Release 4

Orders and Observations 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.

Cardinality0..*
TypeDomainResource
Alternate Namesanatomical location
BodyStructure.identifier
Element IdBodyStructure.identifier
Definition

Identifier for this instance of the anatomical structure.

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.

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.

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.location
Element IdBodyStructure.location
Definition

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

Cardinality0..1
Terminology BindingSNOMED CT Body Structures (Example)
TypeCodeableConcept
Summarytrue
BodyStructure.locationQualifier
Element IdBodyStructure.locationQualifier
Definition

Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane.

Cardinality0..*
Terminology BindingBodystructure Location Qualifier (Example)
TypeCodeableConcept
BodyStructure.description
Element IdBodyStructure.description
Definition

A summary, characterization or explanation of the body structure.

Cardinality0..1
Typestring
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.

Cardinality0..*
TypeAttachment
BodyStructure.patient
Element IdBodyStructure.patient
Definition

The person to which the body site belongs.

Cardinality1..1
TypeReference(Patient)
Summarytrue