QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.0)

QI-Core Implementation Guide, Clinical Quality Improvement WG - CI build for vesion 4.0.0). This version is based on the current content of https://github.com/cqframework/qi-core/ and changes regularly. See the Directory of published versions

D.4.1 StructureDefinition-qicore-bodystructure

Introduction:

See the patterns page for implementation and usage patterns.

Examples:

This example demonstrates using the bodysite resource to identify a specific tumor or lesion that will have multiple observations and/or procedures performed on it over time

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is:

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-bodystructure

Profile of BodyStructure for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

This profile builds on BodyStructure.

This profile was published on Wed Aug 22 00:00:00 UTC 2018 as a draft by Health Level Seven, Inc. - CQI WG.

Description of Profiles, Differentials, and Snapshots.

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure I0..*Specific and identified anatomical structure
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBodystructure identifier
... active ?!SΣ1..1booleanWhether this record is in active use
... morphology Σ0..1CodeableConceptKind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (example)
... location SΣ1..1CodeableConceptBody site
Binding: Precoordinated Body Structures (preferred)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: BodystructureLocationQualifier (example)
... description Σ0..1stringText description
... image 0..*AttachmentAttached images
... patient SΣ1..1Reference(QICorePatient)Who this is about

doco Documentation for this format

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BodyStructure I0..*Specific and identified anatomical structure
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBodystructure identifier
... active ?!SΣ1..1booleanWhether this record is in active use
... morphology Σ0..1CodeableConceptKind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (example)
... location SΣ1..1CodeableConceptBody site
Binding: Precoordinated Body Structures (preferred)
... locationQualifier S0..*CodeableConceptBody site modifier
Binding: BodystructureLocationQualifier (example)
... description Σ0..1stringText description
... image 0..*AttachmentAttached images
... patient SΣ1..1Reference(QICorePatient)Who this is about

doco Documentation for this format

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathConformanceValueSet
BodyStructure.languagepreferredCommonLanguages
Max Binding: AllLanguages
BodyStructure.morphologyexampleSNOMEDCTMorphologicAbnormalities
BodyStructure.locationpreferredQICoreBodyStructurePreCoordinated
BodyStructure.locationQualifierexampleBodystructureLocationQualifier

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2BodyStructureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-4BodyStructureIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3BodyStructureIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-6BodyStructureA resource should have narrative for robust management
: text.div.exists()
dom-5BodyStructureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()