This
page
is
part
of
the
FHIR
Specification
v6.0.0-ballot3:
Release
6
Ballot
(3rd
Draft)
(see
Ballot
Notes
).
The
current
version
is
5.0.0
.
For
a
full
list
Continuous
Integration
Build
of
available
versions,
see
FHIR
(will
be
incorrect/inconsistent
at
times).
See
the
Directory
of
published
versions
Responsible
Owner:
Orders
and
Observations
Work
Group
|
|
Security Category : Patient | Compartments : Patient |
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.
The BodyStructure resource contains details about the anatomical location of a specimen or body part, including patient information, identifiers, as well as text descriptions and images. Note that some body structures are discontiguous.
When
needed,
it
allows
the
the
representation
of
complex
body
structures
and/or
locations
using
the
included
and
excluded
elements.
Also,
it
provides
for
the
addition
It
can
provide
indications
of
qualifiers
such
as
laterality
and
directionality
to
the
anatomic
location
for
those
use
cases
where
pre-coordination
of
codes
is
location.
This
capability
may
be
required
when
not
possible.
indicated
in
a
corresponding
code
(e.g.,
includedStructure.structure
or
excludedStructure.structure).
The
BodyStructure
resource
supports
recording
and
tracking
of
an
anatomic
location
or
structure
on
a
patient
outside
the
context
of
another
resource.
For
example
example,
it
can
be
the
target
of
a
Procedure
or
Observation
resource.
The
BodyStructure
resource
is
not
intended
to
substitute
for
precoordination
of
codes.
If
precoordination
of
codes
is
supported
by
an
implementation
a
resource's
code
value
implies
a
body
structure,
then
the
codeableConcept
bodyStructure
resource
should
be
used.
This
used
consistent
with
the
code
and
to
provide
any
additional
detail.
The
bodySite
element
in
any
resource
can
be
used
when
the
resource's
code
is
not
intended
for
describing
implicit
about
the
type
of
anatomical
location
but
rather
a
specific
body
site
on
a
specific
patient.
structure
and
does
not
require
extensive
detail.
Structure
| Name | Flags | Card. | Type |
Description
&
Constraints
Filter:
|
|---|---|---|---|---|
|
|
DomainResource |
Specific
and
identified
anatomical
structure
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension |
|
|
Σ | 0..* | Identifier |
Bodystructure
identifier
|
|
?! Σ | 0..1 | boolean |
Whether
this
record
is
in
active
use
|
|
1..* | BackboneElement |
Included
anatomic
location(s)
|
|
|
Σ | 1..1 | CodeableConcept |
Code
that
represents
the
included
structure
Binding: SNOMED CT Body Structures ( Example ) |
|
0..1 | CodeableConcept |
Code
that
represents
the
included
structure
laterality
Binding: Bodystructure Laterality ( Example ) |
|
|
0..* | BackboneElement |
Landmark
relative
location
|
|
|
0..* | CodeableConcept |
Explanation
of
landmark
Binding: SNOMED CT Body Structures ( Example ) |
|
|
0..* | CodeableConcept |
Clockface
orientation
Binding: Bodystructure Body Landmark Clock Face Position ( Example ) |
|
|
0..* | BackboneElement |
Landmark
relative
location
|
|
|
0..* | CodeableReference ( Device ) |
Measurement
device
Binding: Device Type ( Example ) |
|
|
0..* | Quantity |
Measured
distance
from
body
landmark
|
|
|
0..* | CodeableConcept |
Relative
landmark
surface
orientation
Binding: Bodystructure Location Qualifier ( Preferred ) |
|
|
0..* | Reference ( ImagingSelection ) |
Cartesian
reference
for
structure
|
|
| 0..* | Attachment |
Image(s)
of
structural
aspects
| |
![]() ![]()
|
0..* | CodeableConcept |
Code
that
represents
the
included
structure
qualifier
Binding: Bodystructure Location Qualifier ( Example ) |
|
| Σ | 0..1 | CodeableConcept |
Kind
of
Structure
Binding: SNOMED CT Morphologic Abnormalities ( Example ) |
|
0..* | see includedStructure |
Excluded
anatomic
locations(s)
|
|
|
Σ | 0..1 | markdown |
Text
description
|
|
0..* | Attachment |
Attached
images
|
|
|
Σ | 1..1 | Reference ( Patient ) |
Who
this
is
about
|
Documentation
for
this
format
|
||||
See the Extensions for this resource
UML Diagram ( Legend )
XML Template
<BodyStructure xmlns="http://hl7.org/fhir"><!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier Bodystructure identifier --></identifier> <active value="[boolean]"/><!-- 0..1 Whether this record is in active use -->
<</morphology><includedStructure> <!-- 1..* Included anatomic location(s) --> <structure><!-- 1..1 CodeableConcept Code that represents the included structure --></structure> <laterality><!-- 0..1 CodeableConcept Code that represents the included structure laterality --></laterality> <bodyLandmarkOrientation> <!-- 0..* Landmark relative location --> <landmarkDescription><!-- 0..* CodeableConcept Explanation of landmark --></landmarkDescription> <clockFacePosition><!-- 0..* CodeableConcept Clockface orientation --></clockFacePosition> <distanceFromLandmark> <!-- 0..* Landmark relative location --> <device><!-- 0..* CodeableReference(Device) Measurement device --></device> <value><!-- 0..* Quantity Measured distance from body landmark --></value> </distanceFromLandmark> <surfaceOrientation><!-- 0..* CodeableConcept Relative landmark surface orientation --></surfaceOrientation> </bodyLandmarkOrientation> <spatialReference><!-- 0..* Reference(ImagingSelection) Cartesian reference for structure --></spatialReference> <image><!-- 0..* Attachment Image(s) of structural aspects --></image> <qualifier><!-- 0..* CodeableConcept Code that represents the included structure qualifier --></qualifier> <morphology><!-- 0..1 CodeableConcept Kind of Structure --></morphology> </includedStructure> <excludedStructure><!-- 0..* Content as for BodyStructure.includedStructure Excluded anatomic locations(s) --></excludedStructure> <description value="[markdown]"/><!-- 0..1 Text description --><</image><image><!-- 0..* Attachment Attached images --></image> <patient><!-- 1..1 Reference(Patient) Who this is about --></patient> </BodyStructure>
JSON Template
{
"resourceType" : "BodyStructure",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"identifier" : [{ Identifier }], // Bodystructure identifier
"active" : <boolean>, // Whether this record is in active use
"
"includedStructure" : [{ // R! Included anatomic location(s)
"structure" : { CodeableConcept }, // R! Code that represents the included structure
"laterality" : { CodeableConcept }, // Code that represents the included structure laterality
"bodyLandmarkOrientation" : [{ // Landmark relative location
"landmarkDescription" : [{ CodeableConcept }], // Explanation of landmark
"clockFacePosition" : [{ CodeableConcept }], // Clockface orientation
"distanceFromLandmark" : [{ // Landmark relative location
"device" : [{ CodeableReference(Device) }], // Measurement device
"value" : [{ Quantity }] // Measured distance from body landmark
}],
"surfaceOrientation" : [{ CodeableConcept }] // Relative landmark surface orientation
}],
"spatialReference" : [{ Reference(ImagingSelection) }], // Cartesian reference for structure
"
"image" : [{ Attachment }], // Image(s) of structural aspects
"qualifier" : [{ CodeableConcept }], // Code that represents the included structure qualifier
"morphology" : { CodeableConcept } // Kind of Structure
}],
"excludedStructure" : [{ Content as for BodyStructure.includedStructure }], // Excluded anatomic locations(s)
"description" : "<markdown>", // Text description
"
"image" : [{ Attachment }], // Attached images
"patient" : { Reference(Patient) } // R! Who this is about
}
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> .[ a fhir:BodyStructure; fhir:nodeRole fhir:treeRoot; # if this is the parser root
# from # from# from Resource: fhir:id, fhir:meta, fhir:implicitRules, and fhir:language # from DomainResource: fhir:text, fhir:contained, fhir:extension, and fhir:modifierExtension fhir:identifier ( [ Identifier ] ... ) ; # 0..* Bodystructure identifier fhir:active [ boolean ] ; # 0..1 Whether this record is in active usefhir:fhir:includedStructure ( [ # 1..* Included anatomic location(s) fhir:structure [ CodeableConcept ] ; # 1..1 Code that represents the included structure fhir:laterality [ CodeableConcept ] ; # 0..1 Code that represents the included structure laterality fhir:bodyLandmarkOrientation ( [ # 0..* Landmark relative location fhir:landmarkDescription ( [ CodeableConcept ] ... ) ; # 0..* Explanation of landmark fhir:clockFacePosition ( [ CodeableConcept ] ... ) ; # 0..* Clockface orientation fhir:distanceFromLandmark ( [ # 0..* Landmark relative location fhir:device ( [ CodeableReference(Device) ] ... ) ; # 0..* Measurement device fhir:value ( [ Quantity ] ... ) ; # 0..* Measured distance from body landmark ] ... ) ; fhir:surfaceOrientation ( [ CodeableConcept ] ... ) ; # 0..* Relative landmark surface orientation ] ... ) ; fhir:spatialReference ( [ Reference(ImagingSelection) ] ... ) ; # 0..* Cartesian reference for structure fhir:image ( [ Attachment ] ... ) ; # 0..* Image(s) of structural aspects fhir:qualifier ( [ CodeableConcept ] ... ) ; # 0..* Code that represents the included structure qualifier fhir:morphology [ CodeableConcept ] ; # 0..1 Kind of Structure ] ... ) ; fhir:excludedStructure ( [ See BodyStructure.includedStructure ] ... ) ; # 0..* Excluded anatomic locations(s) fhir:description [ markdown ] ; # 0..1 Text descriptionfhir:fhir:image ( [ Attachment ] ... ) ; # 0..* Attached images fhir:patient [ Reference(Patient) ] ; # 1..1 Who this is about ]
Changes from both R4 and R4B
| BodyStructure | |
| BodyStructure.includedStructure |
|
| BodyStructure.includedStructure.structure |
|
| BodyStructure.includedStructure.laterality |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation |
|
| BodyStructure.includedStructure.spatialReference |
|
| BodyStructure.includedStructure.image |
|
| BodyStructure.includedStructure.qualifier |
|
| BodyStructure.includedStructure.morphology |
|
| BodyStructure.excludedStructure |
|
| BodyStructure.description |
|
| BodyStructure.morphology |
|
| BodyStructure.location |
|
| BodyStructure.locationQualifier |
|
See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON .
Structure
| Name | Flags | Card. | Type |
Description
&
Constraints
Filter:
|
|---|---|---|---|---|
|
|
DomainResource |
Specific
and
identified
anatomical
structure
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension |
|
|
Σ | 0..* | Identifier |
Bodystructure
identifier
|
|
?! Σ | 0..1 | boolean |
Whether
this
record
is
in
active
use
|
|
1..* | BackboneElement |
Included
anatomic
location(s)
|
|
|
Σ | 1..1 | CodeableConcept |
Code
that
represents
the
included
structure
Binding: SNOMED CT Body Structures ( Example ) |
|
0..1 | CodeableConcept |
Code
that
represents
the
included
structure
laterality
Binding: Bodystructure Laterality ( Example ) |
|
|
0..* | BackboneElement |
Landmark
relative
location
|
|
|
0..* | CodeableConcept |
Explanation
of
landmark
Binding: SNOMED CT Body Structures ( Example ) |
|
|
0..* | CodeableConcept |
Clockface
orientation
Binding: Bodystructure Body Landmark Clock Face Position ( Example ) |
|
|
0..* | BackboneElement |
Landmark
relative
location
|
|
|
0..* | CodeableReference ( Device ) |
Measurement
device
Binding: Device Type ( Example ) |
|
|
0..* | Quantity |
Measured
distance
from
body
landmark
|
|
|
0..* | CodeableConcept |
Relative
landmark
surface
orientation
Binding: Bodystructure Location Qualifier ( Preferred ) |
|
|
0..* | Reference ( ImagingSelection ) |
Cartesian
reference
for
structure
|
|
| 0..* | Attachment |
Image(s)
of
structural
aspects
| |
![]() ![]()
|
0..* | CodeableConcept |
Code
that
represents
the
included
structure
qualifier
Binding: Bodystructure Location Qualifier ( Example ) |
|
| Σ | 0..1 | CodeableConcept |
Kind
of
Structure
Binding: SNOMED CT Morphologic Abnormalities ( Example ) |
|
0..* | see includedStructure |
Excluded
anatomic
locations(s)
|
|
|
Σ | 0..1 | markdown |
Text
description
|
|
0..* | Attachment |
Attached
images
|
|
|
Σ | 1..1 | Reference ( Patient ) |
Who
this
is
about
|
Documentation
for
this
format
|
||||
See the Extensions for this resource
XML Template
<BodyStructure xmlns="http://hl7.org/fhir"><!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier Bodystructure identifier --></identifier> <active value="[boolean]"/><!-- 0..1 Whether this record is in active use -->
<</morphology><includedStructure> <!-- 1..* Included anatomic location(s) --> <structure><!-- 1..1 CodeableConcept Code that represents the included structure --></structure> <laterality><!-- 0..1 CodeableConcept Code that represents the included structure laterality --></laterality> <bodyLandmarkOrientation> <!-- 0..* Landmark relative location --> <landmarkDescription><!-- 0..* CodeableConcept Explanation of landmark --></landmarkDescription> <clockFacePosition><!-- 0..* CodeableConcept Clockface orientation --></clockFacePosition> <distanceFromLandmark> <!-- 0..* Landmark relative location --> <device><!-- 0..* CodeableReference(Device) Measurement device --></device> <value><!-- 0..* Quantity Measured distance from body landmark --></value> </distanceFromLandmark> <surfaceOrientation><!-- 0..* CodeableConcept Relative landmark surface orientation --></surfaceOrientation> </bodyLandmarkOrientation> <spatialReference><!-- 0..* Reference(ImagingSelection) Cartesian reference for structure --></spatialReference> <image><!-- 0..* Attachment Image(s) of structural aspects --></image> <qualifier><!-- 0..* CodeableConcept Code that represents the included structure qualifier --></qualifier> <morphology><!-- 0..1 CodeableConcept Kind of Structure --></morphology> </includedStructure> <excludedStructure><!-- 0..* Content as for BodyStructure.includedStructure Excluded anatomic locations(s) --></excludedStructure> <description value="[markdown]"/><!-- 0..1 Text description --><</image><image><!-- 0..* Attachment Attached images --></image> <patient><!-- 1..1 Reference(Patient) Who this is about --></patient> </BodyStructure>
JSON Template
{
"resourceType" : "BodyStructure",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"identifier" : [{ Identifier }], // Bodystructure identifier
"active" : <boolean>, // Whether this record is in active use
"
"includedStructure" : [{ // R! Included anatomic location(s)
"structure" : { CodeableConcept }, // R! Code that represents the included structure
"laterality" : { CodeableConcept }, // Code that represents the included structure laterality
"bodyLandmarkOrientation" : [{ // Landmark relative location
"landmarkDescription" : [{ CodeableConcept }], // Explanation of landmark
"clockFacePosition" : [{ CodeableConcept }], // Clockface orientation
"distanceFromLandmark" : [{ // Landmark relative location
"device" : [{ CodeableReference(Device) }], // Measurement device
"value" : [{ Quantity }] // Measured distance from body landmark
}],
"surfaceOrientation" : [{ CodeableConcept }] // Relative landmark surface orientation
}],
"spatialReference" : [{ Reference(ImagingSelection) }], // Cartesian reference for structure
"
"image" : [{ Attachment }], // Image(s) of structural aspects
"qualifier" : [{ CodeableConcept }], // Code that represents the included structure qualifier
"morphology" : { CodeableConcept } // Kind of Structure
}],
"excludedStructure" : [{ Content as for BodyStructure.includedStructure }], // Excluded anatomic locations(s)
"description" : "<markdown>", // Text description
"
"image" : [{ Attachment }], // Attached images
"patient" : { Reference(Patient) } // R! Who this is about
}
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> .[ a fhir:BodyStructure; fhir:nodeRole fhir:treeRoot; # if this is the parser root
# from # from# from Resource: fhir:id, fhir:meta, fhir:implicitRules, and fhir:language # from DomainResource: fhir:text, fhir:contained, fhir:extension, and fhir:modifierExtension fhir:identifier ( [ Identifier ] ... ) ; # 0..* Bodystructure identifier fhir:active [ boolean ] ; # 0..1 Whether this record is in active usefhir:fhir:includedStructure ( [ # 1..* Included anatomic location(s) fhir:structure [ CodeableConcept ] ; # 1..1 Code that represents the included structure fhir:laterality [ CodeableConcept ] ; # 0..1 Code that represents the included structure laterality fhir:bodyLandmarkOrientation ( [ # 0..* Landmark relative location fhir:landmarkDescription ( [ CodeableConcept ] ... ) ; # 0..* Explanation of landmark fhir:clockFacePosition ( [ CodeableConcept ] ... ) ; # 0..* Clockface orientation fhir:distanceFromLandmark ( [ # 0..* Landmark relative location fhir:device ( [ CodeableReference(Device) ] ... ) ; # 0..* Measurement device fhir:value ( [ Quantity ] ... ) ; # 0..* Measured distance from body landmark ] ... ) ; fhir:surfaceOrientation ( [ CodeableConcept ] ... ) ; # 0..* Relative landmark surface orientation ] ... ) ; fhir:spatialReference ( [ Reference(ImagingSelection) ] ... ) ; # 0..* Cartesian reference for structure fhir:image ( [ Attachment ] ... ) ; # 0..* Image(s) of structural aspects fhir:qualifier ( [ CodeableConcept ] ... ) ; # 0..* Code that represents the included structure qualifier fhir:morphology [ CodeableConcept ] ; # 0..1 Kind of Structure ] ... ) ; fhir:excludedStructure ( [ See BodyStructure.includedStructure ] ... ) ; # 0..* Excluded anatomic locations(s) fhir:description [ markdown ] ; # 0..1 Text descriptionfhir:fhir:image ( [ Attachment ] ... ) ; # 0..* Attached images fhir:patient [ Reference(Patient) ] ; # 1..1 Who this is about ]
Changes from both R4 and R4B
| BodyStructure | |
| BodyStructure.includedStructure |
|
| BodyStructure.includedStructure.structure |
|
| BodyStructure.includedStructure.laterality |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value |
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation |
|
| BodyStructure.includedStructure.spatialReference |
|
| BodyStructure.includedStructure.image |
|
| BodyStructure.includedStructure.qualifier |
|
| BodyStructure.includedStructure.morphology |
|
| BodyStructure.excludedStructure |
|
| BodyStructure.description |
|
| BodyStructure.morphology |
|
| BodyStructure.location |
|
| BodyStructure.locationQualifier |
|
See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON .
Additional definitions: Master Definition XML + JSON , XML Schema / Schematron + JSON Schema , ShEx (for Turtle ) + see the extensions , the spreadsheet version & the dependency analysis
| Path | ValueSet | Type | Documentation |
|---|---|---|---|
| BodyStructure.includedStructure.structure | SNOMEDCTBodyStructures | Example |
This
value
set
includes
all
codes
from
SNOMED
CT
|
| BodyStructure.includedStructure.laterality | BodystructureLaterality | Example |
SNOMED-CT concepts modifying the laterality of the anatomic location |
| BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription | SNOMEDCTBodyStructures | Example |
This
value
set
includes
all
codes
from
SNOMED
CT
|
| BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition | BodystructureBodyLandmarkClockFacePosition | Example |
Select SNOMED CT codes. A set of codes that describe a things orientation based on a hourly positions of a clock face. |
| BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device | DeviceType | Example |
Codes used to identify medical devices. Includes concepts from SNOMED CT (http://www.snomed.org/) where concept is-a 49062001 (Device) and is provided as a suggestive example. |
| BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation | BodystructureLocationQualifier | Preferred |
SNOMED-CT concepts modifying the anatomic location |
| BodyStructure.includedStructure.qualifier | BodystructureLocationQualifier | Example |
SNOMED-CT concepts modifying the anatomic location |
| BodyStructure.includedStructure.morphology | SNOMEDCTMorphologicAbnormalities | Example |
This
value
set
includes
all
codes
from
SNOMED
CT
|
Search parameters for this resource. See also the full list of search parameters for this resource , and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.
| Name | Type | Description | Expression | In Common |
| excluded_structure | token | Body site excludedStructure structure | BodyStructure.excludedStructure.structure | |
| identifier | token | Bodystructure identifier | BodyStructure.identifier |
|
| included_structure | token | Body site includedStructure structure | BodyStructure.includedStructure.structure | |
| morphology | token | Kind of Structure |
|
|
| patient | reference | Who this is about |
BodyStructure.patient
( Patient ) |
|