AU Base Implementation Guide
4.2.1-preview - Preview
AU Base Implementation Guide
4.2.1-preview - Preview
This page is part of the Australian Base IG (v4.2.1-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 1 |
Definitions for the au-bodystructure resource profile.
Guidance on how to interpret the contents of this table can be found here
| 0. BodyStructure | |
| Short | An identified anatomical structure in an Australian healthcare context |
| Invariants | inv-bodstr-0: The body structure shall at least have location or description or an image (location.exists() or description.exists() or image.exists()) |
| 2. BodyStructure.morphology | |
| Binding | The codes SHOULD be taken from SNOMEDCTMorphologicAbnormalities (preferred to http://hl7.org/fhir/ValueSet/bodystructure-code) |
| 4. BodyStructure.location | |
| Binding | The codes SHOULD be taken from Body Site  (preferred to https://healthterminologies.gov.au/fhir/ValueSet/body-site-1) |
| 6. BodyStructure.locationQualifier | |
| Binding | The codes SHOULD be taken from Body Site Relative Site Qualifier (preferred to https://healthterminologies.gov.au/fhir/ValueSet/body-site-relative-site-qualifier-1) |
| 8. BodyStructure.description | |
| 10. BodyStructure.image | |
Guidance on how to interpret the contents of this table can be found here
| 0. BodyStructure | |
| 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. |
| Short | An identified anatomical structure in an Australian healthcare contextSpecific and identified anatomical structure |
| Control | 0..* |
| Is Modifier | false |
| Summary | false |
| Alternate Names | anatomical location |
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) inv-bodstr-0: The body structure shall at least have location or description or an image ( location.exists() or description.exists() or image.exists()) |
| 2. BodyStructure.implicitRules | |
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
| Short | A set of rules under which this content was created |
| Comments | 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. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | true because 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 |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 4. BodyStructure.modifierExtension | |
| 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 and/or the understanding of the containing element's descendants. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | Extensions that cannot be ignored |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Summary | false |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 6. BodyStructure.active | |
| Definition | Whether this body site is in active use. |
| Short | Whether this record is in active use |
| Comments | This element is labeled as a modifier because it may be used to mark that the resource was created in error. |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | true because 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 |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need to be able to mark a body site entry as not to be used because it was created in error. |
| Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 8. BodyStructure.morphology | |
| Definition | The kind of structure being represented by the body structure at |
| Short | Kind of Structure |
| Comments | The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology. |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from For example codes, see SNOMEDCTMorphologicAbnormalitieshttp://hl7.org/fhir/ValueSet/bodystructure-code (preferred to http://hl7.org/fhir/ValueSet/bodystructure-code) |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 10. BodyStructure.location | |
| Definition | The anatomical location or region of the specimen, lesion, or body structure. |
| Short | Body site |
| Control | 0..1 This element is affected by the following invariants: inv-bodstr-0 |
| Binding | The codes SHOULD be taken from For example codes, see Body Site http://hl7.org/fhir/ValueSet/body-site (preferred to https://healthterminologies.gov.au/fhir/ValueSet/body-site-1) |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 12. BodyStructure.locationQualifier | |
| Definition | Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane. |
| Short | Body site modifier |
| Control | 0..* |
| Binding | The codes SHOULD be taken from For example codes, see Body Site Relative Site Qualifier http://hl7.org/fhir/ValueSet/bodystructure-relative-location (preferred to https://healthterminologies.gov.au/fhir/ValueSet/body-site-relative-site-qualifier-1) |
| Type | CodeableConcept |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 14. BodyStructure.description | |
| Definition | A summary, characterization or explanation of the body structure. |
| Short | Text description |
| Comments | This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings. |
| Control | 0..1 This element is affected by the following invariants: inv-bodstr-0 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. BodyStructure.image | |
| Definition | Image or images used to identify a location. |
| Short | Attached images |
| Control | 0..* This element is affected by the following invariants: inv-bodstr-0 |
| Type | Attachment |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. BodyStructure.patient | |
| Definition | The person to which the body site belongs. |
| Short | Who this is about |
| Control | 1..1 |
| Type | Reference(Patient) |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
| 0. BodyStructure | |||||
| 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. | ||||
| Short | An identified anatomical structure in an Australian healthcare context | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | anatomical location | ||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists())inv-bodstr-0: The body structure shall at least have location or description or an image ( location.exists() or description.exists() or image.exists()) | ||||
| 2. BodyStructure.id | |||||
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| Short | Logical id of this artifact | ||||
| Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| 4. BodyStructure.meta | |||||
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
| Short | Metadata about the resource | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 6. BodyStructure.implicitRules | |||||
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
| Short | A set of rules under which this content was created | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | true because 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 | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 8. BodyStructure.language | |||||
| Definition | The base language in which the resource is written. | ||||
| Short | Language of the resource content | ||||
| Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages)A human language.
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 10. BodyStructure.text | |||||
| Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
| Short | Text summary of the resource, for human interpretation | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 12. BodyStructure.contained | |||||
| Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
| Short | Contained, inline Resources | ||||
| Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
| Control | 0..* | ||||
| Type | Resource | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||
| 14. BodyStructure.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 16. BodyStructure.modifierExtension | |||||
| 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 and/or the understanding of the containing element's descendants. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Summary | false | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 18. BodyStructure.identifier | |||||
| Definition | Identifier for this instance of the anatomical structure. | ||||
| Short | Bodystructure identifier | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..* | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 20. BodyStructure.active | |||||
| Definition | Whether this body site is in active use. | ||||
| Short | Whether this record is in active use | ||||
| Comments | This element is labeled as a modifier because it may be used to mark that the resource was created in error. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | true because 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 | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to be able to mark a body site entry as not to be used because it was created in error. | ||||
| Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 22. BodyStructure.morphology | |||||
| Definition | The kind of structure being represented by the body structure at | ||||
| Short | Kind of Structure | ||||
| Comments | The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from SNOMEDCTMorphologicAbnormalities (preferred to http://hl7.org/fhir/ValueSet/bodystructure-code) | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 24. BodyStructure.location | |||||
| Definition | The anatomical location or region of the specimen, lesion, or body structure. | ||||
| Short | Body site | ||||
| Control | 0..1 This element is affected by the following invariants: inv-bodstr-0 | ||||
| Binding | The codes SHOULD be taken from Body Site (preferred to https://healthterminologies.gov.au/fhir/ValueSet/body-site-1) | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 26. BodyStructure.locationQualifier | |||||
| Definition | Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane. | ||||
| Short | Body site modifier | ||||
| Control | 0..* | ||||
| Binding | The codes SHOULD be taken from Body Site Relative Site Qualifier (preferred to https://healthterminologies.gov.au/fhir/ValueSet/body-site-relative-site-qualifier-1) | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 28. BodyStructure.description | |||||
| Definition | A summary, characterization or explanation of the body structure. | ||||
| Short | Text description | ||||
| Comments | This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings. | ||||
| Control | 0..1 This element is affected by the following invariants: inv-bodstr-0 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 30. BodyStructure.image | |||||
| Definition | Image or images used to identify a location. | ||||
| Short | Attached images | ||||
| Control | 0..* This element is affected by the following invariants: inv-bodstr-0 | ||||
| Type | Attachment | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 32. BodyStructure.patient | |||||
| Definition | The person to which the body site belongs. | ||||
| Short | Who this is about | ||||
| Control | 1..1 | ||||
| Type | Reference(Patient) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
IG © 2017+ HL7 Australia. Package hl7.fhir.au.base#4.2.1-preview based on FHIR 4.0.1. Generated 2024-06-20
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