{"abstract":false,"baseDefinition":"http://hl7.org/fhir/StructureDefinition/DomainResource","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/fiwg"}]},{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/orders"}]}],"date":"2026-03-29T21:54:20+00:00","derivation":"specialization","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.","differential":{"element":[{"alias":["anatomical location"],"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.","id":"BodyStructure","isModifier":false,"mapping":[{"identity":"w5","map":"clinical.diagnostics"},{"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."}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure","short":"Specific and identified anatomical structure"},{"definition":"Identifier for this instance of the anatomical structure.","id":"BodyStructure.identifier","isModifier":false,"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..*)"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.identifier","short":"Bodystructure identifier","type":[{"code":"Identifier"}]},{"comment":"This element is labeled as a modifier because it may be used to mark that the resource was created in error.","definition":"Whether this body site is in active use.","id":"BodyStructure.active","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"}],"max":"1","meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","min":0,"mustSupport":false,"path":"BodyStructure.active","requirements":"Need to be able to mark a body site entry as not to be used because it was created in error.","short":"Whether this record is in active use","type":[{"code":"boolean"}]},{"definition":"The anatomical location(s) or region(s) of the specimen, lesion, or body structure.","id":"BodyStructure.includedStructure","isModifier":false,"isSummary":false,"max":"*","min":1,"mustSupport":false,"path":"BodyStructure.includedStructure","short":"Included anatomic location(s)","type":[{"code":"BackboneElement"}]},{"binding":{"description":"SNOMED CT Body site concepts","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueMarkdown":"Codes describing anatomical locations. May include laterality."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"definition":"Code that represents the included structure.","id":"BodyStructure.includedStructure.structure","isModifier":false,"isSummary":true,"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"},{"identity":"dicom","map":"Body Part Examined (0018,0015) or Anatomic Region Sequence (0008,2218)"}],"max":"1","min":1,"mustSupport":false,"path":"BodyStructure.includedStructure.structure","short":"Code that represents the included structure","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"Concepts modifying the anatomic location.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodyStructureLaterality"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/bodystructure-laterality"},"definition":"Code that represents the included structure laterality.","id":"BodyStructure.includedStructure.laterality","isModifier":false,"isSummary":false,"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"},{"identity":"dicom","map":"Laterality (0020,0060)"}],"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.laterality","short":"Code that represents the included structure laterality","type":[{"code":"CodeableConcept"}]},{"definition":"Body location in relation to a specific body landmark (e.g., a body structure such a navel, scar, or implanted device).","id":"BodyStructure.includedStructure.bodyLandmarkOrientation","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.bodyLandmarkOrientation","short":"Landmark relative location","type":[{"code":"BackboneElement"}]},{"binding":{"description":"Select SNOMED code system values. Values used in a podiatry setting to decsribe landmarks on the body.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"bodyLandmarkOrientationLandmarkDescription"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"definition":"Body landmark description used as a reference to locate something else.","id":"BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription","short":"Explanation of landmark","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"Select SNOMED CT codes. A set of codes that describe a things orientation based on a hourly positions of a clock face.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"bodyLandmarkOrientationClockFacePosition"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/bodystructure-bodylandmarkorientation-clockface-position"},"definition":"An description of the direction away from a landmark something is located based on a radial clock dial.","id":"BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition","short":"Clockface orientation","type":[{"code":"CodeableConcept"}]},{"definition":"The distance in centimeters a certain observation is made from a body landmark.","id":"BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark","short":"Landmark relative location","type":[{"code":"BackboneElement"}]},{"binding":{"description":"Codes to identify medical devices.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceType"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/device-type"},"definition":"An instrument, tool, analyzer, etc. used in the measurement.","id":"BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device","short":"Measurement device","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device"]}]},{"definition":"The measured distance (e.g., in cm) from a body landmark.","id":"BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value","short":"Measured distance from body landmark","type":[{"code":"Quantity"}]},{"binding":{"description":"Select SNOMED code system values. The surface area a body location is in relation to a landmark.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"bodyLandmarkOrientationSurfaceOrientation"}],"strength":"preferred","valueSet":"http://hl7.org/fhir/ValueSet/bodystructure-relative-location"},"definition":"The surface area a body location is in relation to a landmark.","id":"BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation","short":"Relative landmark surface orientation","type":[{"code":"CodeableConcept"}]},{"definition":"XY or XYZ-coordinate orientation for structure.","id":"BodyStructure.includedStructure.spatialReference","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.where[x]"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.spatialReference","short":"Cartesian reference for structure","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/ImagingSelection"]}]},{"definition":"Image(s) used to identify aspects of an included or excluded structure.","id":"BodyStructure.includedStructure.image","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.image","short":"Image(s) of structural aspects","type":[{"code":"Attachment"}]},{"binding":{"description":"Concepts modifying the anatomic location.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodyStructureQualifier"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/bodystructure-relative-location"},"definition":"Code that represents the included structure qualifier.","id":"BodyStructure.includedStructure.qualifier","isModifier":false,"isSummary":false,"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"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.qualifier","short":"Code that represents the included structure qualifier","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"Codes describing anatomic morphology.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodyStructureCode"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/bodystructure-code"},"comment":"The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology.","definition":"The kind of structure being represented by the body structure at `BodyStructure.location`. This can define both normal and abnormal morphologies.","id":"BodyStructure.includedStructure.morphology","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"SPM-4/SPM-5"}],"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.morphology","short":"Kind of Structure","type":[{"code":"CodeableConcept"}]},{"contentReference":"#BodyStructure.includedStructure","definition":"The anatomical location(s) or region(s) not occupied or represented by the specimen, lesion, or body structure.","id":"BodyStructure.excludedStructure","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.excludedStructure","short":"Excluded anatomic locations(s)"},{"comment":"This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.","definition":"A summary, characterization or explanation of the body structure.","id":"BodyStructure.description","isModifier":false,"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"}],"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.description","short":"Text description","type":[{"code":"markdown"}]},{"definition":"Image(s) used to identify aspects of the overall structure.","id":"BodyStructure.image","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"outboundRelationship[typeCode=COMP].target"},{"identity":"openehr","map":"Image"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.image","short":"Attached images","type":[{"code":"Attachment"}]},{"definition":"The person to which the body site belongs.","id":"BodyStructure.patient","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".scoper or .scoper.playsRole"}],"max":"1","min":1,"mustSupport":false,"path":"BodyStructure.patient","short":"Who this is about","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}]}]},"experimental":false,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"oo"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category","valueCode":"patient"}],"fhirVersion":"6.0.0-ballot4","id":"BodyStructure","jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"kind":"resource","mapping":[{"identity":"w5","name":"FiveWs Pattern Mapping","uri":"http://hl7.org/fhir/fivews"},{"identity":"rim","name":"RIM Mapping","uri":"http://hl7.org/v3"},{"identity":"openehr","name":"Open EHR Archetype Mapping","uri":"http://openehr.org"},{"identity":"v2","name":"HL7 V2 Mapping","uri":"http://hl7.org/v2"},{"identity":"dicom","name":"DICOM Tag Mapping","uri":"https://dicomstandard.org/current"}],"meta":{"lastUpdated":"2026-03-29T21:54:20.327+00:00"},"name":"BodyStructure","publisher":"HL7 International / Orders and Observations","resourceType":"StructureDefinition","snapshot":{"element":[{"alias":["anatomical location"],"base":{"max":"*","min":0,"path":"BodyStructure"},"constraint":[{"expression":"contained.contained.empty()","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","key":"dom-2","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()","human":"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","key":"dom-3","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","key":"dom-4","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.security.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a security 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Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"human":"A resource should have narrative for robust management","key":"dom-6","severity":"warning","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"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.","id":"BodyStructure","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity, Role, or Act,Act"},{"identity":"w5","map":"clinical.diagnostics"},{"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."}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure","short":"Specific and identified anatomical structure"},{"base":{"max":"1","min":0,"path":"Resource.id"},"comment":"Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","id":"BodyStructure.id","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.id","short":"Logical id of this artifact","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"base":{"max":"1","min":0,"path":"Resource.meta"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","id":"BodyStructure.meta","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.meta","short":"Metadata about the resource","type":[{"code":"Meta"}]},{"base":{"max":"1","min":0,"path":"Resource.implicitRules"},"comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension.","id":"BodyStructure.implicitRules","isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation","isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.implicitRules","short":"A set of rules under which this content was created","type":[{"code":"uri"}]},{"base":{"max":"1","min":0,"path":"Resource.language"},"binding":{"additional":[{"purpose":"starter","valueSet":"http://hl7.org/fhir/ValueSet/languages"}],"description":"IETF language tag for a human language","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"},"comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The base language in which the resource is written.","id":"BodyStructure.language","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.language","short":"Language of the resource content","type":[{"code":"code"}]},{"alias":["narrative","html","xhtml","display"],"base":{"max":"1","min":0,"path":"DomainResource.text"},"comment":"Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","condition":["dom-6"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","id":"BodyStructure.text","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}],"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.text","short":"Text summary of the resource, for human interpretation","type":[{"code":"Narrative"}]},{"alias":["inline resources","anonymous resources","contained resources"],"base":{"max":"*","min":0,"path":"DomainResource.contained"},"comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](resource.html#additional).","condition":["dom-2","dom-4","dom-3","dom-5"],"definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.","id":"BodyStructure.contained","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.contained","short":"Contained, inline Resources","type":[{"code":"Resource"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.extension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"BodyStructure.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.modifierExtension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"BodyStructure.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored","type":[{"code":"Extension"}]},{"base":{"max":"*","min":0,"path":"BodyStructure.identifier"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Identifier for this instance of the anatomical structure.","id":"BodyStructure.identifier","isModifier":false,"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..*)"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.identifier","short":"Bodystructure identifier","type":[{"code":"Identifier"}]},{"base":{"max":"1","min":0,"path":"BodyStructure.active"},"comment":"This element is labeled as a modifier because it may be used to mark that the resource was created in error.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Whether this body site is in active use.","id":"BodyStructure.active","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"}],"max":"1","meaningWhenMissing":"This resource is generally assumed to be active if no value is provided for the active element","min":0,"mustSupport":false,"path":"BodyStructure.active","requirements":"Need to be able to mark a body site entry as not to be used because it was created in error.","short":"Whether this record is in active use","type":[{"code":"boolean"}]},{"base":{"max":"*","min":1,"path":"BodyStructure.includedStructure"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children or both","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The anatomical location(s) or region(s) of the specimen, lesion, or body structure.","id":"BodyStructure.includedStructure","isModifier":false,"isSummary":false,"max":"*","min":1,"mustSupport":false,"path":"BodyStructure.includedStructure","short":"Included anatomic location(s)","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). 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The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. 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For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":1,"path":"BodyStructure.includedStructure.structure"},"binding":{"description":"SNOMED CT Body site concepts","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueMarkdown":"Codes describing anatomical locations. 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This can define both normal and abnormal morphologies.","id":"BodyStructure.includedStructure.morphology","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"SPM-4/SPM-5"}],"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.includedStructure.morphology","short":"Kind of Structure","type":[{"code":"CodeableConcept"}]},{"base":{"max":"*","min":0,"path":"BodyStructure.excludedStructure"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"contentReference":"#BodyStructure.includedStructure","definition":"The anatomical location(s) or region(s) not occupied or represented by the specimen, lesion, or body structure.","id":"BodyStructure.excludedStructure","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.excludedStructure","short":"Excluded anatomic locations(s)"},{"base":{"max":"1","min":0,"path":"BodyStructure.description"},"comment":"This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A summary, characterization or explanation of the body structure.","id":"BodyStructure.description","isModifier":false,"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"}],"max":"1","min":0,"mustSupport":false,"path":"BodyStructure.description","short":"Text description","type":[{"code":"markdown"}]},{"base":{"max":"*","min":0,"path":"BodyStructure.image"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Image(s) used to identify aspects of the overall structure.","id":"BodyStructure.image","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"OBX"},{"identity":"rim","map":"outboundRelationship[typeCode=COMP].target"},{"identity":"openehr","map":"Image"}],"max":"*","min":0,"mustSupport":false,"path":"BodyStructure.image","short":"Attached images","type":[{"code":"Attachment"}]},{"base":{"max":"1","min":1,"path":"BodyStructure.patient"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The person to which the body site belongs.","id":"BodyStructure.patient","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.subject"},{"identity":"v2","map":"PID-3"},{"identity":"rim","map":".scoper or .scoper.playsRole"}],"max":"1","min":1,"mustSupport":false,"path":"BodyStructure.patient","short":"Who this is about","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient"]}]}]},"status":"active","text":{"div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" BodyStructure NDomainResourceSpecific and identified anatomical structure

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
\".\"\".\"\".\" identifier Σ0..*IdentifierBodystructure identifier

\".\"\".\"\".\" active ?!Σ0..1booleanWhether this record is in active use
\".\"\".\"\".\" includedStructure 1..*BackboneElementIncluded anatomic location(s)

\".\"\".\"\".\"\".\" structure Σ1..1CodeableConceptCode that represents the included structure
Binding: SNOMED CT Body Structures (Example)
\".\"\".\"\".\"\".\" laterality 0..1CodeableConceptCode that represents the included structure laterality
Binding: Bodystructure Laterality (Example)
\".\"\".\"\".\"\".\" bodyLandmarkOrientation 0..*BackboneElementLandmark relative location

\".\"\".\"\".\"\".\"\".\" landmarkDescription 0..*CodeableConceptExplanation of landmark
Binding: SNOMED CT Body Structures (Example)

\".\"\".\"\".\"\".\"\".\" clockFacePosition 0..*CodeableConceptClockface orientation
Binding: Bodystructure Body Landmark Clock Face Position (Example)

\".\"\".\"\".\"\".\"\".\" distanceFromLandmark 0..*BackboneElementLandmark relative location

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

\".\"\".\"\".\"\".\"\".\"\".\" value 0..*QuantityMeasured distance from body landmark

\".\"\".\"\".\"\".\"\".\" surfaceOrientation 0..*CodeableConceptRelative landmark surface orientation
Binding: Bodystructure Location Qualifier (Preferred)

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

\".\"\".\"\".\"\".\" image 0..*AttachmentImage(s) of structural aspects

\".\"\".\"\".\"\".\" qualifier 0..*CodeableConceptCode that represents the included structure qualifier
Binding: Bodystructure Location Qualifier (Example)

\".\"\".\"\".\"\".\" morphology Σ0..1CodeableConceptKind of Structure
Binding: SNOMED CT Morphologic Abnormalities (Example)
\".\"\".\"\".\" excludedStructure 0..*see includedStructureExcluded anatomic locations(s)

\".\"\".\"\".\" description Σ0..1markdownText description
\".\"\".\"\".\" image 0..*AttachmentAttached images

\".\"\".\"\".\" patient Σ1..1Reference(Patient)Who this is about

\"doco\" Documentation for this format
","status":"generated"},"type":"BodyStructure","url":"http://hl7.org/fhir/StructureDefinition/BodyStructure","version":"6.0.0-ballot4"}