HL7 Europe Base and Core FHIR IG
2.0.0-ballot - ballot 150

HL7 Europe Base and Core FHIR IG - Downloaded Version 2.0.0-ballot See the Directory of published versions

## Resource Profile: BodyStructure (EU core)

Official URL: http://hl7.eu/fhir/base-r5/StructureDefinition/bodyStructure-eu-core | Version: 2.0.0-ballot
Standards status: Trial-use | Maturity Level: 2 | Computable Name: BodyStructureEuCore
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile specifies how the HL7 FHIR BodyStructure resource should be used for conveying commonly used concepts in the European context.

Usages:

- Refer to this Profile: Condition (EU core) and Procedure (EU core)
- Examples for this Profile: BodyStructure/example-body-structure-eu

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BodyStructure |  | 0..* | BodyStructure | Specific and identified anatomical structure
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 0..1 | Narrative | Textual description of the body structure This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Body structure identifier
active | ?!Σ | 0..1 | boolean | Whether this record is in active use
morphology | Σ | 0..1 | CodeableConcept | Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred)
includedStructure |  | 1..* | BackboneElement | Included anatomic location(s)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
structure | Σ | 1..1 | CodeableConcept | Code that represents the included structure Binding: SNOMEDCTBodyStructures (preferred)
laterality |  | 0..1 | CodeableConcept | Code that represents the included structure laterality Binding: Body Structure Laterality (preferred)
qualifier |  | 0..* | CodeableConcept | Code that represents the included structure qualifier Binding: Body Structure Qualifier (preferred)
patient | Σ | 1..1 | Reference(Patient) | Who this is about
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
BodyStructure.morphology | Base | preferred | SNOMED CT Morphologic Abnormalities | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​structure | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​laterality | Base | preferred | Body Structure Laterality | 📦2.0.0-ballot | This IG
BodyStructure.includedStructure.​qualifier | Base | preferred | Body Structure Qualifier | 📦2.0.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from BodyStructure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BodyStructure |  | 0..* | BodyStructure | Specific and identified anatomical structure
text |  | 0..1 | Narrative | Textual description of the body structure
identifier |  | 0..* | Identifier | Body structure identifier
morphology |  | 0..1 | CodeableConcept | Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred)
includedStructure |  |  |  |
structure |  | 1..1 | CodeableConcept | Code that represents the included structure Binding: SNOMEDCTBodyStructures (preferred)
laterality |  | 0..1 | CodeableConcept | Code that represents the included structure laterality Binding: Body Structure Laterality (preferred)
qualifier |  | 0..* | CodeableConcept | Code that represents the included structure qualifier Binding: Body Structure Qualifier (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
BodyStructure.morphology | Base | preferred | SNOMED CT Morphologic Abnormalities | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​structure | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​laterality | Base | preferred | Body Structure Laterality | 📦2.0.0-ballot | This IG
BodyStructure.includedStructure.​qualifier | Base | preferred | Body Structure Qualifier | 📦2.0.0-ballot | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BodyStructure |  | 0..* | BodyStructure | Specific and identified anatomical structure
id | Σ | 0..1 | id | 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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Textual description of the body structure This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Body structure identifier
active | ?!Σ | 0..1 | boolean | Whether this record is in active use
morphology | Σ | 0..1 | CodeableConcept | Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred)
includedStructure |  | 1..* | BackboneElement | Included anatomic location(s)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
structure | Σ | 1..1 | CodeableConcept | Code that represents the included structure Binding: SNOMEDCTBodyStructures (preferred)
laterality |  | 0..1 | CodeableConcept | Code that represents the included structure laterality Binding: Body Structure Laterality (preferred)
bodyLandmarkOrientation |  | 0..* | BackboneElement | Landmark relative location
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
landmarkDescription |  | 0..* | CodeableConcept | Body ]andmark description Binding: SNOMEDCTBodyStructures (example): Select SNOMED code system values. Values used in a podiatry setting to decsribe landmarks on the body.
clockFacePosition |  | 0..* | CodeableConcept | Clockface orientation Binding: BodystructureBodyLandmarkClockFacePosition (example): Select SNOMED CT codes. A set of codes that describe a things orientation based on a hourly positions of a clock face.
distanceFromLandmark |  | 0..* | BackboneElement | Landmark relative location
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
device |  | 0..* | CodeableReference(Device) | Measurement device Binding: DeviceType (example): Codes to identify medical devices.
value |  | 0..* | Quantity | Measured distance from body landmark
surfaceOrientation |  | 0..* | CodeableConcept | Relative landmark surface orientation Binding: BodystructureLocationQualifier (preferred): Select SNOMED code system values. The surface area a body location is in relation to a landmark.
spatialReference |  | 0..* | Reference(ImagingSelection) | Cartesian reference for structure
qualifier |  | 0..* | CodeableConcept | Code that represents the included structure qualifier Binding: Body Structure Qualifier (preferred)
excludedStructure |  | 0..* | See includedStructure (BodyStructure) | Excluded anatomic locations(s)
description | Σ | 0..1 | markdown | Text description
image |  | 0..* | Attachment | Attached images
patient | Σ | 1..1 | Reference(Patient) | Who this is about
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
BodyStructure.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
BodyStructure.morphology | Base | preferred | SNOMED CT Morphologic Abnormalities | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​structure | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​laterality | Base | preferred | Body Structure Laterality | 📦2.0.0-ballot | This IG
BodyStructure.includedStructure.​bodyLandmarkOrientation.​landmarkDescription | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​clockFacePosition | Base | example | Bodystructure Body Landmark Clock Face Position | 📍5.0.0 | FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​distanceFromLandmark.​device | Base | example | Device Type | 📍5.0.0 | FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​surfaceOrientation | Base | preferred | Bodystructure Location Qualifier | 📍5.0.0 | FHIR Std.
BodyStructure.includedStructure.​qualifier | Base | preferred | Body Structure Qualifier | 📦2.0.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from BodyStructure

Summary

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BodyStructure |  | 0..* | BodyStructure | Specific and identified anatomical structure
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text |  | 0..1 | Narrative | Textual description of the body structure This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Body structure identifier
active | ?!Σ | 0..1 | boolean | Whether this record is in active use
morphology | Σ | 0..1 | CodeableConcept | Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred)
includedStructure |  | 1..* | BackboneElement | Included anatomic location(s)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
structure | Σ | 1..1 | CodeableConcept | Code that represents the included structure Binding: SNOMEDCTBodyStructures (preferred)
laterality |  | 0..1 | CodeableConcept | Code that represents the included structure laterality Binding: Body Structure Laterality (preferred)
qualifier |  | 0..* | CodeableConcept | Code that represents the included structure qualifier Binding: Body Structure Qualifier (preferred)
patient | Σ | 1..1 | Reference(Patient) | Who this is about
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
BodyStructure.morphology | Base | preferred | SNOMED CT Morphologic Abnormalities | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​structure | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​laterality | Base | preferred | Body Structure Laterality | 📦2.0.0-ballot | This IG
BodyStructure.includedStructure.​qualifier | Base | preferred | Body Structure Qualifier | 📦2.0.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from BodyStructure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BodyStructure |  | 0..* | BodyStructure | Specific and identified anatomical structure
text |  | 0..1 | Narrative | Textual description of the body structure
identifier |  | 0..* | Identifier | Body structure identifier
morphology |  | 0..1 | CodeableConcept | Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred)
includedStructure |  |  |  |
structure |  | 1..1 | CodeableConcept | Code that represents the included structure Binding: SNOMEDCTBodyStructures (preferred)
laterality |  | 0..1 | CodeableConcept | Code that represents the included structure laterality Binding: Body Structure Laterality (preferred)
qualifier |  | 0..* | CodeableConcept | Code that represents the included structure qualifier Binding: Body Structure Qualifier (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
BodyStructure.morphology | Base | preferred | SNOMED CT Morphologic Abnormalities | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​structure | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​laterality | Base | preferred | Body Structure Laterality | 📦2.0.0-ballot | This IG
BodyStructure.includedStructure.​qualifier | Base | preferred | Body Structure Qualifier | 📦2.0.0-ballot | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
BodyStructure |  | 0..* | BodyStructure | Specific and identified anatomical structure
id | Σ | 0..1 | id | 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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Textual description of the body structure This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Body structure identifier
active | ?!Σ | 0..1 | boolean | Whether this record is in active use
morphology | Σ | 0..1 | CodeableConcept | Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (preferred)
includedStructure |  | 1..* | BackboneElement | Included anatomic location(s)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
structure | Σ | 1..1 | CodeableConcept | Code that represents the included structure Binding: SNOMEDCTBodyStructures (preferred)
laterality |  | 0..1 | CodeableConcept | Code that represents the included structure laterality Binding: Body Structure Laterality (preferred)
bodyLandmarkOrientation |  | 0..* | BackboneElement | Landmark relative location
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
landmarkDescription |  | 0..* | CodeableConcept | Body ]andmark description Binding: SNOMEDCTBodyStructures (example): Select SNOMED code system values. Values used in a podiatry setting to decsribe landmarks on the body.
clockFacePosition |  | 0..* | CodeableConcept | Clockface orientation Binding: BodystructureBodyLandmarkClockFacePosition (example): Select SNOMED CT codes. A set of codes that describe a things orientation based on a hourly positions of a clock face.
distanceFromLandmark |  | 0..* | BackboneElement | Landmark relative location
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
device |  | 0..* | CodeableReference(Device) | Measurement device Binding: DeviceType (example): Codes to identify medical devices.
value |  | 0..* | Quantity | Measured distance from body landmark
surfaceOrientation |  | 0..* | CodeableConcept | Relative landmark surface orientation Binding: BodystructureLocationQualifier (preferred): Select SNOMED code system values. The surface area a body location is in relation to a landmark.
spatialReference |  | 0..* | Reference(ImagingSelection) | Cartesian reference for structure
qualifier |  | 0..* | CodeableConcept | Code that represents the included structure qualifier Binding: Body Structure Qualifier (preferred)
excludedStructure |  | 0..* | See includedStructure (BodyStructure) | Excluded anatomic locations(s)
description | Σ | 0..1 | markdown | Text description
image |  | 0..* | Attachment | Attached images
patient | Σ | 1..1 | Reference(Patient) | Who this is about
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
BodyStructure.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
BodyStructure.morphology | Base | preferred | SNOMED CT Morphologic Abnormalities | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​structure | Base | preferred | SNOMED CT Body Structures | 📦5.0.0 | FHIR Std.
BodyStructure.includedStructure.​laterality | Base | preferred | Body Structure Laterality | 📦2.0.0-ballot | This IG
BodyStructure.includedStructure.​bodyLandmarkOrientation.​landmarkDescription | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​clockFacePosition | Base | example | Bodystructure Body Landmark Clock Face Position | 📍5.0.0 | FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​distanceFromLandmark.​device | Base | example | Device Type | 📍5.0.0 | FHIR Std.
BodyStructure.includedStructure.​bodyLandmarkOrientation.​surfaceOrientation | Base | preferred | Bodystructure Location Qualifier | 📍5.0.0 | FHIR Std.
BodyStructure.includedStructure.​qualifier | Base | preferred | Body Structure Qualifier | 📦2.0.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from BodyStructure

Summary

Maturity: 2

Other representations of profile: CSV, Excel, Schematron