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10.7 Resource BodyStructure - Content

Responsible Owner: Orders and Observations icon Work Group NormativeSecurity Category: Patient Compartments: Patient

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.

10.7.1 Scope and Usage

Note to Balloters: To ensure this resource is ready for Normative status, we are seeking ballot comment on the substantive content. The key changes made since R5 include:

  • BodyStructure.morphology has been moved to BodyStructure.includedStructure.morphology
  • Added BodyStructure.includedStructure.image to provide an image of the includedStructure or excludedStructure.

Release Notes (pending alternative process review with FMG):

The BodyStructure resource contain details about an anatomical or pathological structure (e.g. a cyst) and may include patient information, identifiers, text descriptions, images, and spatially relevant characteristics.

BodyStructure is used when a coded concept alone does not provide sufficient detail, identity, persistence, or reuse for the use case. It supports representation of complex anatomical structures and locations using included and excluded structures and can provide additional detail such as laterality, directionality, qualifiers, morphology, images, landmark-based positioning, and spatial references.

Some anatomical structures are discontiguous or consist of multiple related structures. A single BodyStructure instance may represent multiple included structures when they are considered a single anatomical or pathological entity for recording, tracking, or clinical management purposes. Separate BodyStructure instances should be used when structures need to be identified, assessed, tracked, treated, or managed independently over time.

The BodyStructure resource supports recording and tracking an anatomic location or structure on a patient outside the context of another resource.

10.7.2 Boundaries and Relationships

A BodyStructure instance is appropriate when the anatomical structure or pathological structures need to be recorded and tracked outside the context of a single resource, reused across resources, or described with additional detail such as laterality, qualifiers, morphology, images, or spatial description.

The bodyStructure element in resources that support it can be used when the resource's code does not fully specify the relevant body structure. As a CodeableReference, it supports both simple coded body structure concepts and references to a BodyStructure instance when additional detail or site-specific identity is needed; repeating elements allow multiple body structures to be represented.

Referencing resources, such as Procedure or Observation, can use one or more BodyStructure instances to identify the relevant structures consistently across multiple records and over time.

Resources that support references to BodyStructure should generally allow multiple references where multiple anatomical or pathological structures may be relevant to the clinical context. A resource may reference multiple BodyStructure instances when the structures are distinct entities that need to be identified or managed independently. A single BodyStructure instance may represent multiple related structures through its includedStructure elements when those structures are treated as a single anatomical or pathological entity.

If a resource's code implies a body structure, any referenced BodyStructure should be consistent with that code and used to provide additional anatomical detail.

10.7.3 References to this Resource

10.7.4 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BodyStructure N DomainResource Specific and identified anatomical structure

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ 0..* Identifier Bodystructure identifier

... active ?!Σ 0..1 boolean Whether this record is in active use
... includedStructure 1..* BackboneElement Included anatomic location(s)

.... structure Σ 1..1 CodeableConcept Code that represents the included structure
Binding: SNOMED CT Body Structures (Example)
.... laterality 0..1 CodeableConcept Code that represents the included structure laterality
Binding: Bodystructure Laterality (Example)
.... bodyLandmarkOrientation 0..* BackboneElement Landmark relative location

..... landmarkDescription 0..* CodeableConcept Explanation of landmark
Binding: SNOMED CT Body Structures (Example)

..... clockFacePosition 0..* CodeableConcept Clockface orientation
Binding: Bodystructure Body Landmark Clock Face Position (Example)

..... distanceFromLandmark 0..* BackboneElement Landmark relative location

...... device 0..* CodeableReference(Device) Measurement device
Binding: Device Type (Example)

...... value 0..* Quantity Measured distance from body landmark

..... surfaceOrientation 0..* CodeableConcept Relative landmark surface orientation
Binding: Bodystructure Location Qualifier (Preferred)

.... spatialReference 0..* Reference(ImagingSelection) Cartesian reference for structure

.... image 0..* Attachment Image(s) of structural aspects

.... qualifier 0..* CodeableConcept Code that represents the included structure qualifier
Binding: Bodystructure Location Qualifier (Example)

.... morphology Σ 0..1 CodeableConcept Kind of Structure
Binding: SNOMED CT Morphologic Abnormalities (Example)
... description Σ 0..1 markdown Text description
... image 0..* Attachment Attached images

... patient Σ 0..1 Reference(Patient) Who this is about

doco Documentation for this format icon

See the Extensions for this resource

UML Diagram (Legend)

BodyStructure (DomainResource)Identifier for this instance of the anatomical structureidentifier : Identifier [0..*]Whether this body structure is in active use (this element modifies the meaning of other elements)active : boolean [0..1]A summary, characterization or explanation of the body structuredescription : markdown [0..1]Image(s) used to identify aspects of the overall structureimage : Attachment [0..*]The person to which the body site belongspatient : Reference [0..1] « Patient »IncludedStructureCode that represents the included structurestructure : CodeableConcept [1..1] « Codes describing anatomical locations. May include laterality. (Strength=Example)SNOMEDCTBodyStructures?? »Code that represents the included structure lateralitylaterality : CodeableConcept [0..1] « null (Strength=Example)BodystructureLaterality?? »XY or XYZ-coordinate orientation for structurespatialReference : Reference [0..*] « ImagingSelection »Image(s) used to identify aspects of an included or excluded structureimage : Attachment [0..*]Code that represents the included structure qualifierqualifier : CodeableConcept [0..*] « null (Strength=Example)BodystructureLocationQualifier?? »The kind of structure being represented by the body structure at `BodyStructure.location`. This can define both normal and abnormal morphologiesmorphology : CodeableConcept [0..1] « null (Strength=Example) SNOMEDCTMorphologicAbnormalit...?? »BodyLandmarkOrientationBody landmark description used as a reference to locate something elselandmarkDescription : CodeableConcept [0..*] « null (Strength=Example) SNOMEDCTBodyStructures?? »An description of the direction away from a landmark something is located based on a radial clock dialclockFacePosition : CodeableConcept [0..*] « null (Strength=Example) BodystructureBodyLandmarkCloc...?? »The surface area a body location is in relation to a landmarksurfaceOrientation : CodeableConcept [0..*] « null (Strength=Preferred) BodystructureLocationQualifier? »DistanceFromLandmarkAn instrument, tool, analyzer, etc. used in the measurementdevice : CodeableReference [0..*] « Device; null (Strength=Example)DeviceType?? »The measured distance (e.g., in cm) from a body landmarkvalue : Quantity [0..*]The distance in centimeters a certain observation is made from a body landmarkdistanceFromLandmark[0..*]Body location in relation to a specific body landmark (e.g., a body structure such a navel, scar, or implanted device)bodyLandmarkOrientation[0..*]The anatomical location(s) or region(s) of the specimen, lesion, or body structureincludedStructure[1..*]The anatomical location(s) or region(s) not occupied or represented by the specimen, lesion, or body structureexcludedStructure[0..*]

XML Template

<BodyStructure xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Bodystructure identifier --></identifier>
 <active value="[boolean]"/><!-- 0..1 Whether this record is in active use -->
 <includedStructure>  <!-- 1..* Included anatomic location(s) -->
  <structure><!-- 1..1 CodeableConcept Code that represents the included structure --></structure>
  <laterality><!-- 0..1 CodeableConcept Code that represents the included structure laterality --></laterality>
  <bodyLandmarkOrientation>  <!-- 0..* Landmark relative location -->
   <landmarkDescription><!-- 0..* CodeableConcept Explanation of landmark --></landmarkDescription>
   <clockFacePosition><!-- 0..* CodeableConcept Clockface orientation --></clockFacePosition>
   <distanceFromLandmark>  <!-- 0..* Landmark relative location -->
    <device><!-- 0..* CodeableReference(Device) Measurement device --></device>
    <value><!-- 0..* Quantity Measured distance from body landmark --></value>
   </distanceFromLandmark>
   <surfaceOrientation><!-- 0..* CodeableConcept Relative landmark surface orientation --></surfaceOrientation>
  </bodyLandmarkOrientation>
  <spatialReference><!-- 0..* Reference(ImagingSelection) Cartesian reference for structure --></spatialReference>
  <image><!-- 0..* Attachment Image(s) of structural aspects --></image>
  <qualifier><!-- 0..* CodeableConcept Code that represents the included structure qualifier --></qualifier>
  <morphology><!-- 0..1 CodeableConcept Kind of Structure --></morphology>
 </includedStructure>
 <excludedStructure><!-- 0..* Content as for BodyStructure.includedStructure Excluded anatomic locations(s) --></excludedStructure>
 <description value="[markdown]"/><!-- 0..1 Text description -->
 <image><!-- 0..* Attachment Attached images --></image>
 <patient><!-- 0..1 Reference(Patient) Who this is about --></patient>
</BodyStructure>

JSON Template

{doco
  "resourceType" : "BodyStructure",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Bodystructure identifier
  "active" : <boolean>, // Whether this record is in active use
  "includedStructure" : [{ // R!  Included anatomic location(s)
    "structure" : { CodeableConcept }, // R!  Code that represents the included structure
    "laterality" : { CodeableConcept }, // Code that represents the included structure laterality
    "bodyLandmarkOrientation" : [{ // Landmark relative location
      "landmarkDescription" : [{ CodeableConcept }], // Explanation of landmark
      "clockFacePosition" : [{ CodeableConcept }], // Clockface orientation
      "distanceFromLandmark" : [{ // Landmark relative location
        "device" : [{ CodeableReference(Device) }], // Measurement device
        "value" : [{ Quantity }] // Measured distance from body landmark
      }],
      "surfaceOrientation" : [{ CodeableConcept }] // Relative landmark surface orientation
    }],
    "spatialReference" : [{ Reference(ImagingSelection) }], // Cartesian reference for structure
    "image" : [{ Attachment }], // Image(s) of structural aspects
    "qualifier" : [{ CodeableConcept }], // Code that represents the included structure qualifier
    "morphology" : { CodeableConcept } // Kind of Structure
  }],
  "excludedStructure" : [{ Content as for BodyStructure.includedStructure }], // Excluded anatomic locations(s)
  "description" : "<markdown>", // Text description
  "image" : [{ Attachment }], // Attached images
  "patient" : { Reference(Patient) } // Who this is about
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:BodyStructure;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: fhir:id, fhir:meta, fhir:implicitRules, and fhir:language
  # from DomainResource: fhir:text, fhir:contained, fhir:extension, and fhir:modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Bodystructure identifier
  fhir:active [ boolean ] ; # 0..1 Whether this record is in active use
  fhir:includedStructure ( [ # 1..* Included anatomic location(s)
    fhir:structure [ CodeableConcept ] ; # 1..1 Code that represents the included structure
    fhir:laterality [ CodeableConcept ] ; # 0..1 Code that represents the included structure laterality
    fhir:bodyLandmarkOrientation ( [ # 0..* Landmark relative location
      fhir:landmarkDescription  ( [ CodeableConcept ] ... ) ; # 0..* Explanation of landmark
      fhir:clockFacePosition  ( [ CodeableConcept ] ... ) ; # 0..* Clockface orientation
      fhir:distanceFromLandmark ( [ # 0..* Landmark relative location
        fhir:device  ( [ CodeableReference(Device) ] ... ) ; # 0..* Measurement device
        fhir:value  ( [ Quantity ] ... ) ; # 0..* Measured distance from body landmark
      ] ... ) ;
      fhir:surfaceOrientation  ( [ CodeableConcept ] ... ) ; # 0..* Relative landmark surface orientation
    ] ... ) ;
    fhir:spatialReference  ( [ Reference(ImagingSelection) ] ... ) ; # 0..* Cartesian reference for structure
    fhir:image  ( [ Attachment ] ... ) ; # 0..* Image(s) of structural aspects
    fhir:qualifier  ( [ CodeableConcept ] ... ) ; # 0..* Code that represents the included structure qualifier
    fhir:morphology [ CodeableConcept ] ; # 0..1 Kind of Structure
  ] ... ) ;
  fhir:excludedStructure  ( [ See BodyStructure.includedStructure ] ... ) ; # 0..* Excluded anatomic locations(s)
  fhir:description [ markdown ] ; # 0..1 Text description
  fhir:image  ( [ Attachment ] ... ) ; # 0..* Attached images
  fhir:patient [ Reference(Patient) ] ; # 0..1 Who this is about
]

Changes from R5 to R6

BodyStructure
BodyStructure.includedStructure.image
  • Added Element
BodyStructure.includedStructure.morphology
  • Moved from BodyStructure to BodyStructure.includedStructure
BodyStructure.patient
  • Min Cardinality changed from 1 to 0

Changes from R4 and R4B to R6

BodyStructure
BodyStructure.includedStructure
  • Added Mandatory Element
BodyStructure.includedStructure.structure
  • Added Mandatory Element
BodyStructure.includedStructure.laterality
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
  • Added Element
BodyStructure.includedStructure.spatialReference
  • Added Element
BodyStructure.includedStructure.image
  • Added Element
BodyStructure.includedStructure.qualifier
  • Added Element
BodyStructure.includedStructure.morphology
  • Moved from BodyStructure to BodyStructure.includedStructure
BodyStructure.excludedStructure
  • Added Element
BodyStructure.description
  • Type changed from string to markdown
BodyStructure.patient
  • Min Cardinality changed from 1 to 0
BodyStructure.location
  • Deleted
BodyStructure.locationQualifier
  • Deleted

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BodyStructure N DomainResource Specific and identified anatomical structure

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ 0..* Identifier Bodystructure identifier

... active ?!Σ 0..1 boolean Whether this record is in active use
... includedStructure 1..* BackboneElement Included anatomic location(s)

.... structure Σ 1..1 CodeableConcept Code that represents the included structure
Binding: SNOMED CT Body Structures (Example)
.... laterality 0..1 CodeableConcept Code that represents the included structure laterality
Binding: Bodystructure Laterality (Example)
.... bodyLandmarkOrientation 0..* BackboneElement Landmark relative location

..... landmarkDescription 0..* CodeableConcept Explanation of landmark
Binding: SNOMED CT Body Structures (Example)

..... clockFacePosition 0..* CodeableConcept Clockface orientation
Binding: Bodystructure Body Landmark Clock Face Position (Example)

..... distanceFromLandmark 0..* BackboneElement Landmark relative location

...... device 0..* CodeableReference(Device) Measurement device
Binding: Device Type (Example)

...... value 0..* Quantity Measured distance from body landmark

..... surfaceOrientation 0..* CodeableConcept Relative landmark surface orientation
Binding: Bodystructure Location Qualifier (Preferred)

.... spatialReference 0..* Reference(ImagingSelection) Cartesian reference for structure

.... image 0..* Attachment Image(s) of structural aspects

.... qualifier 0..* CodeableConcept Code that represents the included structure qualifier
Binding: Bodystructure Location Qualifier (Example)

.... morphology Σ 0..1 CodeableConcept Kind of Structure
Binding: SNOMED CT Morphologic Abnormalities (Example)
... description Σ 0..1 markdown Text description
... image 0..* Attachment Attached images

... patient Σ 0..1 Reference(Patient) Who this is about

doco Documentation for this format icon

See the Extensions for this resource

UML Diagram (Legend)

BodyStructure (DomainResource)Identifier for this instance of the anatomical structureidentifier : Identifier [0..*]Whether this body structure is in active use (this element modifies the meaning of other elements)active : boolean [0..1]A summary, characterization or explanation of the body structuredescription : markdown [0..1]Image(s) used to identify aspects of the overall structureimage : Attachment [0..*]The person to which the body site belongspatient : Reference [0..1] « Patient »IncludedStructureCode that represents the included structurestructure : CodeableConcept [1..1] « Codes describing anatomical locations. May include laterality. (Strength=Example)SNOMEDCTBodyStructures?? »Code that represents the included structure lateralitylaterality : CodeableConcept [0..1] « null (Strength=Example)BodystructureLaterality?? »XY or XYZ-coordinate orientation for structurespatialReference : Reference [0..*] « ImagingSelection »Image(s) used to identify aspects of an included or excluded structureimage : Attachment [0..*]Code that represents the included structure qualifierqualifier : CodeableConcept [0..*] « null (Strength=Example)BodystructureLocationQualifier?? »The kind of structure being represented by the body structure at `BodyStructure.location`. This can define both normal and abnormal morphologiesmorphology : CodeableConcept [0..1] « null (Strength=Example) SNOMEDCTMorphologicAbnormalit...?? »BodyLandmarkOrientationBody landmark description used as a reference to locate something elselandmarkDescription : CodeableConcept [0..*] « null (Strength=Example) SNOMEDCTBodyStructures?? »An description of the direction away from a landmark something is located based on a radial clock dialclockFacePosition : CodeableConcept [0..*] « null (Strength=Example) BodystructureBodyLandmarkCloc...?? »The surface area a body location is in relation to a landmarksurfaceOrientation : CodeableConcept [0..*] « null (Strength=Preferred) BodystructureLocationQualifier? »DistanceFromLandmarkAn instrument, tool, analyzer, etc. used in the measurementdevice : CodeableReference [0..*] « Device; null (Strength=Example)DeviceType?? »The measured distance (e.g., in cm) from a body landmarkvalue : Quantity [0..*]The distance in centimeters a certain observation is made from a body landmarkdistanceFromLandmark[0..*]Body location in relation to a specific body landmark (e.g., a body structure such a navel, scar, or implanted device)bodyLandmarkOrientation[0..*]The anatomical location(s) or region(s) of the specimen, lesion, or body structureincludedStructure[1..*]The anatomical location(s) or region(s) not occupied or represented by the specimen, lesion, or body structureexcludedStructure[0..*]

XML Template

<BodyStructure xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Bodystructure identifier --></identifier>
 <active value="[boolean]"/><!-- 0..1 Whether this record is in active use -->
 <includedStructure>  <!-- 1..* Included anatomic location(s) -->
  <structure><!-- 1..1 CodeableConcept Code that represents the included structure --></structure>
  <laterality><!-- 0..1 CodeableConcept Code that represents the included structure laterality --></laterality>
  <bodyLandmarkOrientation>  <!-- 0..* Landmark relative location -->
   <landmarkDescription><!-- 0..* CodeableConcept Explanation of landmark --></landmarkDescription>
   <clockFacePosition><!-- 0..* CodeableConcept Clockface orientation --></clockFacePosition>
   <distanceFromLandmark>  <!-- 0..* Landmark relative location -->
    <device><!-- 0..* CodeableReference(Device) Measurement device --></device>
    <value><!-- 0..* Quantity Measured distance from body landmark --></value>
   </distanceFromLandmark>
   <surfaceOrientation><!-- 0..* CodeableConcept Relative landmark surface orientation --></surfaceOrientation>
  </bodyLandmarkOrientation>
  <spatialReference><!-- 0..* Reference(ImagingSelection) Cartesian reference for structure --></spatialReference>
  <image><!-- 0..* Attachment Image(s) of structural aspects --></image>
  <qualifier><!-- 0..* CodeableConcept Code that represents the included structure qualifier --></qualifier>
  <morphology><!-- 0..1 CodeableConcept Kind of Structure --></morphology>
 </includedStructure>
 <excludedStructure><!-- 0..* Content as for BodyStructure.includedStructure Excluded anatomic locations(s) --></excludedStructure>
 <description value="[markdown]"/><!-- 0..1 Text description -->
 <image><!-- 0..* Attachment Attached images --></image>
 <patient><!-- 0..1 Reference(Patient) Who this is about --></patient>
</BodyStructure>

JSON Template

{doco
  "resourceType" : "BodyStructure",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Bodystructure identifier
  "active" : <boolean>, // Whether this record is in active use
  "includedStructure" : [{ // R!  Included anatomic location(s)
    "structure" : { CodeableConcept }, // R!  Code that represents the included structure
    "laterality" : { CodeableConcept }, // Code that represents the included structure laterality
    "bodyLandmarkOrientation" : [{ // Landmark relative location
      "landmarkDescription" : [{ CodeableConcept }], // Explanation of landmark
      "clockFacePosition" : [{ CodeableConcept }], // Clockface orientation
      "distanceFromLandmark" : [{ // Landmark relative location
        "device" : [{ CodeableReference(Device) }], // Measurement device
        "value" : [{ Quantity }] // Measured distance from body landmark
      }],
      "surfaceOrientation" : [{ CodeableConcept }] // Relative landmark surface orientation
    }],
    "spatialReference" : [{ Reference(ImagingSelection) }], // Cartesian reference for structure
    "image" : [{ Attachment }], // Image(s) of structural aspects
    "qualifier" : [{ CodeableConcept }], // Code that represents the included structure qualifier
    "morphology" : { CodeableConcept } // Kind of Structure
  }],
  "excludedStructure" : [{ Content as for BodyStructure.includedStructure }], // Excluded anatomic locations(s)
  "description" : "<markdown>", // Text description
  "image" : [{ Attachment }], // Attached images
  "patient" : { Reference(Patient) } // Who this is about
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:BodyStructure;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: fhir:id, fhir:meta, fhir:implicitRules, and fhir:language
  # from DomainResource: fhir:text, fhir:contained, fhir:extension, and fhir:modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Bodystructure identifier
  fhir:active [ boolean ] ; # 0..1 Whether this record is in active use
  fhir:includedStructure ( [ # 1..* Included anatomic location(s)
    fhir:structure [ CodeableConcept ] ; # 1..1 Code that represents the included structure
    fhir:laterality [ CodeableConcept ] ; # 0..1 Code that represents the included structure laterality
    fhir:bodyLandmarkOrientation ( [ # 0..* Landmark relative location
      fhir:landmarkDescription  ( [ CodeableConcept ] ... ) ; # 0..* Explanation of landmark
      fhir:clockFacePosition  ( [ CodeableConcept ] ... ) ; # 0..* Clockface orientation
      fhir:distanceFromLandmark ( [ # 0..* Landmark relative location
        fhir:device  ( [ CodeableReference(Device) ] ... ) ; # 0..* Measurement device
        fhir:value  ( [ Quantity ] ... ) ; # 0..* Measured distance from body landmark
      ] ... ) ;
      fhir:surfaceOrientation  ( [ CodeableConcept ] ... ) ; # 0..* Relative landmark surface orientation
    ] ... ) ;
    fhir:spatialReference  ( [ Reference(ImagingSelection) ] ... ) ; # 0..* Cartesian reference for structure
    fhir:image  ( [ Attachment ] ... ) ; # 0..* Image(s) of structural aspects
    fhir:qualifier  ( [ CodeableConcept ] ... ) ; # 0..* Code that represents the included structure qualifier
    fhir:morphology [ CodeableConcept ] ; # 0..1 Kind of Structure
  ] ... ) ;
  fhir:excludedStructure  ( [ See BodyStructure.includedStructure ] ... ) ; # 0..* Excluded anatomic locations(s)
  fhir:description [ markdown ] ; # 0..1 Text description
  fhir:image  ( [ Attachment ] ... ) ; # 0..* Attached images
  fhir:patient [ Reference(Patient) ] ; # 0..1 Who this is about
]

Changes from R5 to R6

BodyStructure
BodyStructure.includedStructure.image
  • Added Element
BodyStructure.includedStructure.morphology
  • Moved from BodyStructure to BodyStructure.includedStructure
BodyStructure.patient
  • Min Cardinality changed from 1 to 0

Changes from R4 and R4B to R6

BodyStructure
BodyStructure.includedStructure
  • Added Mandatory Element
BodyStructure.includedStructure.structure
  • Added Mandatory Element
BodyStructure.includedStructure.laterality
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
  • Added Element
BodyStructure.includedStructure.spatialReference
  • Added Element
BodyStructure.includedStructure.image
  • Added Element
BodyStructure.includedStructure.qualifier
  • Added Element
BodyStructure.includedStructure.morphology
  • Moved from BodyStructure to BodyStructure.includedStructure
BodyStructure.excludedStructure
  • Added Element
BodyStructure.description
  • Type changed from string to markdown
BodyStructure.patient
  • Min Cardinality changed from 1 to 0
BodyStructure.location
  • Deleted
BodyStructure.locationQualifier
  • Deleted

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

 

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

10.7.4.1 Terminology Bindings

Path ValueSet Type Documentation
BodyStructure.includedStructure.structure SNOMEDCTBodyStructures Example

This value set includes all codes from SNOMED CT icon where concept is-a 442083009 (Anatomical or acquired body site (body structure)).
BodyStructure.includedStructure.laterality BodystructureLaterality Example

SNOMED-CT concepts modifying the laterality of the anatomic location
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription SNOMEDCTBodyStructures Example

This value set includes all codes from SNOMED CT icon where concept is-a 442083009 (Anatomical or acquired body site (body structure)).
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition BodystructureBodyLandmarkClockFacePosition Example

Select SNOMED CT codes. A set of codes that describe a things orientation based on a hourly positions of a clock face.
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device DeviceType Example

Codes used to identify medical devices. Includes concepts from SNOMED CT (http://www.snomed.org/) where concept is-a 49062001 (Device) and is provided as a suggestive example.
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation BodystructureLocationQualifier Preferred

SNOMED-CT concepts modifying the anatomic location
BodyStructure.includedStructure.qualifier BodystructureLocationQualifier Example

SNOMED-CT concepts modifying the anatomic location
BodyStructure.includedStructure.morphology SNOMEDCTMorphologicAbnormalities Example

This value set includes all codes from SNOMED CT icon where concept is-a 118956008 (Body structure, altered from its original anatomical structure (morphologic abnormality)).

10.7.5 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
excluded_structure token Body site excludedStructure structure BodyStructure.excludedStructure.structure
identifier token Bodystructure identifier BodyStructure.identifier 58 Resources
included_structure token Body site includedStructure structure BodyStructure.includedStructure.structure
morphology token Kind of Structure BodyStructure.includedStructure.morphology
patient reference Who this is about BodyStructure.patient
(Patient)		 60 Resources