QI-Core Implementation Guide
            
            4.1.1 - STU 4.1.1
  US
            
          
This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 7.0.1. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-bodystructure | Version: 4.1.1 | |||
| Draft as of 2018-08-22 | Computable Name: QICoreBodyStructure | |||
Profile of BodyStructure for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
| 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 | 
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from BodyStructure
This structure is derived from BodyStructure
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   BodyStructure | 0..* | BodyStructure | Specific and identified anatomical structure | |
|    active | S | 1..1 | boolean | Whether this record is in active use | 
|    location | S | 1..1 | CodeableConcept | Body site Binding: Precoordinated Body Structures (preferred): Precoordinated body sites such as 'left ear' | 
|    locationQualifier | S | 0..* | CodeableConcept | Body site modifier | 
|    patient | S | 1..1 | Reference(QICorePatient) | Who this is about | 
|  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   BodyStructure | 0..* | BodyStructure | Specific and identified anatomical structure | |
|    id | Σ | 0..1 | string | Logical id of this artifact | 
|    meta | Σ | 0..1 | Meta | Metadata about the resource | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
|    contained | 0..* | Resource | Contained, inline Resources | |
|    extension | 0..* | Extension | Additional content defined by implementations | |
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    identifier | Σ | 0..* | Identifier | Bodystructure identifier | 
|    active | ?!SΣ | 1..1 | boolean | Whether this record is in active use | 
|    morphology | Σ | 0..1 | CodeableConcept | Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology. | 
|    location | SΣ | 1..1 | CodeableConcept | Body site Binding: Precoordinated Body Structures (preferred): Precoordinated body sites such as 'left ear' | 
|    locationQualifier | S | 0..* | CodeableConcept | Body site modifier Binding: BodystructureLocationQualifier (example): Concepts modifying the anatomic location. | 
|    description | Σ | 0..1 | string | Text description | 
|    image | 0..* | Attachment | Attached images | |
|    patient | SΣ | 1..1 | Reference(QICorePatient) | Who this is about | 
|  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   BodyStructure | 0..* | BodyStructure | Specific and identified anatomical structure | |
|    active | ?!Σ | 1..1 | boolean | Whether this record is in active use | 
|    location | Σ | 1..1 | CodeableConcept | Body site Binding: Precoordinated Body Structures (preferred): Precoordinated body sites such as 'left ear' | 
|    locationQualifier | 0..* | CodeableConcept | Body site modifier Binding: BodystructureLocationQualifier (example): Concepts modifying the anatomic location. | |
|    patient | Σ | 1..1 | Reference(QICorePatient) | Who this is about | 
|  Documentation for this format | ||||
This structure is derived from BodyStructure
Differential View
This structure is derived from BodyStructure
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   BodyStructure | 0..* | BodyStructure | Specific and identified anatomical structure | |
|    active | S | 1..1 | boolean | Whether this record is in active use | 
|    location | S | 1..1 | CodeableConcept | Body site Binding: Precoordinated Body Structures (preferred): Precoordinated body sites such as 'left ear' | 
|    locationQualifier | S | 0..* | CodeableConcept | Body site modifier | 
|    patient | S | 1..1 | Reference(QICorePatient) | Who this is about | 
|  Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   BodyStructure | 0..* | BodyStructure | Specific and identified anatomical structure | |
|    id | Σ | 0..1 | string | Logical id of this artifact | 
|    meta | Σ | 0..1 | Meta | Metadata about the resource | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
|    contained | 0..* | Resource | Contained, inline Resources | |
|    extension | 0..* | Extension | Additional content defined by implementations | |
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    identifier | Σ | 0..* | Identifier | Bodystructure identifier | 
|    active | ?!SΣ | 1..1 | boolean | Whether this record is in active use | 
|    morphology | Σ | 0..1 | CodeableConcept | Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology. | 
|    location | SΣ | 1..1 | CodeableConcept | Body site Binding: Precoordinated Body Structures (preferred): Precoordinated body sites such as 'left ear' | 
|    locationQualifier | S | 0..* | CodeableConcept | Body site modifier Binding: BodystructureLocationQualifier (example): Concepts modifying the anatomic location. | 
|    description | Σ | 0..1 | string | Text description | 
|    image | 0..* | Attachment | Attached images | |
|    patient | SΣ | 1..1 | Reference(QICorePatient) | Who this is about | 
|  Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | 
| BodyStructure.language | preferred | CommonLanguages Max Binding: AllLanguages | 
| BodyStructure.morphology | example | SNOMEDCTMorphologicAbnormalities | 
| BodyStructure.location | preferred | QICoreBodyStructurePreCoordinated | 
| BodyStructure.locationQualifier | example | BodystructureLocationQualifier | 
| Id | Grade | Path | Details | Requirements | 
| 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().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-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 | BodyStructure.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | BodyStructure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | BodyStructure.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | BodyStructure.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | BodyStructure.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.active | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.morphology | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.location | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.locationQualifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.image | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | BodyStructure.patient | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |