations. May include laterality." } ], "strength": "example", "description": "SNOMED CT Body site concepts", "valueSet": "http://hl7.org/fhir/ValueSet/body-site" }, "mapping": [ { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "OBX-20/SPM-8/SPM-10" }, { "identity": "rim", "map": ".targetSiteCode" }, { "identity": "openehr", "map": "Name of location" } ] }, { "id": "BodyStructure.excludedStructure.laterality", "path": "BodyStructure.excludedStructure.laterality", "short": "Code that represents the excluded structure laterality", "definition": "Code that represents the excluded structure laterality.", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodyStructureQualifier" } ], "strength": "example", "description": "Concepts modifying the anatomic location.", "valueSet": "http://hl7.org/fhir/ValueSet/bodystructure-relative-location" }, "mapping": [ { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9" }, { "identity": "rim", "map": ".targetSiteCode" }, { "identity": "openehr", "map": "Combines Side, Numerical identifier, Anatomical plane,and Aspect" } ] }, { "id": "BodyStructure.excludedStructure.qualifier", "path": "BodyStructure.excludedStructure.qualifier", "short": "Code that represents the excluded structure qualifier", "definition": "Code that represents the excluded structure qualifier.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "BodyStructureQualifier" } ], "strength": "example", "description": "Concepts modifying the anatomic location.", "valueSet": "http://hl7.org/fhir/ValueSet/bodystructure-relative-location" }, "mapping": [ { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9" }, { "identity": "rim", "map": ".targetSiteCode" }, { "identity": "openehr", "map": "Combines Side, Numerical identifier, Anatomical plane,and Aspect" } ] }, { "id": "BodyStructure.description", "path": "BodyStructure.description", "short": "Text description", "definition": "A summary, characterization or explanation of the body structure.", "comment": "This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.", "min": 0, "max": "1", "type": [ { "code": "string" } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "NTE" }, { "identity": "rim", "map": ".text" }, { "identity": "openehr", "map": "Description of anatomical location/Visual markings/orientation" } ] }, { "id": "BodyStructure.image", "path": "BodyStructure.image", "short": "Attached images", "definition": "Image or images used to identify a location.", "min": 0, "max": "*", "type": [ { "code": "Attachment" } ], "mapping": [ { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "OBX" }, { "identity": "rim", "map": "outboundRelationship[typeCode=COMP].target" }, { "identity": "openehr", "map": "Image" } ] }, { "id": "BodyStructure.patient", "path": "BodyStructure.patient", "short": "Who this is about", "definition": "The person to which the body site belongs.", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": ".scoper or .scoper.playsRole" }, { "identity": "w5", "map": "FiveWs.subject" } ] } ] } }