{ "description": "The relationship between a landmark that helps determine a body location and the body location itself. The location relative to a landmark is specified by:\\n* Specifying the location and type of landmark using a body site code and optional laterality/orientation,\\n* Specifying the direction from the landmark to the body location, and\\n* Specifying the distance from the landmark to the body location.\\n\\nThe RelationToLandmark element is part of BodyLocation, a flexible structure that allows the location to be determined by a single code, or a code plus laterality and/or orientation. The body location can also be specified in relation to one or more body landmarks. SNOMED CT is used in all cases.\\n\\n* Code only: The code should include (precoordinate) laterality and/orientation to the degree necessary to completely specify the body location.\\n* Code plus laterality and/or orientation: The basic code augmented by codes specifying the body side and/or anatomical orientation.\\n* Relation to landmark: The location relative to a landmark is specified by:\\n1. Establishing the location and type of landmark using a body site code and optional laterality/orientation, and\\n2. Specifying the direction and distance from the landmark to the body location.\\n\\nNote that BodyLocation is a data type (a reusable structure), not a stand-alone entity. The concept is similar to how a postal address can apply to a person, location, or organization. This contrasts with FHIR's stand-alone BodySite (aka BodyStructure in r4) which 'is not ... intended for describing the type of anatomical location but rather a specific body site on a specific patient' (FHIR 3.5).", "_filename": "StructureDefinition-obf-datatype-RelationToLandmark-extension.json", "package_name": "hl7.fhir.us.mcode", "date": "2019-08-01T00:00:00-04:00", "derivation": "constraint", "publisher": "HL7 International Clinical Interoperability Council", "fhirVersion": "4.0.0", "name": "RelationToLandmark", "abstract": false, "type": "Extension", "experimental": null, "resourceType": "StructureDefinition", "title": "obf-datatype-RelationToLandmark", "package_version": "0.9.1", "snapshot": { "element": [ { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension", "min": 0, "definition": "The relationship between a landmark that helps determine a body location and the body location itself. The location relative to a landmark is specified by:\n* Specifying the location and type of landmark using a body site code and optional laterality/orientation,\n* Specifying the direction from the landmark to the body location, and\n* Specifying the distance from the landmark to the body location.\n\nThe RelationToLandmark element is part of BodyLocation, a flexible structure that allows the location to be determined by a single code, or a code plus laterality and/or orientation. The body location can also be specified in relation to one or more body landmarks. SNOMED CT is used in all cases.\n\n* Code only: The code should include (precoordinate) laterality and/orientation to the degree necessary to completely specify the body location.\n* Code plus laterality and/or orientation: The basic code augmented by codes specifying the body side and/or anatomical orientation.\n* Relation to landmark: The location relative to a landmark is specified by:\n1. Establishing the location and type of landmark using a body site code and optional laterality/orientation, and\n2. Specifying the direction and distance from the landmark to the body location.\n\nNote that BodyLocation is a data type (a reusable structure), not a stand-alone entity. The concept is similar to how a postal address can apply to a person, location, or organization. This contrasts with FHIR's stand-alone BodySite (aka BodyStructure in r4) which 'is not ... intended for describing the type of anatomical location but rather a specific body site on a specific patient' (FHIR 3.5).", "isModifier": false, "short": "RelationToLandmark", "mapping": [ { "map": "n/a", "identity": "rim" }, { "map": "N/A", "identity": "rim" } ], "max": "*", "id": "Extension", "condition": [ "ele-1" ], "base": { "max": "*", "min": 0, "path": "Extension" } }, { "path": "Extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "path": "Extension.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. 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.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Extension.extension", "comment": "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.", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension", "min": 0, "definition": "The type of feature that constitutes the landmark, particularly if the landmark is an acquired body structure or physical object.", "isModifier": false, "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-LandmarkType-extension" ] } ], "sliceName": "landmarktype", "max": "1", "id": "Extension.extension:landmarktype", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension", "min": 0, "definition": "The body location of the landmark, specified by a location code and optional laterality and orientation.", "isModifier": false, "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-LandmarkLocation-extension" ] } ], "sliceName": "landmarklocation", "max": "1", "id": "Extension.extension:landmarklocation", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension", "min": 0, "definition": "The direction from the landmark to the body location of interest, given as a clockface direction or anatomical direction.", "isModifier": false, "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-LandmarkToBodyLocationDirection-extension" ] } ], "sliceName": "landmarktobodylocationdirection", "max": "1", "id": "Extension.extension:landmarktobodylocationdirection", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension", "min": 0, "definition": "How far the body location of interest is from the given landmark.", "isModifier": false, "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-LandmarkToBodyLocationDistance-extension" ] } ], "sliceName": "landmarktobodylocationdistance", "max": "1", "id": "Extension.extension:landmarktobodylocationdistance", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-RelationToLandmark-extension", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "uri" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "path": "Extension.value[x]", "min": 0, "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).", "isModifier": false, "short": "Value of extension", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "base64Binary" }, { "code": "boolean" }, { "code": "canonical" }, { "code": "code" }, { "code": "date" }, { "code": "dateTime" }, { "code": "decimal" }, { "code": "id" }, { "code": "instant" }, { "code": "integer" }, { "code": "markdown" }, { "code": "oid" }, { "code": "positiveInt" }, { "code": "string" }, { "code": "time" }, { "code": "unsignedInt" }, { "code": "uri" }, { "code": "url" }, { "code": "uuid" }, { "code": "Address" }, { "code": "Age" }, { "code": "Annotation" }, { "code": "Attachment" }, { "code": "CodeableConcept" }, { "code": "Coding" }, { "code": "ContactPoint" }, { "code": "Count" }, { "code": "Distance" }, { "code": "Duration" }, { "code": "HumanName" }, { "code": "Identifier" }, { "code": "Money" }, { "code": "Period" }, { "code": "Quantity" }, { "code": "Range" }, { "code": "Ratio" }, { "code": "Reference" }, { "code": "SampledData" }, { "code": "Signature" }, { "code": "Timing" }, { "code": "ContactDetail" }, { "code": "Contributor" }, { "code": "DataRequirement" }, { "code": "Expression" }, { "code": "ParameterDefinition" }, { "code": "RelatedArtifact" }, { "code": "TriggerDefinition" }, { "code": "UsageContext" }, { "code": "Dosage" } ], "max": "0", "id": "Extension.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false } ] }, "status": "draft", "id": "8991daaa-b02c-485e-827f-6826e0ebbe3a", "kind": "complex-type", "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-RelationToLandmark-extension", "context": [ { "type": "element", "expression": "*" } ], "version": "0.9.1", "differential": { "element": [ { "id": "Extension", "max": "*", "min": 0, "path": "Extension", "short": "RelationToLandmark", "definition": "The relationship between a landmark that helps determine a body location and the body location itself. The location relative to a landmark is specified by:\n* Specifying the location and type of landmark using a body site code and optional laterality/orientation,\n* Specifying the direction from the landmark to the body location, and\n* Specifying the distance from the landmark to the body location.\n\nThe RelationToLandmark element is part of BodyLocation, a flexible structure that allows the location to be determined by a single code, or a code plus laterality and/or orientation. The body location can also be specified in relation to one or more body landmarks. SNOMED CT is used in all cases.\n\n* Code only: The code should include (precoordinate) laterality and/orientation to the degree necessary to completely specify the body location.\n* Code plus laterality and/or orientation: The basic code augmented by codes specifying the body side and/or anatomical orientation.\n* Relation to landmark: The location relative to a landmark is specified by:\n1. Establishing the location and type of landmark using a body site code and optional laterality/orientation, and\n2. Specifying the direction and distance from the landmark to the body location.\n\nNote that BodyLocation is a data type (a reusable structure), not a stand-alone entity. The concept is similar to how a postal address can apply to a person, location, or organization. This contrasts with FHIR's stand-alone BodySite (aka BodyStructure in r4) which 'is not ... intended for describing the type of anatomical location but rather a specific body site on a specific patient' (FHIR 3.5)." }, { "path": "Extension.extension", "min": 0, "definition": "The type of feature that constitutes the landmark, particularly if the landmark is an acquired body structure or physical object.", "isModifier": false, "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-LandmarkType-extension" ] } ], "sliceName": "landmarktype", "max": "1", "id": "Extension.extension:landmarktype", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension", "min": 0, "definition": "The body location of the landmark, specified by a location code and optional laterality and orientation.", "isModifier": false, "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-LandmarkLocation-extension" ] } ], "sliceName": "landmarklocation", "max": "1", "id": "Extension.extension:landmarklocation", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension", "min": 0, "definition": "The direction from the landmark to the body location of interest, given as a clockface direction or anatomical direction.", "isModifier": false, "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-LandmarkToBodyLocationDirection-extension" ] } ], "sliceName": "landmarktobodylocationdirection", "max": "1", "id": "Extension.extension:landmarktobodylocationdirection", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.extension", "min": 0, "definition": "How far the body location of interest is from the given landmark.", "isModifier": false, "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-LandmarkToBodyLocationDistance-extension" ] } ], "sliceName": "landmarktobodylocationdistance", "max": "1", "id": "Extension.extension:landmarktobodylocationdistance", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "id": "Extension.url", "path": "Extension.url", "type": [ { "code": "uri" } ], "fixedUri": "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-datatype-RelationToLandmark-extension" }, { "id": "Extension.value[x]", "max": "0", "min": 0, "path": "Extension.value[x]" } ] }, "contact": [ { "telecom": [ { "value": "http://www.hl7.org/Special/committees/cic", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension" }