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Resource Profile: FRBodyStructureDocument - Detailed Descriptions

Draft as of 2025-12-05

Definitions for the fr-body-structure-document resource profile.

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. BodyStructure
Définition

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.

CourtSpecific and identified anatomical structure
Contrôle0..*
Est modificateurfalse
Résuméfalse
Noms alternatifsanatomical location
Invariantsdom-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())
2. BodyStructure.implicitRules
Définition

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.

CourtA set of rules under which this content was created
Commentaires

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.

Contrôle0..1
Typeuri
Est modificateurtrue parce que 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
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. BodyStructure.modifierExtension
Définition

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).

CourtExtensions that cannot be ignored
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résuméfalse
Exigences

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.

Noms alternatifsextensions, user content
Invariantsele-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
Définition

Whether this body site is in active use.

CourtWhether this record is in active use
Commentaires

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

Contrôle0..1
Typeboolean
Est modificateurtrue parce que 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
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Exigences

Need to be able to mark a body site entry as not to be used because it was created in error.

Signification si manquantThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. BodyStructure.locationQualifier
Définition

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

CourtBody site modifier
Contrôle0..*
BindingLes codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir JDV Modificateur Topographique CISIShttp://hl7.org/fhir/ValueSet/bodystructure-relative-location|4.0.1
(required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-modificateur-topographique-cisis)
TypeCodeableConcept
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. BodyStructure.patient
Définition

The person to which the body site belongs.

CourtWho this is about
Contrôle1..1
TypeReference(Patient)
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. BodyStructure
2. BodyStructure.locationQualifier
BindingLes codes DOIVENT (SHALL) être pris de JDV Modificateur Topographique CISIS
(required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-modificateur-topographique-cisis)

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. BodyStructure
Définition

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.

CourtSpecific and identified anatomical structure
Contrôle0..*
Est modificateurfalse
Résuméfalse
Noms alternatifsanatomical location
Invariantsdom-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())
2. BodyStructure.id
Définition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

CourtLogical id of this artifact
Commentaires

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Contrôle0..1
Typeid
Est modificateurfalse
Résumétrue
4. BodyStructure.meta
Définition

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.

CourtMetadata about the resource
Contrôle0..1
TypeMeta
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. BodyStructure.implicitRules
Définition

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.

CourtA set of rules under which this content was created
Commentaires

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.

Contrôle0..1
Typeuri
Est modificateurtrue parce que 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
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. BodyStructure.language
Définition

The base language in which the resource is written.

CourtLanguage of the resource content
Commentaires

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).

Contrôle0..1
BindingLes codes DEVRAIENT (SHOULD) être pris de CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Bindings AdditionnelsBut
AllLanguagesBinding Max
Typecode
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. BodyStructure.text
Définition

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.

CourtText summary of the resource, for human interpretation
Commentaires

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.

Contrôle0..1
TypeNarrative
Est modificateurfalse
Résuméfalse
Noms alternatifsnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. BodyStructure.contained
Définition

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.

CourtContained, inline Resources
Commentaires

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.

Contrôle0..*
TypeResource
Est modificateurfalse
Résuméfalse
Noms alternatifsinline resources, anonymous resources, contained resources
14. BodyStructure.extension
Définition

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.

CourtAdditional content defined by implementations
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurfalse
Résuméfalse
Noms alternatifsextensions, user content
Invariantsele-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
Définition

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).

CourtExtensions that cannot be ignored
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résuméfalse
Exigences

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.

Noms alternatifsextensions, user content
Invariantsele-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
Définition

Identifier for this instance of the anatomical structure.

CourtBodystructure identifier
NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle0..*
TypeIdentifier
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. BodyStructure.active
Définition

Whether this body site is in active use.

CourtWhether this record is in active use
Commentaires

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

Contrôle0..1
Typeboolean
Est modificateurtrue parce que 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
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Exigences

Need to be able to mark a body site entry as not to be used because it was created in error.

Signification si manquantThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. BodyStructure.morphology
Définition

The kind of structure being represented by the body structure at BodyStructure.location. This can define both normal and abnormal morphologies.

CourtKind of Structure
Commentaires

The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology.

Contrôle0..1
BindingPour des exemples de codes, voir SNOMEDCTMorphologicAbnormalities
(example to http://hl7.org/fhir/ValueSet/bodystructure-code|4.0.1)

Codes describing anatomic morphology.

TypeCodeableConcept
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. BodyStructure.location
Définition

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

CourtBody site
Contrôle0..1
BindingPour des exemples de codes, voir SNOMEDCTBodyStructures
(example to http://hl7.org/fhir/ValueSet/body-site|4.0.1)

Codes describing anatomical locations. May include laterality.

TypeCodeableConcept
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. BodyStructure.locationQualifier
Définition

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

CourtBody site modifier
Contrôle0..*
BindingLes codes DOIVENT (SHALL) être pris de JDV Modificateur Topographique CISIS
(required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-modificateur-topographique-cisis)
TypeCodeableConcept
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. BodyStructure.description
Définition

A summary, characterization or explanation of the body structure.

CourtText description
Commentaires

This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.

Contrôle0..1
Typestring
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. BodyStructure.image
Définition

Image or images used to identify a location.

CourtAttached images
Contrôle0..*
TypeAttachment
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. BodyStructure.patient
Définition

The person to which the body site belongs.

CourtWho this is about
Contrôle1..1
TypeReference(Patient)
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))