Australian Digital Health Agency FHIR Implementation Guide

This profile identifies the additional constraints, extensions, and value sets that build on and extend BodyStructure that are supported.

Where a more specific BodyStructure profile is applicable, e.g. diagnostic result or vital signs, an implementation SHALL ensure the resource conforms to that specific profile.

This profile is designed to set a core BodyStructure standard for:

• Recording or updating body structures
• Reading body structures

Operations, including querying, on body structures are expected to be within the context of another resource query.

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

None.

Boundaries and relationships

The following profiles build on the ADHA Core BodyStructure profile to define specific roles:

• ADHA Organ or Tissue for Donation BodyStructure.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from AUBaseBodyStructure

Name	Flags	Card.	Type	Description & Constraints
BodyStructure	C	0..*	AUBaseBodyStructure	Anatomical location inv-dh-bodstr-01: The body structure shall at least have a location or a description
active		0..1	boolean	Whether this record is in active use Fixed Value: true
morphology	S	0..1	CodeableConcept	Kind of Structure
location	SC	0..1	CodeableConcept	Body site Binding: Body Site (extensible) inv-dh-bodstr-02: If a coded body site is provided, at least one code shall be from SNOMED CT
locationQualifier	SC	0..*	CodeableConcept	Body site modifier Binding: Body Site Relative Site Qualifier (extensible) inv-dh-bodstr-03: If a coded location qualifier is provided, at least one code shall be from SNOMED CT
description	SC	0..1	string	Text description
patient	SC	1..1	Reference(ADHA Core Patient)	Who this is about inv-dh-bodstr-04: At least reference or a valid identifier shall be present
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
BodyStructure.location	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
BodyStructure.locationQualifier	extensible	BodySiteRelativeSiteQualifier https://healthterminologies.gov.au/fhir/ValueSet/body-site-relative-site-qualifier-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-bodstr-01	error	BodyStructure	The body structure shall at least have a location or a description : location.exists() or description.exists()
inv-dh-bodstr-02	error	BodyStructure.location	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-03	error	BodyStructure.locationQualifier	If a coded location qualifier is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-04	error	BodyStructure.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()

Name	Flags	Card.	Type	Description & Constraints
BodyStructure	C	0..*	AUBaseBodyStructure	Anatomical location dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management inv-bodstr-0: The body structure shall at least have location or description or an image inv-dh-bodstr-01: The body structure shall at least have a location or a description
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
active	?!Σ	0..1	boolean	Whether this record is in active use ele-1: All FHIR elements must have a @value or children Fixed Value: true
morphology	SΣ	0..1	CodeableConcept	Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred) ele-1: All FHIR elements must have a @value or children
location	SΣC	0..1	CodeableConcept	Body site Binding: Body Site (extensible) ele-1: All FHIR elements must have a @value or children inv-dh-bodstr-02: If a coded body site is provided, at least one code shall be from SNOMED CT
locationQualifier	SC	0..*	CodeableConcept	Body site modifier Binding: Body Site Relative Site Qualifier (extensible) ele-1: All FHIR elements must have a @value or children inv-dh-bodstr-03: If a coded location qualifier is provided, at least one code shall be from SNOMED CT
description	SΣC	0..1	string	Text description ele-1: All FHIR elements must have a @value or children
patient	SΣC	1..1	Reference(ADHA Core Patient)	Who this is about ele-1: All FHIR elements must have a @value or children inv-dh-bodstr-04: At least reference or a valid identifier shall be present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
BodyStructure.morphology	preferred	SNOMEDCTMorphologicAbnormalities http://hl7.org/fhir/ValueSet/bodystructure-code from the FHIR Standard
BodyStructure.location	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
BodyStructure.locationQualifier	extensible	BodySiteRelativeSiteQualifier https://healthterminologies.gov.au/fhir/ValueSet/body-site-relative-site-qualifier-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-bodstr-01	error	BodyStructure	The body structure shall at least have a location or a description : location.exists() or description.exists()
inv-dh-bodstr-02	error	BodyStructure.location	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-03	error	BodyStructure.locationQualifier	If a coded location qualifier is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-04	error	BodyStructure.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()

Name	Flags	Card.	Type	Description & Constraints
BodyStructure	C	0..*	AUBaseBodyStructure	Anatomical location inv-bodstr-0: The body structure shall at least have location or description or an image inv-dh-bodstr-01: The body structure shall at least have a location or a description
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Bodystructure identifier
active	?!Σ	0..1	boolean	Whether this record is in active use Fixed Value: true
morphology	SΣ	0..1	CodeableConcept	Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred)
location	SΣC	0..1	CodeableConcept	Body site Binding: Body Site (extensible) inv-dh-bodstr-02: If a coded body site is provided, at least one code shall be from SNOMED CT
locationQualifier	SC	0..*	CodeableConcept	Body site modifier Binding: Body Site Relative Site Qualifier (extensible) inv-dh-bodstr-03: If a coded location qualifier is provided, at least one code shall be from SNOMED CT
description	SΣC	0..1	string	Text description
image	C	0..*	Attachment	Attached images
patient	SΣC	1..1	Reference(ADHA Core Patient)	Who this is about inv-dh-bodstr-04: At least reference or a valid identifier shall be present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
BodyStructure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
BodyStructure.morphology	preferred	SNOMEDCTMorphologicAbnormalities http://hl7.org/fhir/ValueSet/bodystructure-code from the FHIR Standard
BodyStructure.location	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
BodyStructure.locationQualifier	extensible	BodySiteRelativeSiteQualifier https://healthterminologies.gov.au/fhir/ValueSet/body-site-relative-site-qualifier-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-bodstr-01	error	BodyStructure	The body structure shall at least have a location or a description : location.exists() or description.exists()
inv-dh-bodstr-02	error	BodyStructure.location	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-03	error	BodyStructure.locationQualifier	If a coded location qualifier is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-04	error	BodyStructure.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()

Differential View

This structure is derived from AUBaseBodyStructure

Name	Flags	Card.	Type	Description & Constraints
BodyStructure	C	0..*	AUBaseBodyStructure	Anatomical location inv-dh-bodstr-01: The body structure shall at least have a location or a description
active		0..1	boolean	Whether this record is in active use Fixed Value: true
morphology	S	0..1	CodeableConcept	Kind of Structure
location	SC	0..1	CodeableConcept	Body site Binding: Body Site (extensible) inv-dh-bodstr-02: If a coded body site is provided, at least one code shall be from SNOMED CT
locationQualifier	SC	0..*	CodeableConcept	Body site modifier Binding: Body Site Relative Site Qualifier (extensible) inv-dh-bodstr-03: If a coded location qualifier is provided, at least one code shall be from SNOMED CT
description	SC	0..1	string	Text description
patient	SC	1..1	Reference(ADHA Core Patient)	Who this is about inv-dh-bodstr-04: At least reference or a valid identifier shall be present
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
BodyStructure.location	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
BodyStructure.locationQualifier	extensible	BodySiteRelativeSiteQualifier https://healthterminologies.gov.au/fhir/ValueSet/body-site-relative-site-qualifier-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-bodstr-01	error	BodyStructure	The body structure shall at least have a location or a description : location.exists() or description.exists()
inv-dh-bodstr-02	error	BodyStructure.location	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-03	error	BodyStructure.locationQualifier	If a coded location qualifier is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-04	error	BodyStructure.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
BodyStructure	C	0..*	AUBaseBodyStructure	Anatomical location dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management inv-bodstr-0: The body structure shall at least have location or description or an image inv-dh-bodstr-01: The body structure shall at least have a location or a description
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
active	?!Σ	0..1	boolean	Whether this record is in active use ele-1: All FHIR elements must have a @value or children Fixed Value: true
morphology	SΣ	0..1	CodeableConcept	Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred) ele-1: All FHIR elements must have a @value or children
location	SΣC	0..1	CodeableConcept	Body site Binding: Body Site (extensible) ele-1: All FHIR elements must have a @value or children inv-dh-bodstr-02: If a coded body site is provided, at least one code shall be from SNOMED CT
locationQualifier	SC	0..*	CodeableConcept	Body site modifier Binding: Body Site Relative Site Qualifier (extensible) ele-1: All FHIR elements must have a @value or children inv-dh-bodstr-03: If a coded location qualifier is provided, at least one code shall be from SNOMED CT
description	SΣC	0..1	string	Text description ele-1: All FHIR elements must have a @value or children
patient	SΣC	1..1	Reference(ADHA Core Patient)	Who this is about ele-1: All FHIR elements must have a @value or children inv-dh-bodstr-04: At least reference or a valid identifier shall be present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
BodyStructure.morphology	preferred	SNOMEDCTMorphologicAbnormalities http://hl7.org/fhir/ValueSet/bodystructure-code from the FHIR Standard
BodyStructure.location	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
BodyStructure.locationQualifier	extensible	BodySiteRelativeSiteQualifier https://healthterminologies.gov.au/fhir/ValueSet/body-site-relative-site-qualifier-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-bodstr-01	error	BodyStructure	The body structure shall at least have a location or a description : location.exists() or description.exists()
inv-dh-bodstr-02	error	BodyStructure.location	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-03	error	BodyStructure.locationQualifier	If a coded location qualifier is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-04	error	BodyStructure.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
BodyStructure	C	0..*	AUBaseBodyStructure	Anatomical location inv-bodstr-0: The body structure shall at least have location or description or an image inv-dh-bodstr-01: The body structure shall at least have a location or a description
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Bodystructure identifier
active	?!Σ	0..1	boolean	Whether this record is in active use Fixed Value: true
morphology	SΣ	0..1	CodeableConcept	Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred)
location	SΣC	0..1	CodeableConcept	Body site Binding: Body Site (extensible) inv-dh-bodstr-02: If a coded body site is provided, at least one code shall be from SNOMED CT
locationQualifier	SC	0..*	CodeableConcept	Body site modifier Binding: Body Site Relative Site Qualifier (extensible) inv-dh-bodstr-03: If a coded location qualifier is provided, at least one code shall be from SNOMED CT
description	SΣC	0..1	string	Text description
image	C	0..*	Attachment	Attached images
patient	SΣC	1..1	Reference(ADHA Core Patient)	Who this is about inv-dh-bodstr-04: At least reference or a valid identifier shall be present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
BodyStructure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
BodyStructure.morphology	preferred	SNOMEDCTMorphologicAbnormalities http://hl7.org/fhir/ValueSet/bodystructure-code from the FHIR Standard
BodyStructure.location	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
BodyStructure.locationQualifier	extensible	BodySiteRelativeSiteQualifier https://healthterminologies.gov.au/fhir/ValueSet/body-site-relative-site-qualifier-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-bodstr-01	error	BodyStructure	The body structure shall at least have a location or a description : location.exists() or description.exists()
inv-dh-bodstr-02	error	BodyStructure.location	If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-03	error	BodyStructure.locationQualifier	If a coded location qualifier is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
inv-dh-bodstr-04	error	BodyStructure.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()

This structure is derived from AUBaseBodyStructure

Summary

Must-Support: 5 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.