R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Orders and Observations icon Work GroupMaturity Level: 1 Trial UseSecurity Category: Patient Compartments: Patient

Detailed Descriptions for the elements in the BodyStructure resource.

BodyStructure
Element IdBodyStructure
Definition

Record details about an anatomical structure. This resource may be used when a coded concept does not provide the necessary detail needed for the use case.

Short DisplaySpecific and identified anatomical structure
Cardinality0..*
TypeDomainResource
Alternate Namesanatomical location
Summaryfalse
BodyStructure.identifier
Element IdBodyStructure.identifier
Definition

Identifier for this instance of the anatomical structure.

Short DisplayBodystructure identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Summarytrue
BodyStructure.active
Element IdBodyStructure.active
Definition

Whether this body site is in active use.

Short DisplayWhether this record is in active use
Cardinality0..1
Typeboolean
Is Modifiertrue (Reason: 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)
Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Requirements

Need to be able to mark a body site entry as not to be used because it was created in error.

Summarytrue
Comments

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

BodyStructure.morphology
Element IdBodyStructure.morphology
Definition

The kind of structure being represented by the body structure at BodyStructure.location. This can define both normal and abnormal morphologies.

Short DisplayKind of Structure
Cardinality0..1
Terminology BindingSNOMED CT Morphologic Abnormalities (Example)
TypeCodeableConcept
Summarytrue
Comments

The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology.

BodyStructure.includedStructure
Element IdBodyStructure.includedStructure
Definition

The anatomical location(s) or region(s) of the specimen, lesion, or body structure.

Short DisplayIncluded anatomic location(s)
Cardinality1..*
Summaryfalse
BodyStructure.includedStructure.structure
Element IdBodyStructure.includedStructure.structure
Definition

Code that represents the included structure.

Short DisplayCode that represents the included structure
Cardinality1..1
Terminology BindingSNOMED CT Body Structures (Example)
TypeCodeableConcept
Summarytrue
BodyStructure.includedStructure.laterality
Element IdBodyStructure.includedStructure.laterality
Definition

Code that represents the included structure laterality.

Short DisplayCode that represents the included structure laterality
Cardinality0..1
Terminology BindingBodystructure Location Qualifier (Example)
TypeCodeableConcept
Summaryfalse
BodyStructure.includedStructure.bodyLandmarkOrientation
Element IdBodyStructure.includedStructure.bodyLandmarkOrientation
Definition

Body locations in relation to a specific body landmark (tatoo, scar, other body structure).

Short DisplayLandmark relative location
Cardinality0..*
Summaryfalse
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
Element IdBodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
Definition

A description of a landmark on the body used as a reference to locate something else.

Short DisplayBody ]andmark description
Cardinality0..*
Terminology BindingSNOMED CT Body Structures (Example)
TypeCodeableConcept
Summaryfalse
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition
Element IdBodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition
Definition

An description of the direction away from a landmark something is located based on a radial clock dial.

Short DisplayClockface orientation
Cardinality0..*
Terminology BindingBodystructure Body Landmark Clock Face Position (Example)
TypeCodeableConcept
Summaryfalse
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
Element IdBodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
Definition

The distance in centimeters a certain observation is made from a body landmark.

Short DisplayLandmark relative location
Cardinality0..*
Summaryfalse
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
Element IdBodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
Definition

An instrument, tool, analyzer, etc. used in the measurement.

Short DisplayMeasurement device
Cardinality0..*
Terminology BindingDevice Type (Example)
TypeCodeableReference(Device)
Summaryfalse
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
Element IdBodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
Definition

The measured distance (e.g., in cm) from a body landmark.

Short DisplayMeasured distance from body landmark
Cardinality0..*
TypeQuantity
Summaryfalse
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
Element IdBodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
Definition

The surface area a body location is in relation to a landmark.

Short DisplayRelative landmark surface orientation
Cardinality0..*
Terminology BindingBodystructure Location Qualifier (Preferred)
TypeCodeableConcept
Summaryfalse
BodyStructure.includedStructure.spatialReference
Element IdBodyStructure.includedStructure.spatialReference
Definition

XY or XYZ-coordinate orientation for structure.

Short DisplayCartesian reference for structure
Cardinality0..*
TypeReference(ImagingSelection)
Summaryfalse
BodyStructure.includedStructure.qualifier
Element IdBodyStructure.includedStructure.qualifier
Definition

Code that represents the included structure qualifier.

Short DisplayCode that represents the included structure qualifier
Cardinality0..*
Terminology BindingBodystructure Location Qualifier (Example)
TypeCodeableConcept
Summaryfalse
BodyStructure.excludedStructure
Element IdBodyStructure.excludedStructure
Definition

The anatomical location(s) or region(s) not occupied or represented by the specimen, lesion, or body structure.

Short DisplayExcluded anatomic locations(s)
Cardinality0..*
TypeSee BodyStructure.includedStructure
Summaryfalse
BodyStructure.description
Element IdBodyStructure.description
Definition

A summary, characterization or explanation of the body structure.

Short DisplayText description
Cardinality0..1
Typemarkdown
Summarytrue
Comments

This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.

BodyStructure.image
Element IdBodyStructure.image
Definition

Image or images used to identify a location.

Short DisplayAttached images
Cardinality0..*
TypeAttachment
Summaryfalse
BodyStructure.patient
Element IdBodyStructure.patient
Definition

The person to which the body site belongs.

Short DisplayWho this is about
Cardinality1..1
TypeReference(Patient)
Summarytrue