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  1. FHIR Specification Feedback
  2. FHIR-33129

Restructure BodyStructure Location/Qualifier

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R5
    • Orders & Observations
    • BodyStructure
    • (profiles)
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      Motion to replace .location and .locationQualifier with:

      .includedStructure    1..*  BackboneElement 

         .structure  1..1  CodeableConcept

         .laterality   0..1  CodeableConcept

         .qualifier   0..*  CodeableConcept

      .excludedStructure    0..*  BackboneElement

         .structure  1..1  CodeableConcept

         .laterality   0..1  CodeableConcept

         .qualifier   0..*  CodeableConcept

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      Motion to replace .location and .locationQualifier with: .includedStructure    1..*  BackboneElement     .structure  1..1  CodeableConcept    .laterality   0..1  CodeableConcept    .qualifier   0..*  CodeableConcept .excludedStructure    0..*  BackboneElement    .structure  1..1  CodeableConcept    .laterality   0..1  CodeableConcept    .qualifier   0..*  CodeableConcept
    • Keith Campbell / Stan Huff: 15-0-6
    • Enhancement
    • Compatible, substantive
    • R5

    Description

      BodyStructure currently contains:
         location 0..1
         locationQualifier 0..*

      Real world usage (from mCODE) indicates that:

          - a bodyStructure without a location isn't meaningful
          - a BodyStructure can consist of multiple locations.  For example, adjacent structures that comprise a single volume with a single planned dose during radiotherapy.
          - it is common practice in cancer registry data to split the qualifier into a laterality qualifier, and a general location qualifier.

      Therefore, we propose that the location and locationQualifier fields be eliminated in favor of a backbone element with 0..* cardinality comprising:
           - location 1..1
           - laterality 0..1
           - qualifier 0..*

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            Unassigned Unassigned
            saul_kravitz Saul Kravitz
            Mark Kramer, Saul Kravitz
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            Dates

              Created:
              Updated:
              Resolved: