Kerndatensatz Senologie
0.9.0 - ci-build

Kerndatensatz Senologie - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Senologie_Tumorlokalisation - Detailed Descriptions

Draft as of 2026-05-04

Definitions for the senologie-tumorlokalisation resource profile.

Guidance on how to interpret the contents of this table can be foundhere

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.

ShortSpecific and identified anatomical structure
Control0..*
Is Modifierfalse
Alternate Namesanatomical location
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. BodyStructure.id
Definition

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

ShortLogical 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.

Control0..1
Typeidstring
Is Modifierfalse
Must Supporttrue
Summarytrue
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.

ShortMetadata about the resource
Control0..1
This element is affected by the following invariants: ele-1
TypeMeta
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. BodyStructure.meta.source
Definition

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.


A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

ShortIdentifies where the resource comes from
Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Control0..1
This element is affected by the following invariants: ele-1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. BodyStructure.meta.profile
Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.


A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

ShortProfiles this resource claims to conform to
Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Control0..*
This element is affected by the following invariants: ele-1
Typecanonical(StructureDefinition, StructureDefinition)
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. 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.

ShortA 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.

Control0..1
This element is affected by the following invariants: ele-1
Typeuri
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. 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).

ShortExtensions 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.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
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 Namesextensions, 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())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on BodyStructure.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 14. BodyStructure.active
    Definition

    Whether this body site is in active use.

    ShortWhether 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.

    Control0..1
    This element is affected by the following invariants: ele-1
    Typeboolean
    Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

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

    Meaning if MissingThis 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()))
    16. BodyStructure.morphology
    Definition

    morphology of the body structure


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

    ShortMorphologieKind of Structure
    Comments

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

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For example codes, see SNOMEDCTMorphologicAbnormalitieshttp://hl7.org/fhir/ValueSet/bodystructure-code|4.0.1
    (required to http://hl7.org/fhir/ValueSet/bodystructure-code)

    Codes describing anatomic morphology.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. BodyStructure.location
    Definition

    location of the described body structure in the picture


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

    ShortBrust (SNOMED)Body site
    Comments

    SNOMED-Code für Brust als Lokalisation

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|4.0.1
    (required to http://hl7.org/fhir/ValueSet/body-site)

    Codes describing anatomical locations. May include laterality.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. BodyStructure.locationQualifier
    Definition

    explicit description of the body structure


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

    Shortnähere LokalisationBody site modifier
    Comments

    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

    Control0..*
    This element is affected by the following invariants: ele-1
    BindingThe codes SHALL be taken from For example codes, see http://hl7.eu/fhir/base/ValueSet/siteQualifier-euhttp://hl7.org/fhir/ValueSet/bodystructure-relative-location|4.0.1
    (required to http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu)

    Concepts modifying the anatomic location.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on BodyStructure.locationQualifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 22. BodyStructure.locationQualifier:seitenlokalisation
      Slice Nameseitenlokalisation
      Definition

      explicit description of the body structure


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

      ShortSeite (Links/Rechts/Beidseits)Body site modifier
      Comments

      Aus dotbase: 'Seite' (Links/Rechts/Beidseits)

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For example codes, see http://hl7.eu/fhir/base/ValueSet/siteQualifier-euhttp://hl7.org/fhir/ValueSet/bodystructure-relative-location|4.0.1
      (required to http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu)

      Concepts modifying the anatomic location.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. BodyStructure.locationQualifier:quadrant
      Slice Namequadrant
      Definition

      explicit description of the body structure


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

      ShortQuadrant der BrustBody site modifier
      Comments

      Quadrant (z.B. oben-aussen, oben-innen, etc.)

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For example codes, see http://hl7.eu/fhir/base/ValueSet/siteQualifier-euhttp://hl7.org/fhir/ValueSet/bodystructure-relative-location|4.0.1
      (required to http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu)

      Concepts modifying the anatomic location.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. BodyStructure.locationQualifier:uhrzeitposition
      Slice Nameuhrzeitposition
      Definition

      explicit description of the body structure


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

      ShortUhrzeitposition (12-Uhr-Einteilung)Body site modifier
      Comments

      Uhrzeitposition im Drüsenquadranten (12-Uhr-Position)

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For example codes, see http://hl7.eu/fhir/base/ValueSet/siteQualifier-euhttp://hl7.org/fhir/ValueSet/bodystructure-relative-location|4.0.1
      (required to http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu)

      Concepts modifying the anatomic location.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-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.

      ShortFreitext-Beschreibung inkl. MamillenabstandText description
      Comments

      Kann Mamillenabstand in mm oder andere beschreibende Details enthalten


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

      Control0..1
      This element is affected by the following invariants: ele-1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. BodyStructure.patient
      Definition

      person, who contains the described body structure


      The person to which the body site belongs.

      ShortPersonWho this is about
      Comments

      References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

      Control1..1
      This element is affected by the following invariants: ele-1
      TypeReference(Patient, Patient)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))

      Guidance on how to interpret the contents of this table can be foundhere

      0. BodyStructure
      2. BodyStructure.location
      ShortBrust (SNOMED)
      Comments

      SNOMED-Code für Brust als Lokalisation

      4. BodyStructure.locationQualifier
      SlicingThis element introduces a set of slices on BodyStructure.locationQualifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • pattern @ $this
      • 6. BodyStructure.locationQualifier:seitenlokalisation
        Slice Nameseitenlokalisation
        ShortSeite (Links/Rechts/Beidseits)
        Comments

        Aus dotbase: 'Seite' (Links/Rechts/Beidseits)

        Control0..1
        8. BodyStructure.locationQualifier:quadrant
        Slice Namequadrant
        ShortQuadrant der Brust
        Comments

        Quadrant (z.B. oben-aussen, oben-innen, etc.)

        Control0..1
        10. BodyStructure.locationQualifier:uhrzeitposition
        Slice Nameuhrzeitposition
        ShortUhrzeitposition (12-Uhr-Einteilung)
        Comments

        Uhrzeitposition im Drüsenquadranten (12-Uhr-Position)

        Control0..1
        12. BodyStructure.description
        ShortFreitext-Beschreibung inkl. Mamillenabstand
        Comments

        Kann Mamillenabstand in mm oder andere beschreibende Details enthalten

        Must Supporttrue

        Guidance on how to interpret the contents of this table can be foundhere

        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.

        ShortSpecific and identified anatomical structure
        Control0..*
        Alternate Namesanatomical location
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-6: A resource should have narrative for robust management (text.`div`.exists())
        dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        2. BodyStructure.id
        Definition

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

        ShortLogical 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.

        Control0..1
        Typeid
        Must Supporttrue
        Summarytrue
        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.

        ShortMetadata about the resource
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeMeta
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        6. BodyStructure.meta.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        XML FormatIn the XML format, this property is represented as an attribute.
        8. BodyStructure.meta.extension
        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.

        ShortAdditional 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.

        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension
        Alternate Namesextensions, 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())
        SlicingThis element introduces a set of slices on BodyStructure.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 10. BodyStructure.meta.versionId
          Definition

          The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

          ShortVersion specific identifier
          Comments

          The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

          Control0..1
          This element is affected by the following invariants: ele-1
          Typeid
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. BodyStructure.meta.lastUpdated
          Definition

          When the resource last changed - e.g. when the version changed.

          ShortWhen the resource version last changed
          Comments

          This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

          Control0..1
          This element is affected by the following invariants: ele-1
          Typeinstant
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          14. BodyStructure.meta.source
          Definition

          A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

          ShortIdentifies where the resource comes from
          Comments

          In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

          This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

          Control0..1
          This element is affected by the following invariants: ele-1
          Typeuri
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. BodyStructure.meta.profile
          Definition

          A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

          ShortProfiles this resource claims to conform to
          Comments

          It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

          Control0..*
          This element is affected by the following invariants: ele-1
          Typecanonical(StructureDefinition)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          18. BodyStructure.meta.security
          Definition

          Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

          ShortSecurity Labels applied to this resource
          Comments

          The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

          Control0..*
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from All Security Labels
          (extensible to http://hl7.org/fhir/ValueSet/security-labels)

          Security Labels from the Healthcare Privacy and Security Classification System.

          TypeCoding
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. BodyStructure.meta.tag
          Definition

          Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

          ShortTags applied to this resource
          Comments

          The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

          Control0..*
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see CommonTags
          (example to http://hl7.org/fhir/ValueSet/common-tags)

          Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

          TypeCoding
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. 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.

          ShortA 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.

          Control0..1
          This element is affected by the following invariants: ele-1
          Typeuri
          Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. BodyStructure.language
          Definition

          The base language in which the resource is written.

          ShortLanguage 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).

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. 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.

          ShortText 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.

          Control0..1
          This element is affected by the following invariants: ele-1
          TypeNarrative
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. 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.

          ShortContained, 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.

          Control0..*
          TypeResource
          Alternate Namesinline resources, anonymous resources, contained resources
          30. 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.

          ShortAdditional 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.

          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension
          Alternate Namesextensions, 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())
          SlicingThis element introduces a set of slices on BodyStructure.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 32. 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).

            ShortExtensions 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.

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            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 Namesextensions, 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())
            SlicingThis element introduces a set of slices on BodyStructure.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 34. BodyStructure.identifier
              Definition

              Identifier for this instance of the anatomical structure.

              ShortBodystructure identifier
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeIdentifier
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. BodyStructure.active
              Definition

              Whether this body site is in active use.

              ShortWhether 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.

              Control0..1
              This element is affected by the following invariants: ele-1
              Typeboolean
              Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

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

              Meaning if MissingThis 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()))
              38. BodyStructure.morphology
              Definition

              morphology of the body structure

              ShortMorphologie
              Comments

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

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from SNOMEDCTMorphologicAbnormalities
              (required to http://hl7.org/fhir/ValueSet/bodystructure-code)

              Codes describing anatomic morphology.

              TypeCodeableConcept
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. BodyStructure.location
              Definition

              location of the described body structure in the picture

              ShortBrust (SNOMED)
              Comments

              SNOMED-Code für Brust als Lokalisation

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from SNOMEDCTBodyStructures
              (required to http://hl7.org/fhir/ValueSet/body-site)

              Codes describing anatomical locations. May include laterality.

              TypeCodeableConcept
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. BodyStructure.locationQualifier
              Definition

              explicit description of the body structure

              Shortnähere Lokalisation
              Comments

              Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

              Control0..*
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu
              (required to http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu)

              Concepts modifying the anatomic location.

              TypeCodeableConcept
              Must Supporttrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on BodyStructure.locationQualifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • pattern @ $this
              • 44. BodyStructure.locationQualifier:seitenlokalisation
                Slice Nameseitenlokalisation
                Definition

                explicit description of the body structure

                ShortSeite (Links/Rechts/Beidseits)
                Comments

                Aus dotbase: 'Seite' (Links/Rechts/Beidseits)

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu
                (required to http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu)

                Concepts modifying the anatomic location.

                TypeCodeableConcept
                Must Supporttrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                46. BodyStructure.locationQualifier:quadrant
                Slice Namequadrant
                Definition

                explicit description of the body structure

                ShortQuadrant der Brust
                Comments

                Quadrant (z.B. oben-aussen, oben-innen, etc.)

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu
                (required to http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu)

                Concepts modifying the anatomic location.

                TypeCodeableConcept
                Must Supporttrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                48. BodyStructure.locationQualifier:uhrzeitposition
                Slice Nameuhrzeitposition
                Definition

                explicit description of the body structure

                ShortUhrzeitposition (12-Uhr-Einteilung)
                Comments

                Uhrzeitposition im Drüsenquadranten (12-Uhr-Position)

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu
                (required to http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu)

                Concepts modifying the anatomic location.

                TypeCodeableConcept
                Must Supporttrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. BodyStructure.description
                Definition

                A summary, characterization or explanation of the body structure.

                ShortFreitext-Beschreibung inkl. Mamillenabstand
                Comments

                Kann Mamillenabstand in mm oder andere beschreibende Details enthalten

                Control0..1
                This element is affected by the following invariants: ele-1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                52. BodyStructure.image
                Definition

                Image or images used to identify a location.

                ShortAttached images
                Comments

                When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

                Control0..*
                This element is affected by the following invariants: ele-1
                TypeAttachment
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                att-1: If the Attachment has data, it SHALL have a contentType (data.empty() or contentType.exists())
                54. BodyStructure.patient
                Definition

                person, who contains the described body structure

                ShortPerson
                Comments

                References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                Control1..1
                This element is affected by the following invariants: ele-1
                TypeReference(Patient)
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))