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Bodystructure.profile.json

Orders and Observations Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Patient

Raw JSON (каноническая форма + also see JSON Format Specification)

StructureDefinition for bodystructure

{
  "resourceType" : "StructureDefinition",
  "id" : "BodyStructure",
  "meta" : {
    "lastUpdated" : "2019-05-17T12:34:53.932+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "patient"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "oo"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/BodyStructure",
  "version" : "3.6.0",
  "name" : "BodyStructure",
  "status" : "draft",
  "date" : "2019-05-17T12:34:53+00:00",
  "publisher" : "Health Level Seven International (Orders and Observations)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
    }]
  }],
  "description" : "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.",
  "fhirVersion" : "3.6.0",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "openehr",
    "uri" : "http://openehr.org",
    "name" : "Open EHR Archetype Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "BodyStructure",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "BodyStructure",
      "path" : "BodyStructure",
      "short" : "Specific and identified anatomical structure",
      "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.",
      "alias" : ["anatomical location"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BodyStructure",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "dom-2",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ дана ссылка or SHALL refer to the containing resource",
        "expression" : "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()",
        "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        }],
        "key" : "dom-6",
        "severity" : "warning",
        "human" : "A resource should have narrative for robust management",
        "expression" : "text.div.exists()",
        "xpath" : "exists(f:text/h:div)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-5",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
        "expression" : "contained.meta.security.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
        "source" : "DomainResource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "rim",
        "map" : "ActSIte"
      },
      {
        "identity" : "openehr",
        "map" : "Archetype ID   openEHR-EHR-CLUSTER.anatomical_location.v1      Concept name   Anatomical Location      Concept description   Record details about an anatomical location.      Keywords   location, site, anatomical      Copyright   © openEHR Foundation      Purpose   To record details about anatomical location.      Misuse   Not for specifiying unilateral/bilateral occurrence - this is related to an evaluation which perhaps includes multiple locations.      Author   Author name: Heather Leslie Organization: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date of Origination: 2008-11-10       Translator   Norwegian Bokmål: Lars Bitsch-Larsen, Haukeland University Hospital of Bergen, Norway, MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine. Arabic (Syria): Mona Saleh       Other contributors   Heather Leslie, Ocean Informatics, Australia (Editor) Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor) Dunmail Hodkinson, Black Pear Software Ltd, UK      References   Use cases: - 5LICS, midclavicular line - L forearm, 2cm anterior to the cubital fossa - Right iliac fossa - 5 cm below L tibial tuberosity - 2 cm medial to R nipple - 4 cm below R costal margin in midclavicular line - R femur - midline nose - medial aspect of R great toe nail."
      }]
    },
    {
      "id" : "BodyStructure.id",
      "path" : "BodyStructure.id",
      "short" : "Logical id of this artifact",
      "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "id"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "BodyStructure.meta",
      "path" : "BodyStructure.meta",
      "short" : "Метаданные ресурса",
      "definition" : "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "BodyStructure.implicitRules",
      "path" : "BodyStructure.implicitRules",
      "short" : "Свод правил, в соответствии с которыми создавалось это содержимое",
      "definition" : "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.implicitRules",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary" : true
    },
    {
      "id" : "BodyStructure.language",
      "path" : "BodyStructure.language",
      "short" : "Язык содержимого ресурса",
      "definition" : "Основной язык, на котором написан ресурс.",
      "comment" : "Язык указывается для поддержки предварительной обработки текстов и доступности для понимания (например при преобразовании текста в речь используется языковой тег). HTML-тег language в описательной части применяется к этой описательной части. Языковой тег ресурса может использоваться для указания языков других представлений, генерируемых из данных ресурса\n\nНе все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя автоматически принимать за язык описательной части. Если язык указан, его также следует указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang см. в правилах HTML5).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "BodyStructure.text",
      "path" : "BodyStructure.text",
      "short" : "Краткое текстовое изложение ресурса для интерпретации человеком",
      "definition" : "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
      "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DomainResource.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Narrative"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "BodyStructure.contained",
      "path" : "BodyStructure.contained",
      "short" : "Вложенные, встроенные инлайн ресурсы",
      "definition" : "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
      "comment" : "Этого не следует делать, когда содержимое может быть идентифицировано должным образом, поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова восстановить её. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.contained",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Resource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "BodyStructure.extension",
      "path" : "BodyStructure.extension",
      "short" : "Дополнительное содержимое, определенное реализаторами",
      "definition" : "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "BodyStructure.modifierExtension",
      "path" : "BodyStructure.modifierExtension",
      "short" : "Расширения, которые нельзя игнорировать",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "BodyStructure.identifier",
      "path" : "BodyStructure.identifier",
      "short" : "Bodystructure identifier",
      "definition" : "Identifier for this instance of the anatomical structure.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BodyStructure.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      },
      {
        "identity" : "openehr",
        "map" : "Specific location  Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)"
      }]
    },
    {
      "id" : "BodyStructure.active",
      "path" : "BodyStructure.active",
      "short" : "Whether this record is in active use",
      "definition" : "Whether this body site is in active use.",
      "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
      "requirements" : "Need to be able to mark a body site entry as not to be used because it was created in error.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "BodyStructure.active",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "boolean"
      }],
      "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
      "isModifier" : true,
      "isModifierReason" : "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",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "rim",
        "map" : "statusCode"
      }]
    },
    {
      "id" : "BodyStructure.morphology",
      "path" : "BodyStructure.morphology",
      "short" : "Kind of Structure",
      "definition" : "The kind of structure being represented by the body structure at `BodyStructure.location`.  This can define both normal and abnormal morphologies.",
      "comment" : "The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "BodyStructure.morphology",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodyStructureCode"
        }],
        "strength" : "example",
        "description" : "Codes describing anatomic morphology.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/bodystructure-code"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "SPM-4/SPM-5"
      }]
    },
    {
      "id" : "BodyStructure.location",
      "path" : "BodyStructure.location",
      "short" : "Body site",
      "definition" : "The anatomical location or region of the specimen, lesion, or body structure.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "BodyStructure.location",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodySite"
        }],
        "strength" : "example",
        "description" : "Codes describing anatomical locations. May include laterality.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "OBX-20/SPM-8/SPM-10"
      },
      {
        "identity" : "rim",
        "map" : ".targetSiteCode"
      },
      {
        "identity" : "openehr",
        "map" : "Name of location"
      }]
    },
    {
      "id" : "BodyStructure.locationQualifier",
      "path" : "BodyStructure.locationQualifier",
      "short" : "Body site modifier",
      "definition" : "Qualifier to refine the anatomical location.  These include qualifiers for laterality, relative location, directionality, number, and plane.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BodyStructure.locationQualifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodyStructureQualifier"
        }],
        "strength" : "example",
        "description" : "Concepts modifying the anatomic location.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/bodystructure-relative-location"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9"
      },
      {
        "identity" : "rim",
        "map" : ".targetSiteCode"
      },
      {
        "identity" : "openehr",
        "map" : "Combines Side, Numerical identifier, Anatomical plane,and Aspect"
      }]
    },
    {
      "id" : "BodyStructure.description",
      "path" : "BodyStructure.description",
      "short" : "Text description",
      "definition" : "A summary, charactarization or explanation of the body structure.",
      "comment" : "This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "BodyStructure.description",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "NTE"
      },
      {
        "identity" : "rim",
        "map" : ".text"
      },
      {
        "identity" : "openehr",
        "map" : "Description of anatomical location/Visual markings/orientation"
      }]
    },
    {
      "id" : "BodyStructure.image",
      "path" : "BodyStructure.image",
      "short" : "Attached images",
      "definition" : "Image or images used to identify a location.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BodyStructure.image",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Attachment"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "OBX"
      },
      {
        "identity" : "rim",
        "map" : "outboundRelationship[typeCode=COMP].target"
      },
      {
        "identity" : "openehr",
        "map" : "Image"
      }]
    },
    {
      "id" : "BodyStructure.patient",
      "path" : "BodyStructure.patient",
      "short" : "Who this is about",
      "definition" : "The person to which the body site belongs.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "BodyStructure.patient",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3"
      },
      {
        "identity" : "rim",
        "map" : ".scoper or .scoper.playsRole"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "BodyStructure",
      "path" : "BodyStructure",
      "short" : "Specific and identified anatomical structure",
      "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.",
      "alias" : ["anatomical location"],
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "rim",
        "map" : "ActSIte"
      },
      {
        "identity" : "openehr",
        "map" : "Archetype ID   openEHR-EHR-CLUSTER.anatomical_location.v1      Concept name   Anatomical Location      Concept description   Record details about an anatomical location.      Keywords   location, site, anatomical      Copyright   © openEHR Foundation      Purpose   To record details about anatomical location.      Misuse   Not for specifiying unilateral/bilateral occurrence - this is related to an evaluation which perhaps includes multiple locations.      Author   Author name: Heather Leslie Organization: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date of Origination: 2008-11-10       Translator   Norwegian Bokmål: Lars Bitsch-Larsen, Haukeland University Hospital of Bergen, Norway, MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine. Arabic (Syria): Mona Saleh       Other contributors   Heather Leslie, Ocean Informatics, Australia (Editor) Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor) Dunmail Hodkinson, Black Pear Software Ltd, UK      References   Use cases: - 5LICS, midclavicular line - L forearm, 2cm anterior to the cubital fossa - Right iliac fossa - 5 cm below L tibial tuberosity - 2 cm medial to R nipple - 4 cm below R costal margin in midclavicular line - R femur - midline nose - medial aspect of R great toe nail."
      }]
    },
    {
      "id" : "BodyStructure.identifier",
      "path" : "BodyStructure.identifier",
      "short" : "Bodystructure identifier",
      "definition" : "Identifier for this instance of the anatomical structure.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      },
      {
        "identity" : "openehr",
        "map" : "Specific location  Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)"
      }]
    },
    {
      "id" : "BodyStructure.active",
      "path" : "BodyStructure.active",
      "short" : "Whether this record is in active use",
      "definition" : "Whether this body site is in active use.",
      "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
      "requirements" : "Need to be able to mark a body site entry as not to be used because it was created in error.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
      "isModifier" : true,
      "isModifierReason" : "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",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "rim",
        "map" : "statusCode"
      }]
    },
    {
      "id" : "BodyStructure.morphology",
      "path" : "BodyStructure.morphology",
      "short" : "Kind of Structure",
      "definition" : "The kind of structure being represented by the body structure at `BodyStructure.location`.  This can define both normal and abnormal morphologies.",
      "comment" : "The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodyStructureCode"
        }],
        "strength" : "example",
        "description" : "Codes describing anatomic morphology.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/bodystructure-code"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "SPM-4/SPM-5"
      }]
    },
    {
      "id" : "BodyStructure.location",
      "path" : "BodyStructure.location",
      "short" : "Body site",
      "definition" : "The anatomical location or region of the specimen, lesion, or body structure.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodySite"
        }],
        "strength" : "example",
        "description" : "Codes describing anatomical locations. May include laterality.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "OBX-20/SPM-8/SPM-10"
      },
      {
        "identity" : "rim",
        "map" : ".targetSiteCode"
      },
      {
        "identity" : "openehr",
        "map" : "Name of location"
      }]
    },
    {
      "id" : "BodyStructure.locationQualifier",
      "path" : "BodyStructure.locationQualifier",
      "short" : "Body site modifier",
      "definition" : "Qualifier to refine the anatomical location.  These include qualifiers for laterality, relative location, directionality, number, and plane.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodyStructureQualifier"
        }],
        "strength" : "example",
        "description" : "Concepts modifying the anatomic location.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/bodystructure-relative-location"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9"
      },
      {
        "identity" : "rim",
        "map" : ".targetSiteCode"
      },
      {
        "identity" : "openehr",
        "map" : "Combines Side, Numerical identifier, Anatomical plane,and Aspect"
      }]
    },
    {
      "id" : "BodyStructure.description",
      "path" : "BodyStructure.description",
      "short" : "Text description",
      "definition" : "A summary, charactarization or explanation of the body structure.",
      "comment" : "This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "NTE"
      },
      {
        "identity" : "rim",
        "map" : ".text"
      },
      {
        "identity" : "openehr",
        "map" : "Description of anatomical location/Visual markings/orientation"
      }]
    },
    {
      "id" : "BodyStructure.image",
      "path" : "BodyStructure.image",
      "short" : "Attached images",
      "definition" : "Image or images used to identify a location.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Attachment"
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "v2",
        "map" : "OBX"
      },
      {
        "identity" : "rim",
        "map" : "outboundRelationship[typeCode=COMP].target"
      },
      {
        "identity" : "openehr",
        "map" : "Image"
      }]
    },
    {
      "id" : "BodyStructure.patient",
      "path" : "BodyStructure.patient",
      "short" : "Who this is about",
      "definition" : "The person to which the body site belongs.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3"
      },
      {
        "identity" : "rim",
        "map" : ".scoper or .scoper.playsRole"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    }]
  }
}

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.