dicom-sr-finding-site
type: StructureDefinition
node role: treeRoot
id:
  v: dicom-sr-finding-site
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition dicom-sr-finding-site Language: en Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> BodyStructure 0..* BodyStructure Specific and identified anatomical structure #xD; Slices for identifier 0..* Identifier Bodystructure identifier Slice: Unordered, Open by value:type #xD; identifier:trackingIdentifier 0..1 Identifier Tracking ID #xD; type 1..1 CodeableConcept Description of identifier Required Pattern: At least the following #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: 112039 #xD; display 1..1 string Representation defined by the system Fixed Value: Tracking Identifier #xD; value 1..1 string The value that is unique #xD; identifier:trackingUid 0..1 Identifier Tracking UID #xD; type 1..1 CodeableConcept Description of identifier Required Pattern: At least the following #xD; coding 1..* Coding Code defined by a terminology system Fixed Value: (Complex) #xD; system 1..1 uri Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: 112040 #xD; display 1..1 string Representation defined by the system Fixed Value: Tracking Unique Identifier #xD; system 0..1 uri The namespace for the identifier value Required Pattern: urn:dicom:uid #xD; value 1..1 string The value that is unique #xD; includedStructure #xD; structure #xD; coding 0..* Coding Code defined by a terminology system #xD; laterality S 0..1 CodeableConcept Code that represents the included structure laterality #xD; qualifier S 0..* CodeableConcept Code that represents the included structure qualifier #xD; patient 1..1 Reference(Patient) Who this is about #xD; <img src="[binary]" alt="do…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: ii
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 2
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/dicom-sr/ImplementationGuide/hl7.fhir.uv.dicom-sr
        l: hl7.fhir.uv.dicom-sr
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/dicom-sr/ImplementationGuide/hl7.fhir.uv.dicom-sr
        l: hl7.fhir.uv.dicom-sr
url:
  v: http://hl7.org/fhir/uv/dicom-sr/StructureDefinition/dicom-sr-finding-site
  l: dicom-sr-finding-site
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:oid:2.16.840.1.113883.4.642.40.39.42.6
version:
  v: 1.0.0
name:
  v: BodyStructureFindingSite
title:
  v: Body Structure - DICOM SR Finding Site Mapping
status:
  v: active
experimental:
  v: false
date:
  v: 2026-01-19T15:46:04+00:00
publisher:
  v: HL7 International / Imaging Integration
contact:
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/imagemgt
contact:
  name:
    v: HL7 International / Imaging Integration
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/imagemgt
contact:
  name:
    v: Jonathan Whitby
  telecom:
    system:
      v: email
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/imagemgt
contact:
  name:
    v: Christopher Lindop
  telecom:
    system:
      v: email
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/imagemgt
description:
  v: DICOM® SR Finding Site Mapping to BodyStructure. Used to represent the finding site and tracking identifiers associated with a measurement or qualitative evaluation.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: dicom-sr-tid-300-finding-site
  uri:
    v: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_A.html#sect_TID_300
    l: sect TID 300
  name:
    v: DICOM SR TID 300 Finding Site
  comment:
    v: The FindingSiteBodyStructure can be extracted from TID 300 EV(363698007, SCT, Finding Site), EV (272741003, SCT, Laterality) and DT (106233006, SCT, Topographical modifier).
mapping:
  identity:
    v: dicom-sr-tid-1419-finding-site
  uri:
    v: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_A.html#sect_TID_1419
    l: sect TID 1419
  name:
    v: DICOM SR TID 1419 Finding Site
  comment:
    v: The FindingSiteBodyStructure can be extracted from TID 1419 EV(363698007, SCT, Finding Site), EV (272741003, SCT, Laterality) and DT (106233006, SCT, Topographical modifier).
mapping:
  identity:
    v: dicom-sr-tid-1501-finding-site
  uri:
    v: https://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_A.html#sect_TID_1501
    l: sect TID 1501
  name:
    v: DICOM SR TID 1501 Finding Site
  comment:
    v: The FindingSiteBodyStructure can be extracted from TID 1501 EV(363698007, SCT, Finding Site), EV (272741003, SCT, Laterality) and DT (106233006, SCT, Topographical modifier).
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: openehr
  uri:
    v: http://openehr.org
    l: openehr.org
  name:
    v: Open EHR Archetype Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 V2 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: BodyStructure
  l: BodyStructure
base definition:
  v: http://hl7.org/fhir/StructureDefinition/BodyStructure
  l: BodyStructure
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 5.0.0
  element:
    id:
      v: BodyStructure
    path:
      v: BodyStructure
    short:
      v: Specific and identified anatomical structure
    definition:
      v: 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.

v: anatomical location

v: 0

v: *

path:
  v: BodyStructure
min:
  v: 0
max:
  v: *

key:
  v: dom-2
severity:
  v: error
human:
  v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
expression:
  v: contained.contained.empty()
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

key:
  v: dom-3
severity:
  v: error
human:
  v: 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
expression:
  v: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

key:
  v: dom-4
severity:
  v: error
human:
  v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
expression:
  v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

key:
  v: dom-5
severity:
  v: error
human:
  v: If a resource is contained in another resource, it SHALL NOT have a security label
expression:
  v: contained.meta.security.empty()
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
    l: elementdefinition-bestpractice
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation
    l: elementdefinition-bestpractice-explanation
  value: Markdown
    v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. 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.
key:
  v: dom-6
severity:
  v: warning
human:
  v: A resource should have narrative for robust management
expression:
  v: text.`div`.exists()
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

v: false

v: false

v: false

identity:
  v: dicom-sr-tid-300-finding-site
map:
  v: TID300(FindingSite)

identity:
  v: dicom-sr-tid-1419-finding-site
map:
  v: TID1419(FindingSite)

identity:
  v: dicom-sr-tid-1501-finding-site
map:
  v: TID1501(FindingSite)

identity:
  v: rim
map:
  v: Entity, Role, or Act,Act

identity:
  v: w5
map:
  v: clinical.diagnostics

identity:
  v: openehr
map:
  v: 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.

id:
  v: BodyStructure.id
path:
  v: BodyStructure.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: BodyStructure.meta
path:
  v: BodyStructure.meta
short:
  v: Metadata about the resource
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: BodyStructure.implicitRules
path:
  v: BodyStructure.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
is summary:
  v: true

id:
  v: BodyStructure.language
path:
  v: BodyStructure.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: required
  description:
    v: IETF language tag for a human language
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages|5.0.0
    l: http://hl7.org/fhir/ValueSet/all-languages
  additional:
    purpose:
      v: starter
    value set:
      v: http://hl7.org/fhir/ValueSet/languages|5.0.0
      l: http://hl7.org/fhir/ValueSet/languages

id:
  v: BodyStructure.text
path:
  v: BodyStructure.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: BodyStructure.contained
path:
  v: BodyStructure.contained
short:
  v: Contained, inline Resources
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
condition:
  v: dom-2
condition:
  v: dom-4
condition:
  v: dom-3
condition:
  v: dom-5
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BodyStructure.extension
path:
  v: BodyStructure.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BodyStructure.modifierExtension
path:
  v: BodyStructure.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BodyStructure.identifier
path:
  v: BodyStructure.identifier
slicing:
  discriminator:
    type:
      v: value
    path:
      v: type
  description:
    v: Tracking Identifiers
  ordered:
    v: false
  rules:
    v: open
short:
  v: Bodystructure identifier
definition:
  v: Identifier for this instance of the anatomical structure.
min:
  v: 0
max:
  v: *
base:
  path:
    v: BodyStructure.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: openehr
  map:
    v: Specific location Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)

id:
  v: BodyStructure.identifier:trackingIdentifier
path:
  v: BodyStructure.identifier
slice name:
  v: trackingIdentifier
short:
  v: Tracking ID
definition:
  v: An identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BodyStructure.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom-sr-tid-300-finding-site
  map:
    v: DT (112039, DCM, Tracking Identifier)
mapping:
  identity:
    v: dicom-sr-tid-1419-finding-site
  map:
    v: DT (112039, DCM, Tracking Identifier)
mapping:
  identity:
    v: dicom-sr-tid-1501-finding-site
  map:
    v: DT (112039, DCM, Tracking Identifier)
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: openehr
  map:
    v: Specific location Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)

id:
  v: BodyStructure.identifier:trackingIdentifier.id
path:
  v: BodyStructure.identifier.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BodyStructure.identifier:trackingIdentifier.extension
path:
  v: BodyStructure.identifier.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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. 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BodyStructure.identifier:trackingIdentifier.use
path:
  v: BodyStructure.identifier.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: BodyStructure.identifier:trackingIdentifier.type
path:
  v: BodyStructure.identifier.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    system:
      v: http://dicom.nema.org/resources/ontology/DCM
      l: DCM
    code:
      v: 112039
    display:
      v: Tracking Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-type|5.0.0
    l: http://hl7.org/fhir/ValueSet/identifier-type
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: BodyStructure.identifier:trackingIdentifier.system
path:
  v: BodyStructure.identifier.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: BodyStructure.identifier:trackingIdentifier.value
path:
  v: BodyStructure.identifier.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-rendered-value.html)). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
condition:
  v: ident-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: BodyStructure.identifier:trackingIdentifier.period
path:
  v: BodyStructure.identifier.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: BodyStructure.identifier:trackingIdentifier.assigner
path:
  v: BodyStructure.identifier.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Organization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: BodyStructure.identifier:trackingUid
path:
  v: BodyStructure.identifier
slice name:
  v: trackingUid
short:
  v: Tracking UID
definition:
  v: A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BodyStructure.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom-sr-tid-300-finding-site
  map:
    v: EV (112040, DCM, Tracking Unique Identifier)
mapping:
  identity:
    v: dicom-sr-tid-1419-finding-site
  map:
    v: EV (112040, DCM, Tracking Unique Identifier)
mapping:
  identity:
    v: dicom-sr-tid-1501-finding-site
  map:
    v: EV (112040, DCM, Tracking Unique Identifier)
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: openehr
  map:
    v: Specific location Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)

id:
  v: BodyStructure.identifier:trackingUid.id
path:
  v: BodyStructure.identifier.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BodyStructure.identifier:trackingUid.extension
path:
  v: BodyStructure.identifier.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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. 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BodyStructure.identifier:trackingUid.use
path:
  v: BodyStructure.identifier.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: BodyStructure.identifier:trackingUid.type
path:
  v: BodyStructure.identifier.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
pattern: CodeableConcept
  coding:
    system:
      v: http://dicom.nema.org/resources/ontology/DCM
      l: DCM
    code:
      v: 112040
    display:
      v: Tracking Unique Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-type|5.0.0
    l: http://hl7.org/fhir/ValueSet/identifier-type
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: BodyStructure.identifier:trackingUid.system
path:
  v: BodyStructure.identifier.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
pattern: Uri
  v: urn:dicom:uid
  l: uid
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: BodyStructure.identifier:trackingUid.value
path:
  v: BodyStructure.identifier.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [http://hl7.org/fhir/StructureDefinition/rendered-value](http://hl7.org/fhir/extensions/StructureDefinition-rendered-value.html)). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
condition:
  v: ident-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: BodyStructure.identifier:trackingUid.period
path:
  v: BodyStructure.identifier.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: BodyStructure.identifier:trackingUid.assigner
path:
  v: BodyStructure.identifier.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Organization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: BodyStructure.active
path:
  v: BodyStructure.active
short:
  v: Whether this record is in active use
definition:
  v: Whether this body site is in active use.
comment:
  v: This element is labeled as a modifier because it may be used to mark that the resource was created in error.
requirements:
  v: Need to be able to mark a body site entry as not to be used because it was created in error.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BodyStructure.active
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
meaning when missing:
  v: This resource is generally assumed to be active if no value is provided for the active element
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: statusCode

id:
  v: BodyStructure.morphology
path:
  v: BodyStructure.morphology
short:
  v: Kind of Structure
definition:
  v: The kind of structure being represented by the body structure at `BodyStructure.location`. This can define both normal and abnormal morphologies.
comment:
  v: The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BodyStructure.morphology
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BodyStructureCode
  strength:
    v: example
  description:
    v: Codes describing anatomic morphology.
  value set:
    v: http://hl7.org/fhir/ValueSet/bodystructure-code|5.0.0
    l: http://hl7.org/fhir/ValueSet/bodystructure-code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: SPM-4/SPM-5

id:
  v: BodyStructure.includedStructure
path:
  v: BodyStructure.includedStructure
short:
  v: Included anatomic location(s)
definition:
  v: The anatomical location(s) or region(s) of the specimen, lesion, or body structure.
min:
  v: 1
max:
  v: *
base:
  path:
    v: BodyStructure.includedStructure
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: BodyStructure.includedStructure.id
path:
  v: BodyStructure.includedStructure.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BodyStructure.includedStructure.extension
path:
  v: BodyStructure.includedStructure.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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. 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BodyStructure.includedStructure.modifierExtension
path:
  v: BodyStructure.includedStructure.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BodyStructure.includedStructure.structure
path:
  v: BodyStructure.includedStructure.structure
short:
  v: Code that represents the included structure
definition:
  v: Code that represents the included structure.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BodyStructure.includedStructure.structure
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BodySite
  strength:
    v: example
  description:
    v: SNOMED CT Body site concepts
  value set:
    v: http://hl7.org/fhir/ValueSet/body-site|5.0.0
    l: http://hl7.org/fhir/ValueSet/body-site
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: OBX-20/SPM-8/SPM-10
mapping:
  identity:
    v: rim
  map:
    v: .targetSiteCode
mapping:
  identity:
    v: openehr
  map:
    v: Name of location

id:
  v: BodyStructure.includedStructure.structure.id
path:
  v: BodyStructure.includedStructure.structure.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BodyStructure.includedStructure.structure.extension
path:
  v: BodyStructure.includedStructure.structure.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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. 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: BodyStructure.includedStructure.structure.coding
path:
  v: BodyStructure.includedStructure.structure.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for alternative encodings within a code system, and translations to other code systems.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom-sr-tid-300-finding-site
  map:
    v: TID300.EV(363698007, SCT, Finding Site)
mapping:
  identity:
    v: dicom-sr-tid-1419-finding-site
  map:
    v: TID1419.EV(363698007, SCT, Finding Site)
mapping:
  identity:
    v: dicom-sr-tid-1501-finding-site
  map:
    v: TID1501.EV(363698007, SCT, Finding Site)
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: BodyStructure.includedStructure.structure.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: BodyStructure.includedStructure.structure.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: BodyStructure.includedStructure.laterality
path:
  v: BodyStructure.includedStructure.laterality
short:
  v: Code that represents the included structure laterality
definition:
  v: Code that represents the included structure laterality.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: BodyStructure.includedStructure.laterality
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BodyStructureQualifier
  strength:
    v: example
  description:
    v: Concepts modifying the anatomic location.
  value set:
    v: http://hl7.org/fhir/ValueSet/bodystructure-relative-location|5.0.0
    l: http://hl7.org/fhir/ValueSet/bodystructure-relative-location
mapping:
  identity:
    v: dicom-sr-tid-300-finding-site
  map:
    v: TID300.EV(272741003, SCT, Laterality)
mapping:
  identity:
    v: dicom-sr-tid-1419-finding-site
  map:
    v: TID1419.EV(272741003, SCT, Laterality)
mapping:
  identity:
    v: dicom-sr-tid-1501-finding-site
  map:
    v: TID1501.EV(272741003, SCT, Laterality)
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: 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
mapping:
  identity:
    v: rim
  map:
    v: .targetSiteCode
mapping:
  identity:
    v: openehr
  map:
    v: Combines Side, Numerical identifier, Anatomical plane,and Aspect

id:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation
path:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation
short:
  v: Landmark relative location
definition:
  v: Body locations in relation to a specific body landmark (tatoo, scar, other body structure).
min:
  v: 0
max:
  v: *
base:
  path:
    v: BodyStructure.includedStructure.bodyLandmarkOrientation
  min:
    v: 0
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id:
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path:
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short:
  v: Unique id for inter-element referencing
definition:
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max:
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    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
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condition:
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mapping:
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  map:
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id:
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path:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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. 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.
comment:
  v: 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.
alias:
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alias:
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  v: 0
max:
  v: *
base:
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  max:
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    l: Extension
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: Must have either extensions or value[x], not both
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  map:
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id:
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path:
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short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
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alias:
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alias:
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base:
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type:
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    l: Extension
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    v: All FHIR elements must have a @value or children
  expression:
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is summary:
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mapping:
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    v: rim
  map:
    v: N/A

id:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
path:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
short:
  v: Body ]andmark description
definition:
  v: A description of a landmark on the body used as a reference to locate something else.
min:
  v: 0
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    v: All FHIR elements must have a @value or children
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  v: false
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  v: false
is summary:
  v: false
binding:
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      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: bodyLandmarkOrientationLandmarkDescription
  strength:
    v: example
  description:
    v: Select SNOMED code system values. Values used in a podiatry setting to decsribe landmarks on the body.
  value set:
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    l: http://hl7.org/fhir/ValueSet/body-site
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]

id:
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path:
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short:
  v: Clockface orientation
definition:
  v: An description of the direction away from a landmark something is located based on a radial clock dial.
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base:
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  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
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  v: false
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  v: false
is summary:
  v: false
binding:
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      l: elementdefinition-bindingName
    value: String
      v: bodyLandmarkOrientationClockFacePosition
  strength:
    v: example
  description:
    v: Select SNOMED CT codes. A set of codes that describe a things orientation based on a hourly positions of a clock face.
  value set:
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    l: http://hl7.org/fhir/ValueSet/bodystructure-bodylandmarkorientation-clockface-position
mapping:
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    v: w5
  map:
    v: FiveWs.what[x]

id:
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path:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
short:
  v: Landmark relative location
definition:
  v: The distance in centimeters a certain observation is made from a body landmark.
min:
  v: 0
max:
  v: *
base:
  path:
    v: BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
  min:
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  max:
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type:
  code:
    v: BackboneElement
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constraint:
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  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
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id:
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path:
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short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
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    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
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  map:
    v: n/a

id:
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path:
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short:
  v: Additional content defined by implementations
definition:
  v: 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. 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.
comment:
  v: 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.
alias:
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alias:
  v: user content
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  v: 0
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  v: *
base:
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    v: All FHIR elements must have a @value or children
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  map:
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id:
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path:
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short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
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type:
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constraint:
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
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    v: Must have either extensions or value[x], not both
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is summary:
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mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
path:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
short:
  v: Measurement device
definition:
  v: An instrument, tool, analyzer, etc. used in the measurement.
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  v: *
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    l: http://hl7.org/fhir/StructureDefinition/Device
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    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
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  v: false
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  v: false
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  v: false
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  extension:
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      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DeviceType
  strength:
    v: example
  description:
    v: Codes to identify medical devices.
  value set:
    v: http://hl7.org/fhir/ValueSet/device-type|5.0.0
    l: http://hl7.org/fhir/ValueSet/device-type
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]

id:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
path:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
short:
  v: Measured distance from body landmark
definition:
  v: The measured distance (e.g., in cm) from a body landmark.
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max:
  v: *
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type:
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    v: error
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
  source:
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    l: Element
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  v: false
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  v: false
is summary:
  v: false

id:
  v: BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
path:
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short:
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definition:
  v: The surface area a body location is in relation to a landmark.
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    v: All FHIR elements must have a @value or children
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      l: elementdefinition-bindingName
    value: String
      v: bodyLandmarkOrientationSurfaceOrientation
  strength:
    v: preferred
  description:
    v: Select SNOMED code system values. The surface area a body location is in relation to a landmark.
  value set:
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    l: http://hl7.org/fhir/ValueSet/bodystructure-relative-location
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    v: w5
  map:
    v: FiveWs.what[x]

id:
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path:
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short:
  v: Cartesian reference for structure
definition:
  v: XY or XYZ-coordinate orientation for structure.
min:
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max:
  v: *
base:
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    v: 0
  max:
    v: *
type:
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    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImagingSelection|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/ImagingSelection
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.where[x]

id:
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path:
  v: BodyStructure.includedStructure.qualifier
short:
  v: Code that represents the included structure qualifier
definition:
  v: Code that represents the included structure qualifier.
min:
  v: 0
max:
  v: *
base:
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  min:
    v: 0
  max:
    v: *
type:
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    l: CodeableConcept
constraint:
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    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BodyStructureQualifier
  strength:
    v: example
  description:
    v: Concepts modifying the anatomic location.
  value set:
    v: http://hl7.org/fhir/ValueSet/bodystructure-relative-location|5.0.0
    l: http://hl7.org/fhir/ValueSet/bodystructure-relative-location
mapping:
  identity:
    v: dicom-sr-tid-300-finding-site
  map:
    v: TID300.DT(106233006, SCT, Topographical modifier)
mapping:
  identity:
    v: dicom-sr-tid-1419-finding-site
  map:
    v: TID1419.DT(106233006, SCT, Topographical modifier)
mapping:
  identity:
    v: dicom-sr-tid-1501-finding-site
  map:
    v: TID1501.DT(106233006, SCT, Topographical modifier)
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: 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
mapping:
  identity:
    v: rim
  map:
    v: .targetSiteCode
mapping:
  identity:
    v: openehr
  map:
    v: Combines Side, Numerical identifier, Anatomical plane,and Aspect

id:
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path:
  v: BodyStructure.excludedStructure
short:
  v: Excluded anatomic locations(s)
definition:
  v: The anatomical location(s) or region(s) not occupied or represented by the specimen, lesion, or body structure.
min:
  v: 0
max:
  v: *
base:
  path:
    v: BodyStructure.excludedStructure
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    v: 0
  max:
    v: *
content reference:
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  l: BodyStructure.includedStructure
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    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: BodyStructure.description
path:
  v: BodyStructure.description
short:
  v: Text description
definition:
  v: A summary, characterization or explanation of the body structure.
comment:
  v: This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.
min:
  v: 0
max:
  v: 1
base:
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    v: BodyStructure.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: markdown
    l: markdown
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  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: NTE
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: openehr
  map:
    v: Description of anatomical location/Visual markings/orientation

id:
  v: BodyStructure.image
path:
  v: BodyStructure.image
short:
  v: Attached images
definition:
  v: Image or images used to identify a location.
min:
  v: 0
max:
  v: *
base:
  path:
    v: BodyStructure.image
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Attachment
    l: Attachment
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: OBX
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=COMP].target
mapping:
  identity:
    v: openehr
  map:
    v: Image

id:
  v: BodyStructure.patient
path:
  v: BodyStructure.patient
short:
  v: Who this is about
definition:
  v: The person to which the body site belongs.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: BodyStructure.patient
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient|5.0.0
    l: http://hl7.org/fhir/StructureDefinition/Patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: dicom-sr-tid-300-finding-site
  map:
    v: tag(0010,0020) [Patient ID]
mapping:
  identity:
    v: dicom-sr-tid-1419-finding-site
  map:
    v: tag(0010,0020) [Patient ID]
mapping:
  identity:
    v: dicom-sr-tid-1501-finding-site
  map:
    v: tag(0010,0020) [Patient ID]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: PID-3
mapping:
  identity:
    v: rim
  map:
    v: .scoper or .scoper.playsRole

element:
  id:
    v: BodyStructure
  path:
    v: BodyStructure
  mapping:
    identity:
      v: dicom-sr-tid-300-finding-site
    map:
      v: TID300(FindingSite)
  mapping:
    identity:
      v: dicom-sr-tid-1419-finding-site
    map:
      v: TID1419(FindingSite)
  mapping:
    identity:
      v: dicom-sr-tid-1501-finding-site
    map:
      v: TID1501(FindingSite)
element:
  id:
    v: BodyStructure.identifier
  path:
    v: BodyStructure.identifier
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: type
    description:
      v: Tracking Identifiers
    ordered:
      v: false
    rules:
      v: open
element:
  id:
    v: BodyStructure.identifier:trackingIdentifier
  path:
    v: BodyStructure.identifier
  slice name:
    v: trackingIdentifier
  short:
    v: Tracking ID
  definition:
    v: An identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time.
  min:
    v: 0
  max:
    v: 1
  mapping:
    identity:
      v: dicom-sr-tid-300-finding-site
    map:
      v: DT (112039, DCM, Tracking Identifier)
  mapping:
    identity:
      v: dicom-sr-tid-1419-finding-site
    map:
      v: DT (112039, DCM, Tracking Identifier)
  mapping:
    identity:
      v: dicom-sr-tid-1501-finding-site
    map:
      v: DT (112039, DCM, Tracking Identifier)
element:
  id:
    v: BodyStructure.identifier:trackingIdentifier.type
  path:
    v: BodyStructure.identifier.type
  min:
    v: 1
  pattern: CodeableConcept
    coding:
      system:
        v: http://dicom.nema.org/resources/ontology/DCM
        l: DCM
      code:
        v: 112039
      display:
        v: Tracking Identifier
element:
  id:
    v: BodyStructure.identifier:trackingIdentifier.value
  path:
    v: BodyStructure.identifier.value
  min:
    v: 1
element:
  id:
    v: BodyStructure.identifier:trackingUid
  path:
    v: BodyStructure.identifier
  slice name:
    v: trackingUid
  short:
    v: Tracking UID
  definition:
    v: A unique identifier used for tracking a finding or feature, potentially across multiple reporting objects, over time.
  min:
    v: 0
  max:
    v: 1
  mapping:
    identity:
      v: dicom-sr-tid-300-finding-site
    map:
      v: EV (112040, DCM, Tracking Unique Identifier)
  mapping:
    identity:
      v: dicom-sr-tid-1419-finding-site
    map:
      v: EV (112040, DCM, Tracking Unique Identifier)
  mapping:
    identity:
      v: dicom-sr-tid-1501-finding-site
    map:
      v: EV (112040, DCM, Tracking Unique Identifier)
element:
  id:
    v: BodyStructure.identifier:trackingUid.type
  path:
    v: BodyStructure.identifier.type
  min:
    v: 1
  pattern: CodeableConcept
    coding:
      system:
        v: http://dicom.nema.org/resources/ontology/DCM
        l: DCM
      code:
        v: 112040
      display:
        v: Tracking Unique Identifier
element:
  id:
    v: BodyStructure.identifier:trackingUid.system
  path:
    v: BodyStructure.identifier.system
  pattern: Uri
    v: urn:dicom:uid
    l: uid
element:
  id:
    v: BodyStructure.identifier:trackingUid.value
  path:
    v: BodyStructure.identifier.value
  min:
    v: 1
element:
  id:
    v: BodyStructure.includedStructure.structure.coding
  path:
    v: BodyStructure.includedStructure.structure.coding
  mapping:
    identity:
      v: dicom-sr-tid-300-finding-site
    map:
      v: TID300.EV(363698007, SCT, Finding Site)
  mapping:
    identity:
      v: dicom-sr-tid-1419-finding-site
    map:
      v: TID1419.EV(363698007, SCT, Finding Site)
  mapping:
    identity:
      v: dicom-sr-tid-1501-finding-site
    map:
      v: TID1501.EV(363698007, SCT, Finding Site)
element:
  id:
    v: BodyStructure.includedStructure.laterality
  path:
    v: BodyStructure.includedStructure.laterality
  must support:
    v: true
  mapping:
    identity:
      v: dicom-sr-tid-300-finding-site
    map:
      v: TID300.EV(272741003, SCT, Laterality)
  mapping:
    identity:
      v: dicom-sr-tid-1419-finding-site
    map:
      v: TID1419.EV(272741003, SCT, Laterality)
  mapping:
    identity:
      v: dicom-sr-tid-1501-finding-site
    map:
      v: TID1501.EV(272741003, SCT, Laterality)
element:
  id:
    v: BodyStructure.includedStructure.qualifier
  path:
    v: BodyStructure.includedStructure.qualifier
  must support:
    v: true
  mapping:
    identity:
      v: dicom-sr-tid-300-finding-site

v: TID300.DT(106233006, SCT, Topographical modifier)

identity:
  v: dicom-sr-tid-1419-finding-site
map:
  v: TID1419.DT(106233006, SCT, Topographical modifier)

identity:
  v: dicom-sr-tid-1501-finding-site
map:
  v: TID1501.DT(106233006, SCT, Topographical modifier)

id:
  v: BodyStructure.patient
path:
  v: BodyStructure.patient
mapping:
  identity:
    v: dicom-sr-tid-300-finding-site
  map:
    v: tag(0010,0020) [Patient ID]
mapping:
  identity:
    v: dicom-sr-tid-1419-finding-site
  map:
    v: tag(0010,0020) [Patient ID]
mapping:
  identity:
    v: dicom-sr-tid-1501-finding-site
  map:
    v: tag(0010,0020) [Patient ID]