{
"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.odh",
"date": "2020-01-04T00:00:00+00:00",
"derivation": "constraint",
"publisher": "HL7 International Public Health Work Group",
"fhirVersion": "4.0.0",
"name": "RelationToLandmark",
"abstract": false,
"type": "Extension",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Relation To Landmark",
"package_version": "1.0.0",
"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",
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"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"max": "*",
"id": "Extension",
"condition": [ "ele-1" ],
"base": {
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"path": "Extension"
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}, {
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} ],
"type": [ {
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"representation": [ "xmlAttr" ],
"max": "1",
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"base": {
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"path": "Element.id"
},
"isSummary": false
}, {
"path": "Extension.extension",
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},
"type": [ {
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} ],
"alias": [ "extensions", "user content" ],
"max": "*",
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"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.",
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}, {
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"type": [ {
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"type": [ {
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"representation": [ "xmlAttr" ],
"max": "1",
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}, {
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},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "0",
"id": "Extension.extension:landmarkType.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": "*",
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"path": "Element.extension"
},
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}, {
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"min": 1,
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"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "landmarkType",
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"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:landmarkType.url",
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"base": {
"max": "1",
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"path": "Extension.url"
},
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}, {
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"binding": {
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"valueSet": "http://hl7.org/fhir/us/odh/ValueSet/obf-datatype-LandmarkTypeVS"
},
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}, {
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"definition": "The body location of the landmark, specified by a location code and optional laterality and orientation.",
"isModifier": false,
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} ],
"type": [ {
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"sliceName": "landmarkLocation",
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"id": "Extension.extension:landmarkLocation",
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"type": [ {
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} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:landmarkLocation.id",
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}, {
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},
"type": [ {
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} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Extension.extension:landmarkLocation.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": "*",
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},
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}, {
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"definition": "The main type identifier for a lab, procedure, condition, etc., usually drawn from a controlled vocabulary.",
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} ],
"type": [ {
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"sliceName": "code",
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"id": "Extension.extension:landmarkLocation.extension:code",
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}, {
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}, {
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},
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"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "0",
"id": "Extension.extension:landmarkLocation.extension:code.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": {
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},
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}, {
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"type": [ {
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"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:landmarkLocation.extension:code.url",
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"path": "Extension.url"
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}, {
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}, {
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"definition": "Body side of the body location, if needed to distinguish from a similar location on the other side of the body.\n\nThe laterality 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).",
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"type": [ {
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} ],
"sliceName": "laterality",
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"max": "1",
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}, {
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},
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} ],
"alias": [ "extensions", "user content" ],
"max": "0",
"id": "Extension.extension:landmarkLocation.extension:laterality.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.",
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}, {
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"fixedUri": "laterality",
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"type": [ {
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"representation": [ "xmlAttr" ],
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"id": "Extension.extension:landmarkLocation.extension:laterality.url",
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}, {
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}, {
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"definition": "AnatomicalOrientation of the body location, if needed to distinguish from a similar location in another orientation.\nThe orientation 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).",
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"sliceName": "anatomicalOrientation",
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}, {
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},
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} ],
"alias": [ "extensions", "user content" ],
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"id": "Extension.extension:landmarkLocation.extension:anatomicalOrientation.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": "*",
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}, {
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"fixedUri": "anatomicalOrientation",
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} ],
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"representation": [ "xmlAttr" ],
"max": "1",
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"base": {
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"path": "Extension.url"
},
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}, {
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"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
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},
"max": "1",
"id": "Extension.extension:landmarkLocation.extension:anatomicalOrientation.valueCodeableConcept",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
}, {
"path": "Extension.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": "landmarkLocation",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:landmarkLocation.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.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.extension:landmarkLocation.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"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"
} ],
"sliceName": "landmarkToBodyLocationDirection",
"max": "1",
"id": "Extension.extension:landmarkToBodyLocationDirection",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Extension.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.extension:landmarkToBodyLocationDirection.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Extension.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": "0",
"id": "Extension.extension:landmarkToBodyLocationDirection.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.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": "landmarkToBodyLocationDirection",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:landmarkToBodyLocationDirection.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.extension.valueCodeableConcept",
"min": 1,
"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": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/us/odh/ValueSet/obf-datatype-AnatomicalDirectionVS"
},
"max": "1",
"id": "Extension.extension:landmarkToBodyLocationDirection.valueCodeableConcept",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"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"
} ],
"sliceName": "landmarkToBodyLocationDistance",
"max": "1",
"id": "Extension.extension:landmarkToBodyLocationDistance",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Extension.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.extension:landmarkToBodyLocationDistance.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Extension.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": "0",
"id": "Extension.extension:landmarkToBodyLocationDistance.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.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": "landmarkToBodyLocationDistance",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:landmarkToBodyLocationDistance.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.extension.valueQuantity",
"min": 1,
"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": "Quantity"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/us/odh/ValueSet/obf-datatype-UnitsOfLengthVS"
},
"max": "1",
"id": "Extension.extension:landmarkToBodyLocationDistance.valueQuantity",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"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/odh/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": "92afb7c9-6ed3-405c-ae8d-967aa9a474ed",
"kind": "complex-type",
"url": "http://hl7.org/fhir/us/odh/StructureDefinition/obf-datatype-RelationToLandmark-extension",
"context": [ {
"type": "element",
"expression": "*"
} ],
"version": "1.0.0",
"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"
} ],
"sliceName": "landmarkType",
"max": "1",
"id": "Extension.extension:landmarkType",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"id": "Extension.extension:landmarkType.extension",
"max": "0",
"min": 0,
"path": "Extension.extension.extension"
}, {
"id": "Extension.extension:landmarkType.url",
"path": "Extension.extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "landmarkType"
}, {
"id": "Extension.extension:landmarkType.valueCodeableConcept",
"min": 1,
"path": "Extension.extension.valueCodeableConcept",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/us/odh/ValueSet/obf-datatype-LandmarkTypeVS"
}
}, {
"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"
} ],
"sliceName": "landmarkLocation",
"max": "1",
"id": "Extension.extension:landmarkLocation",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Extension.extension.extension",
"min": 0,
"definition": "The main type identifier for a lab, procedure, condition, etc., usually drawn from a controlled vocabulary.",
"isModifier": false,
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"sliceName": "code",
"max": "1",
"id": "Extension.extension:landmarkLocation.extension:code",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"id": "Extension.extension:landmarkLocation.extension:code.extension",
"max": "0",
"min": 0,
"path": "Extension.extension.extension.extension"
}, {
"id": "Extension.extension:landmarkLocation.extension:code.url",
"path": "Extension.extension.extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "code"
}, {
"id": "Extension.extension:landmarkLocation.extension:code.valueCodeableConcept",
"min": 1,
"path": "Extension.extension.extension.valueCodeableConcept",
"type": [ {
"code": "CodeableConcept"
} ]
}, {
"path": "Extension.extension.extension",
"min": 0,
"definition": "Body side of the body location, if needed to distinguish from a similar location on the other side of the body.\n\nThe laterality 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,
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"sliceName": "laterality",
"max": "1",
"id": "Extension.extension:landmarkLocation.extension:laterality",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"id": "Extension.extension:landmarkLocation.extension:laterality.extension",
"max": "0",
"min": 0,
"path": "Extension.extension.extension.extension"
}, {
"id": "Extension.extension:landmarkLocation.extension:laterality.url",
"path": "Extension.extension.extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "laterality"
}, {
"id": "Extension.extension:landmarkLocation.extension:laterality.valueCodeableConcept",
"min": 1,
"path": "Extension.extension.extension.valueCodeableConcept",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/us/odh/ValueSet/obf-datatype-LateralityVS"
}
}, {
"path": "Extension.extension.extension",
"min": 0,
"definition": "AnatomicalOrientation of the body location, if needed to distinguish from a similar location in another orientation.\nThe orientation 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,
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"sliceName": "anatomicalOrientation",
"max": "1",
"id": "Extension.extension:landmarkLocation.extension:anatomicalOrientation",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"id": "Extension.extension:landmarkLocation.extension:anatomicalOrientation.extension",
"max": "0",
"min": 0,
"path": "Extension.extension.extension.extension"
}, {
"id": "Extension.extension:landmarkLocation.extension:anatomicalOrientation.url",
"path": "Extension.extension.extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "anatomicalOrientation"
}, {
"id": "Extension.extension:landmarkLocation.extension:anatomicalOrientation.valueCodeableConcept",
"min": 1,
"path": "Extension.extension.extension.valueCodeableConcept",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"valueSet": "http://hl7.org/fhir/us/odh/ValueSet/obf-datatype-AnatomicalOrientationVS"
}
}, {
"id": "Extension.extension:landmarkLocation.url",
"path": "Extension.extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "landmarkLocation"
}, {
"id": "Extension.extension:landmarkLocation.value[x]",
"max": "0",
"min": 0,
"path": "Extension.extension.value[x]"
}, {
"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"
} ],
"sliceName": "landmarkToBodyLocationDirection",
"max": "1",
"id": "Extension.extension:landmarkToBodyLocationDirection",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"id": "Extension.extension:landmarkToBodyLocationDirection.extension",
"max": "0",
"min": 0,
"path": "Extension.extension.extension"
}, {
"id": "Extension.extension:landmarkToBodyLocationDirection.url",
"path": "Extension.extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "landmarkToBodyLocationDirection"
}, {
"id": "Extension.extension:landmarkToBodyLocationDirection.valueCodeableConcept",
"min": 1,
"path": "Extension.extension.valueCodeableConcept",
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/us/odh/ValueSet/obf-datatype-AnatomicalDirectionVS"
}
}, {
"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"
} ],
"sliceName": "landmarkToBodyLocationDistance",
"max": "1",
"id": "Extension.extension:landmarkToBodyLocationDistance",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"id": "Extension.extension:landmarkToBodyLocationDistance.extension",
"max": "0",
"min": 0,
"path": "Extension.extension.extension"
}, {
"id": "Extension.extension:landmarkToBodyLocationDistance.url",
"path": "Extension.extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "landmarkToBodyLocationDistance"
}, {
"id": "Extension.extension:landmarkToBodyLocationDistance.valueQuantity",
"min": 1,
"path": "Extension.extension.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/us/odh/ValueSet/obf-datatype-UnitsOfLengthVS"
}
}, {
"id": "Extension.url",
"path": "Extension.url",
"type": [ {
"code": "uri"
} ],
"fixedUri": "http://hl7.org/fhir/us/odh/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/pher/index.cfm",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}