HL7 Europe Base and Core FHIR IG
2.0.0-recon - ci-build 150

HL7 Europe Base and Core FHIR IG, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 2.0.0-recon built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/base-r5/ and changes regularly. See the Directory of published versions

Resource Profile: BodyStructure (EU core)

Official URL: http://hl7.eu/fhir/base-r5/StructureDefinition/bodyStructure-eu-core Version: 2.0.0-recon
Standards status: Trial-use Maturity Level: 2 Computable Name: BodyStructureEuCore

Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile introduces essential constraints and extensions for the BodyStructure resource that apply across multiple use cases.

Body Site and Laterality

When expressing a body site with laterality, use BodyStructure.includedStructure: the body site code goes into includedStructure.structure and the laterality into includedStructure.laterality.

Qualifier

Additional positional qualifiers (e.g. "upper", "anterior", "superficial") can be expressed via includedStructure.qualifier. Multiple qualifiers may be provided within the same includedStructure entry.

Laterality only (structure unknown or not provided)

In some cases only the laterality is relevant or the specific body structure code is not known and cannot be populated. In these situations, the data-absent-reason extension can be applied to includedStructure.structure to satisfy the FHIR cardinality requirement while making clear that the value is absent, allowing includedStructure.laterality to carry the laterality information on its own.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BodyStructure 0..* BodyStructure Specific and identified anatomical structure
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Textual description of the body structure
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... identifier Σ 0..* Identifier Body structure identifier
... active ?!Σ 0..1 boolean Whether this record is in active use
... morphology Σ 0..1 CodeableConcept Kind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (preferred)
... includedStructure 1..* BackboneElement Included anatomic location(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... structure Σ 1..1 CodeableConcept Code that represents the included structure
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality 0..1 CodeableConcept Code that represents the included structure laterality
Binding: Body Structure Laterality (preferred)
.... qualifier 0..* CodeableConcept Code that represents the included structure qualifier
Binding: Body Structure Qualifier (preferred)
... patient Σ 1..1 Reference(Patient) Who this is about

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
BodyStructure.morphology Base preferred SNOMED CT Morphologic Abnormalities 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​structure Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​laterality Base preferred Body Structure Laterality 📦2.0.0-recon This IG
BodyStructure.includedStructure.​qualifier Base preferred Body Structure Qualifier 📦2.0.0-recon This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error BodyStructure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error BodyStructure 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 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()
dom-4 error BodyStructure If 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-5 error BodyStructure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice BodyStructure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from BodyStructure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BodyStructure 0..* BodyStructure Specific and identified anatomical structure
... text 0..1 Narrative Textual description of the body structure
... identifier 0..* Identifier Body structure identifier
... morphology 0..1 CodeableConcept Kind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (preferred)
.... structure 1..1 CodeableConcept Code that represents the included structure
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality 0..1 CodeableConcept Code that represents the included structure laterality
Binding: Body Structure Laterality (preferred)
.... qualifier 0..* CodeableConcept Code that represents the included structure qualifier
Binding: Body Structure Qualifier (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
BodyStructure.morphology Base preferred SNOMED CT Morphologic Abnormalities 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​structure Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​laterality Base preferred Body Structure Laterality 📦2.0.0-recon This IG
BodyStructure.includedStructure.​qualifier Base preferred Body Structure Qualifier 📦2.0.0-recon This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BodyStructure 0..* BodyStructure Specific and identified anatomical structure
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Textual description of the body structure
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Body structure identifier
... active ?!Σ 0..1 boolean Whether this record is in active use
... morphology Σ 0..1 CodeableConcept Kind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (preferred)
... includedStructure 1..* BackboneElement Included anatomic location(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... structure Σ 1..1 CodeableConcept Code that represents the included structure
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality 0..1 CodeableConcept Code that represents the included structure laterality
Binding: Body Structure Laterality (preferred)
.... bodyLandmarkOrientation 0..* BackboneElement Landmark relative location
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... landmarkDescription 0..* CodeableConcept Body ]andmark description
Binding: SNOMEDCTBodyStructures (example): Select SNOMED code system values. Values used in a podiatry setting to decsribe landmarks on the body.
..... clockFacePosition 0..* CodeableConcept Clockface orientation
Binding: BodystructureBodyLandmarkClockFacePosition (example): Select SNOMED CT codes. A set of codes that describe a things orientation based on a hourly positions of a clock face.
..... distanceFromLandmark 0..* BackboneElement Landmark relative location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... device 0..* CodeableReference(Device) Measurement device
Binding: DeviceType (example): Codes to identify medical devices.
...... value 0..* Quantity Measured distance from body landmark
..... surfaceOrientation 0..* CodeableConcept Relative landmark surface orientation
Binding: BodystructureLocationQualifier (preferred): Select SNOMED code system values. The surface area a body location is in relation to a landmark.
.... spatialReference 0..* Reference(ImagingSelection) Cartesian reference for structure
.... qualifier 0..* CodeableConcept Code that represents the included structure qualifier
Binding: Body Structure Qualifier (preferred)
... excludedStructure 0..* See includedStructure (BodyStructure) Excluded anatomic locations(s)
... description Σ 0..1 markdown Text description
... image 0..* Attachment Attached images
... patient Σ 1..1 Reference(Patient) Who this is about

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
BodyStructure.language Base required All Languages 📍5.0.0 FHIR Std.
BodyStructure.morphology Base preferred SNOMED CT Morphologic Abnormalities 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​structure Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​laterality Base preferred Body Structure Laterality 📦2.0.0-recon This IG
BodyStructure.includedStructure.​bodyLandmarkOrientation.​landmarkDescription Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​clockFacePosition Base example Bodystructure Body Landmark Clock Face Position 📍5.0.0 FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​distanceFromLandmark.​device Base example Device Type 📍5.0.0 FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​surfaceOrientation Base preferred Bodystructure Location Qualifier 📍5.0.0 FHIR Std.
BodyStructure.includedStructure.​qualifier Base preferred Body Structure Qualifier 📦2.0.0-recon This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error BodyStructure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error BodyStructure 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 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()
dom-4 error BodyStructure If 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-5 error BodyStructure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice BodyStructure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from BodyStructure

Summary

Maturity: 2

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BodyStructure 0..* BodyStructure Specific and identified anatomical structure
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Textual description of the body structure
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... identifier Σ 0..* Identifier Body structure identifier
... active ?!Σ 0..1 boolean Whether this record is in active use
... morphology Σ 0..1 CodeableConcept Kind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (preferred)
... includedStructure 1..* BackboneElement Included anatomic location(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... structure Σ 1..1 CodeableConcept Code that represents the included structure
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality 0..1 CodeableConcept Code that represents the included structure laterality
Binding: Body Structure Laterality (preferred)
.... qualifier 0..* CodeableConcept Code that represents the included structure qualifier
Binding: Body Structure Qualifier (preferred)
... patient Σ 1..1 Reference(Patient) Who this is about

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
BodyStructure.morphology Base preferred SNOMED CT Morphologic Abnormalities 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​structure Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​laterality Base preferred Body Structure Laterality 📦2.0.0-recon This IG
BodyStructure.includedStructure.​qualifier Base preferred Body Structure Qualifier 📦2.0.0-recon This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error BodyStructure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error BodyStructure 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 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()
dom-4 error BodyStructure If 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-5 error BodyStructure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice BodyStructure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from BodyStructure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BodyStructure 0..* BodyStructure Specific and identified anatomical structure
... text 0..1 Narrative Textual description of the body structure
... identifier 0..* Identifier Body structure identifier
... morphology 0..1 CodeableConcept Kind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (preferred)
.... structure 1..1 CodeableConcept Code that represents the included structure
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality 0..1 CodeableConcept Code that represents the included structure laterality
Binding: Body Structure Laterality (preferred)
.... qualifier 0..* CodeableConcept Code that represents the included structure qualifier
Binding: Body Structure Qualifier (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
BodyStructure.morphology Base preferred SNOMED CT Morphologic Abnormalities 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​structure Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​laterality Base preferred Body Structure Laterality 📦2.0.0-recon This IG
BodyStructure.includedStructure.​qualifier Base preferred Body Structure Qualifier 📦2.0.0-recon This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. BodyStructure 0..* BodyStructure Specific and identified anatomical structure
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Textual description of the body structure
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Body structure identifier
... active ?!Σ 0..1 boolean Whether this record is in active use
... morphology Σ 0..1 CodeableConcept Kind of Structure
Binding: SNOMEDCTMorphologicAbnormalities (preferred)
... includedStructure 1..* BackboneElement Included anatomic location(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... structure Σ 1..1 CodeableConcept Code that represents the included structure
Binding: SNOMEDCTBodyStructures (preferred)
.... laterality 0..1 CodeableConcept Code that represents the included structure laterality
Binding: Body Structure Laterality (preferred)
.... bodyLandmarkOrientation 0..* BackboneElement Landmark relative location
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... landmarkDescription 0..* CodeableConcept Body ]andmark description
Binding: SNOMEDCTBodyStructures (example): Select SNOMED code system values. Values used in a podiatry setting to decsribe landmarks on the body.
..... clockFacePosition 0..* CodeableConcept Clockface orientation
Binding: BodystructureBodyLandmarkClockFacePosition (example): Select SNOMED CT codes. A set of codes that describe a things orientation based on a hourly positions of a clock face.
..... distanceFromLandmark 0..* BackboneElement Landmark relative location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... device 0..* CodeableReference(Device) Measurement device
Binding: DeviceType (example): Codes to identify medical devices.
...... value 0..* Quantity Measured distance from body landmark
..... surfaceOrientation 0..* CodeableConcept Relative landmark surface orientation
Binding: BodystructureLocationQualifier (preferred): Select SNOMED code system values. The surface area a body location is in relation to a landmark.
.... spatialReference 0..* Reference(ImagingSelection) Cartesian reference for structure
.... qualifier 0..* CodeableConcept Code that represents the included structure qualifier
Binding: Body Structure Qualifier (preferred)
... excludedStructure 0..* See includedStructure (BodyStructure) Excluded anatomic locations(s)
... description Σ 0..1 markdown Text description
... image 0..* Attachment Attached images
... patient Σ 1..1 Reference(Patient) Who this is about

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
BodyStructure.language Base required All Languages 📍5.0.0 FHIR Std.
BodyStructure.morphology Base preferred SNOMED CT Morphologic Abnormalities 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​structure Base preferred SNOMED CT Body Structures 📦5.0.0 FHIR Std.
BodyStructure.includedStructure.​laterality Base preferred Body Structure Laterality 📦2.0.0-recon This IG
BodyStructure.includedStructure.​bodyLandmarkOrientation.​landmarkDescription Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​clockFacePosition Base example Bodystructure Body Landmark Clock Face Position 📍5.0.0 FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​distanceFromLandmark.​device Base example Device Type 📍5.0.0 FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​surfaceOrientation Base preferred Bodystructure Location Qualifier 📍5.0.0 FHIR Std.
BodyStructure.includedStructure.​qualifier Base preferred Body Structure Qualifier 📦2.0.0-recon This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error BodyStructure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error BodyStructure 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 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()
dom-4 error BodyStructure If 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-5 error BodyStructure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice BodyStructure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from BodyStructure

Summary

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron