---
type: "resource-definitions"
title: "BodyStructure Definitions"
resource: "BodyStructure"
---

# BodyStructure Definitions

<a id="BodyStructure"></a>

## BodyStructure
Specific and identified anatomical structure

**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.

**Aliases:** anatomical location

**Cardinality:** 0..*

**Mappings:** rim=Act; openehr=Archetype ID   openEHR-EHR-CLUSTER.anatomical_location.v1      Concept name   Anatomical Location      Concept description   Record details about an anatomical location.      Keywords   location, site, anatomical      Copyright   © openEHR Foundation      Purpose   To record details about anatomical location.      Misuse   Not for specifiying unilateral/bilateral occurrence - this is related to an evaluation which perhaps includes multiple locations.      Author   Author name: Heather Leslie Organization: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date of Origination: 2008-11-10       Translator   Norwegian Bokmål: Lars Bitsch-Larsen, Haukeland University Hospital of Bergen, Norway, MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine. Arabic (Syria): Mona Saleh       Other contributors   Heather Leslie, Ocean Informatics, Australia (Editor) Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor) Dunmail Hodkinson, Black Pear Software Ltd, UK      References   Use cases: - 5LICS, midclavicular line - L forearm, 2cm anterior to the cubital fossa - Right iliac fossa - 5 cm below L tibial tuberosity - 2 cm medial to R nipple - 4 cm below R costal margin in midclavicular line - R femur - midline nose - medial aspect of R great toe nail.; w5=clinical.diagnostics


<a id="BodyStructure.identifier"></a>

## BodyStructure.identifier
Bodystructure identifier

**Definition:** Identifier for this instance of the anatomical structure.

**Cardinality:** 0..*

**Type:** [Identifier](/Identifier)

**Summary:** true

**Mappings:** w5=FiveWs.identifier; rim=.id; openehr=Specific location  Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)


<a id="BodyStructure.active"></a>

## BodyStructure.active
Whether this record is in active use

**Definition:** Whether this body site 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.

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

**Meaning if Missing:** This resource is generally assumed to be active if no value is provided for the active element

**Cardinality:** 0..1

**Type:** [boolean](/boolean)

**Summary:** true

**Is Modifier:** true (Reason: 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)

**Mappings:** w5=FiveWs.status; rim=statusCode


<a id="BodyStructure.includedStructure"></a>

## BodyStructure.includedStructure
Included anatomic location(s)

**Definition:** The anatomical location(s) or region(s) of the specimen, lesion, or body structure.

**Cardinality:** 1..*

**Type:** [BackboneElement](/BackboneElement)


<a id="BodyStructure.includedStructure.structure"></a>

## BodyStructure.includedStructure.structure
Code that represents the included structure

**Definition:** Code that represents the included structure.

**Cardinality:** 1..1

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[body-site](/valueset-body-site)

**Summary:** true

**Mappings:** w5=FiveWs.what[x]; v2=OBX-20/SPM-8/SPM-10; rim=.targetSiteCode; openehr=Name of location; dicom=Body Part Examined (0018,0015) or Anatomic Region Sequence (0008,2218)


<a id="BodyStructure.includedStructure.laterality"></a>

## BodyStructure.includedStructure.laterality
Code that represents the included structure laterality

**Definition:** Code that represents the included structure laterality.

**Cardinality:** 0..1

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[bodystructure-laterality](/valueset-bodystructure-laterality)

**Mappings:** w5=FiveWs.what[x]; v2=No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9; rim=.targetSiteCode; openehr=Combines Side, Numerical identifier, Anatomical plane,and Aspect; dicom=Laterality (0020,0060)


<a id="BodyStructure.includedStructure.bodyLandmarkOrientation"></a>

## BodyStructure.includedStructure.bodyLandmarkOrientation
Landmark relative location

**Definition:** Body location in relation to a specific body landmark (e.g., a body structure such a navel, scar, or implanted device).

**Cardinality:** 0..*

**Type:** [BackboneElement](/BackboneElement)


<a id="BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription"></a>

## BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
Explanation of landmark

**Definition:** Body landmark description used as a reference to locate something else.

**Cardinality:** 0..*

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[body-site](/valueset-body-site)

**Mappings:** w5=FiveWs.what[x]


<a id="BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition"></a>

## BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition
Clockface orientation

**Definition:** An description of the direction away from a landmark something is located based on a radial clock dial.

**Cardinality:** 0..*

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[bodystructure-bodylandmarkorientation-clockface-position](/valueset-bodystructure-bodylandmarkorientation-clockface-position)

**Mappings:** w5=FiveWs.what[x]


<a id="BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark"></a>

## BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
Landmark relative location

**Definition:** The distance in centimeters a certain observation is made from a body landmark.

**Cardinality:** 0..*

**Type:** [BackboneElement](/BackboneElement)


<a id="BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device"></a>

## BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
Measurement device

**Definition:** An instrument, tool, analyzer, etc. used in the measurement.

**Cardinality:** 0..*

**Type:** [CodeableReference](/CodeableReference)

**Binding:** example:[device-type](/valueset-device-type)

**Mappings:** w5=FiveWs.what[x]


<a id="BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value"></a>

## BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
Measured distance from body landmark

**Definition:** The measured distance (e.g., in cm) from a body landmark.

**Cardinality:** 0..*

**Type:** [Quantity](/Quantity)


<a id="BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation"></a>

## BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
Relative landmark surface orientation

**Definition:** The surface area a body location is in relation to a landmark.

**Cardinality:** 0..*

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** preferred:[bodystructure-relative-location](/valueset-bodystructure-relative-location)

**Mappings:** w5=FiveWs.what[x]


<a id="BodyStructure.includedStructure.spatialReference"></a>

## BodyStructure.includedStructure.spatialReference
Cartesian reference for structure

**Definition:** XY or XYZ-coordinate orientation for structure.

**Cardinality:** 0..*

**Type:** Reference([ImagingSelection](/ImagingSelection))

**Mappings:** w5=FiveWs.where[x]


<a id="BodyStructure.includedStructure.image"></a>

## BodyStructure.includedStructure.image
Image(s) of structural aspects

**Definition:** Image(s) used to identify aspects of an included or excluded structure.

**Cardinality:** 0..*

**Type:** [Attachment](/Attachment)

**Summary:** false


<a id="BodyStructure.includedStructure.qualifier"></a>

## BodyStructure.includedStructure.qualifier
Code that represents the included structure qualifier

**Definition:** Code that represents the included structure qualifier.

**Cardinality:** 0..*

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[bodystructure-relative-location](/valueset-bodystructure-relative-location)

**Mappings:** w5=FiveWs.what[x]; v2=No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9; rim=.targetSiteCode; openehr=Combines Side, Numerical identifier, Anatomical plane,and Aspect


<a id="BodyStructure.includedStructure.morphology"></a>

## BodyStructure.includedStructure.morphology
Kind of Structure

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

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

**Cardinality:** 0..1

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[bodystructure-code](/valueset-bodystructure-code)

**Summary:** true

**Mappings:** w5=FiveWs.what[x]; v2=SPM-4/SPM-5


<a id="BodyStructure.excludedStructure"></a>

## BodyStructure.excludedStructure
Excluded anatomic locations(s)

**Definition:** The anatomical location(s) or region(s) not occupied or represented by the specimen, lesion, or body structure.

**Cardinality:** 0..*


<a id="BodyStructure.description"></a>

## BodyStructure.description
Text description

**Definition:** A summary, characterization or explanation of the body structure.

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

**Cardinality:** 0..1

**Type:** [markdown](/markdown)

**Summary:** true

**Mappings:** w5=FiveWs.what[x]; v2=NTE; rim=.text; openehr=Description of anatomical location/Visual markings/orientation


<a id="BodyStructure.image"></a>

## BodyStructure.image
Attached images

**Definition:** Image(s) used to identify aspects of the overall structure.

**Cardinality:** 0..*

**Type:** [Attachment](/Attachment)

**Mappings:** w5=FiveWs.what[x]; v2=OBX; rim=outboundRelationship[typeCode=COMP].target; openehr=Image


<a id="BodyStructure.patient"></a>

## BodyStructure.patient
Who this is about

**Definition:** The person to which the body site belongs.

**Cardinality:** 1..1

**Type:** Reference([Patient](/Patient))

**Summary:** true

**Mappings:** w5=FiveWs.subject; v2=PID-3; rim=.scoper or .scoper.playsRole