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10.10 Resource BodyStructure - Content

Orders and Observations icon Work GroupMaturity Level: 1 Trial UseSecurity 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.

10.10.1 Scope and Usage

The BodyStructure resource contains details about the anatomical location of a specimen or body part, including patient information, identifiers, as well as text descriptions and images.

When needed, it allows the the representation of complex body structures and/or locations using the included and excluded elements. Also, it provides for the addition of qualifiers such as laterality and directionality to the anatomic location for those use cases where pre-coordination of codes is not possible. The BodyStructure resource supports recording and tracking of an anatomic location or structure on a patient outside the context of another resource. For example it can be the target of a Procedure or Observation resource.

10.10.2 Boundaries and Relationships

The BodyStructure resource is not intended to substitute for precoordination of codes. If precoordination of codes is supported by an implementation the codeableConcept should be used. This resource is not intended for describing the type of anatomical location but rather a specific body site on a specific patient.

10.10.3 References to this Resource

10.10.4 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure TU 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
... morphology Σ 0..1 CodeableConcept Kind of Structure
Binding: SNOMED CT Morphologic Abnormalities (Example)
.... 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

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

... excludedStructure 0..* see includedStructure Excluded anatomic locations(s)

... description Σ 0..1 markdown Text description
... image 0..* Attachment Attached images

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

doco Documentation for this format icon

See the Extensions for this resource

 

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

10.10.4.1 Terminology Bindings

Path ValueSet Type Documentation
BodyStructure.morphology SNOMEDCTMorphologicAbnormalities 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.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

10.10.5 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 65 Resources
included_structure token Body site includedStructure structure BodyStructure.includedStructure.structure
morphology token Kind of Structure BodyStructure.morphology
patient reference Who this is about BodyStructure.patient
(Patient)		 65 Resources