Eyes back on FHIR? An experimental continuation of the Eyes on FHIR working group's HL7 FHIR® IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Ocular anatomical location ( Experimental )

The description of an ophthalmic anatomical site that is located within the following structures: the eyeball or the periocular or orbital regions (as opposed to non-ocular anatomical locations). This profile is used by combining the unique valueset (hyperlink) for relevant ophthalmic specific BodyStructure.locationQualifier (Body Site modifier) in combination with the base Observation BodyStructure.location (Body Site; descendants from SNOMED 371398005 (Eye Region Structure), each with a preferred binding in order to refine the accuracy of the location decription of occular structures. This unique qualifying element is important because these locations are routinely described either diffently and/or more granularly than other body parts. Of note - non occular (or surrounding) anatomical location references of Observations (eg - arm) do not need to use this modified specialty profile.

Usage:

• Refer to this Resource Profile: Ophthalmic Diagnoses and Base ophthalmic Observation profile
• Examples for this Resource Profile: BodyStructure/bodystructure-left-eye, BodyStructure/bodystructure-right-eye-6oclock and BodyStructure/bodystructure-right-eye

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from BodyStructure

Name	Flags	Card.	Type	Description & Constraints
BodyStructure			BodyStructure
location	S	0..1	CodeableConcept	Body site Binding: Ophthalmic anatomical location (preferred)
locationQualifier	S	0..*	CodeableConcept	Body site modifier Binding: Ophthalmic anatomical location qualifiers (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
BodyStructure.location	preferred	OphthalmologyBodySiteEye http://terminology.hl7.org/uv/eyecare/ValueSet/body-site-eye from this IG
BodyStructure.locationQualifier	preferred	BodyStructureQualifiers http://terminology.hl7.org/uv/eyecare/ValueSet/qualifiers from this IG

Name	Flags	Card.	Type	Description & Constraints
BodyStructure		0..*	BodyStructure	Specific and identified anatomical structure dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
active	?!Σ	0..1	boolean	Whether this record is in active use ele-1: All FHIR elements must have a @value or children
location	SΣ	0..1	CodeableConcept	Body site Binding: Ophthalmic anatomical location (preferred) ele-1: All FHIR elements must have a @value or children
locationQualifier	S	0..*	CodeableConcept	Body site modifier Binding: Ophthalmic anatomical location qualifiers (preferred) ele-1: All FHIR elements must have a @value or children
patient	Σ	1..1	Reference(Patient)	Who this is about ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
BodyStructure.location	preferred	OphthalmologyBodySiteEye http://terminology.hl7.org/uv/eyecare/ValueSet/body-site-eye from this IG
BodyStructure.locationQualifier	preferred	BodyStructureQualifiers http://terminology.hl7.org/uv/eyecare/ValueSet/qualifiers from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	BodyStructure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	BodyStructure	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-4	error	BodyStructure	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-5	error	BodyStructure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	BodyStructure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
BodyStructure		0..*	BodyStructure	Specific and identified anatomical structure
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Bodystructure identifier
active	?!Σ	0..1	boolean	Whether this record is in active use
morphology	Σ	0..1	CodeableConcept	Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology.
location	SΣ	0..1	CodeableConcept	Body site Binding: Ophthalmic anatomical location (preferred)
locationQualifier	S	0..*	CodeableConcept	Body site modifier Binding: Ophthalmic anatomical location qualifiers (preferred)
description	Σ	0..1	string	Text description
image		0..*	Attachment	Attached images
patient	Σ	1..1	Reference(Patient)	Who this is about
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
BodyStructure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
BodyStructure.morphology	example	SNOMEDCTMorphologicAbnormalities http://hl7.org/fhir/ValueSet/bodystructure-code from the FHIR Standard
BodyStructure.location	preferred	OphthalmologyBodySiteEye http://terminology.hl7.org/uv/eyecare/ValueSet/body-site-eye from this IG
BodyStructure.locationQualifier	preferred	BodyStructureQualifiers http://terminology.hl7.org/uv/eyecare/ValueSet/qualifiers from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	BodyStructure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	BodyStructure	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-4	error	BodyStructure	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-5	error	BodyStructure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	BodyStructure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from BodyStructure

Summary

Must-Support: 2 elements

Differential View

This structure is derived from BodyStructure

Name	Flags	Card.	Type	Description & Constraints
BodyStructure			BodyStructure
location	S	0..1	CodeableConcept	Body site Binding: Ophthalmic anatomical location (preferred)
locationQualifier	S	0..*	CodeableConcept	Body site modifier Binding: Ophthalmic anatomical location qualifiers (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
BodyStructure.location	preferred	OphthalmologyBodySiteEye http://terminology.hl7.org/uv/eyecare/ValueSet/body-site-eye from this IG
BodyStructure.locationQualifier	preferred	BodyStructureQualifiers http://terminology.hl7.org/uv/eyecare/ValueSet/qualifiers from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
BodyStructure		0..*	BodyStructure	Specific and identified anatomical structure dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
active	?!Σ	0..1	boolean	Whether this record is in active use ele-1: All FHIR elements must have a @value or children
location	SΣ	0..1	CodeableConcept	Body site Binding: Ophthalmic anatomical location (preferred) ele-1: All FHIR elements must have a @value or children
locationQualifier	S	0..*	CodeableConcept	Body site modifier Binding: Ophthalmic anatomical location qualifiers (preferred) ele-1: All FHIR elements must have a @value or children
patient	Σ	1..1	Reference(Patient)	Who this is about ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
BodyStructure.location	preferred	OphthalmologyBodySiteEye http://terminology.hl7.org/uv/eyecare/ValueSet/body-site-eye from this IG
BodyStructure.locationQualifier	preferred	BodyStructureQualifiers http://terminology.hl7.org/uv/eyecare/ValueSet/qualifiers from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	BodyStructure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	BodyStructure	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-4	error	BodyStructure	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-5	error	BodyStructure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	BodyStructure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
BodyStructure		0..*	BodyStructure	Specific and identified anatomical structure
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Bodystructure identifier
active	?!Σ	0..1	boolean	Whether this record is in active use
morphology	Σ	0..1	CodeableConcept	Kind of Structure Binding: SNOMEDCTMorphologicAbnormalities (example): Codes describing anatomic morphology.
location	SΣ	0..1	CodeableConcept	Body site Binding: Ophthalmic anatomical location (preferred)
locationQualifier	S	0..*	CodeableConcept	Body site modifier Binding: Ophthalmic anatomical location qualifiers (preferred)
description	Σ	0..1	string	Text description
image		0..*	Attachment	Attached images
patient	Σ	1..1	Reference(Patient)	Who this is about
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
BodyStructure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
BodyStructure.morphology	example	SNOMEDCTMorphologicAbnormalities http://hl7.org/fhir/ValueSet/bodystructure-code from the FHIR Standard
BodyStructure.location	preferred	OphthalmologyBodySiteEye http://terminology.hl7.org/uv/eyecare/ValueSet/body-site-eye from this IG
BodyStructure.locationQualifier	preferred	BodyStructureQualifiers http://terminology.hl7.org/uv/eyecare/ValueSet/qualifiers from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	BodyStructure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	BodyStructure	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-4	error	BodyStructure	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-5	error	BodyStructure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	BodyStructure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from BodyStructure

Summary

Must-Support: 2 elements

Other representations of profile: CSV, Excel, Schematron