HealthReferenceBodySite

Reference data entity for anatomical locations and body sites. Used to specify where procedures are performed, where symptoms are located, or where conditions affect the body.

Overview

HealthReferenceBodySite provides a standardized catalog of anatomical locations for clinical documentation. Each body site includes a code, human-readable label, the body system it belongs to, and laterality (left/right/bilateral). This enables precise documentation of procedures, findings, injuries, and symptoms by anatomical location.

Key Concepts

Body Systems

Anatomical sites are organized by body system:

SystemDescriptionExample Sites
cardiovascularHeart and blood vesselsHeart, aorta, coronary arteries
respiratoryLungs and airwaysLeft/right lung, trachea, bronchi
digestiveGI tract and organsStomach, liver, colon, pancreas
nervousBrain and nervesBrain, spinal cord, peripheral nerves
musculoskeletalBones, joints, musclesKnee, spine, shoulder, hip
integumentarySkin, hair, nailsScalp, forearm skin, nail bed
urinaryKidneys and bladderLeft/right kidney, bladder, urethra
reproductiveReproductive organsUterus, ovaries, prostate, testes
endocrineHormone-producing glandsThyroid, pancreas, adrenal glands
lymphaticLymph nodes and vesselsCervical nodes, axillary nodes, spleen

Laterality

For paired organs and bilateral structures:

ValueMeaningExamples
leftLeft side onlyLeft lung, left kidney, left knee
rightRight side onlyRight lung, right kidney, right knee
bilateralBoth sidesBilateral lungs, bilateral knees
not-applicableNo lateralityHeart, liver, stomach

Site Identification

Each body site record contains:

  • code - Unique anatomical code (e.g., "KNEE_LEFT", "HEART")
  • label - Human-readable name (e.g., "Left Knee", "Heart")
  • system - Body system classification
  • laterality - Side specification
  • description - Additional anatomical details

Use Cases

Surgical Site Documentation

When documenting surgery:

  1. Select body site where procedure performed
  2. Specify laterality for paired organs
  3. Link to procedure record
  4. Verify correct site marking

Diagnostic Imaging Orders

When ordering imaging:

  1. Specify anatomical region to image
  2. Include laterality for extremities
  3. Link body site to imaging order
  4. Use for image labeling and routing

Physical Examination Findings

When documenting exam findings:

  1. Select body site where finding observed
  2. Record finding details by location
  3. Support precise clinical communication
  4. Enable finding comparison over time

Injury Documentation

For trauma and injury records:

  1. Document injury location precisely
  2. Include laterality for limbs/paired organs
  3. Support accurate coding for billing
  4. Enable injury pattern analysis

Symptom Localization

When recording patient symptoms:

  1. Specify where patient reports symptoms
  2. Document radiation patterns (pain from X to Y)
  3. Track symptom location changes
  4. Support differential diagnosis

Related Entities

EntityRelationshipDescription
ImagingStudyReferenced byImaging studies targeting body sites
ProcedureReferenced byProcedures performed at body sites
DiagnosisReferenced byDiagnoses localized to body sites

Enums

system

ValueDescription
cardiovascularHeart, blood vessels, and circulatory system structures
respiratoryLungs, airways, and breathing-related structures
digestiveGastrointestinal tract from mouth to rectum, including liver and pancreas
nervousBrain, spinal cord, and peripheral nerves
musculoskeletalBones, joints, muscles, tendons, and ligaments
integumentarySkin, hair, nails, and associated glands
urinaryKidneys, ureters, bladder, and urethra
reproductiveMale and female reproductive organs
endocrineHormone-producing glands (thyroid, adrenal, pituitary)
lymphaticLymph nodes, lymph vessels, spleen, and thymus
otherAnatomical sites not fitting other categories

laterality

ValueDescription
leftLeft side of the body
rightRight side of the body
bilateralBoth left and right sides
not-applicableMidline or unpaired structures with no laterality
5 properties
Schema

Properties

PropertyTypeModeDescriptionRequired
codestring
stored

Standardized anatomical code

Example: "HEART"

Required
labelstring
stored

Human-readable name of the body site

Example: "Heart"

Required
systemstring
stored

Body system this site belongs to

Values: cardiovascular, respiratory, digestive, nervous, musculoskeletal, integumentary, urinary, reproductive, endocrine, lymphatic, other

Example: "cardiovascular"

Optional
lateralitystring
stored

Side of the body if applicable

Values: left, right, bilateral, not-applicable

Example: "not-applicable"

Optional
descriptionstring
stored

Additional anatomical details

Optional

Examples

Example 1

{
  "@type": "HealthReferenceBodySite",
  "code": "HEART",
  "label": "Heart",
  "system": "cardiovascular",
  "laterality": "not-applicable"
}

Example 2

{
  "@type": "HealthReferenceBodySite",
  "code": "LUNG_LEFT",
  "label": "Left Lung",
  "system": "respiratory",
  "laterality": "left"
}

Example 3

{
  "@type": "HealthReferenceBodySite",
  "code": "LUNG_RIGHT",
  "label": "Right Lung",
  "system": "respiratory",
  "laterality": "right"
}

Example 4

{
  "@type": "HealthReferenceBodySite",
  "code": "KNEE_LEFT",
  "label": "Left Knee",
  "system": "musculoskeletal",
  "laterality": "left"
}

Example 5

{
  "@type": "HealthReferenceBodySite",
  "code": "SPINE_LUMBAR",
  "label": "Lumbar Spine",
  "system": "musculoskeletal",
  "laterality": "not-applicable"
}

Example 6

{
  "@type": "HealthReferenceBodySite",
  "code": "PANCREAS",
  "label": "Pancreas",
  "system": "endocrine",
  "laterality": "not-applicable"
}