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:
| System | Description | Example Sites |
|---|---|---|
cardiovascular | Heart and blood vessels | Heart, aorta, coronary arteries |
respiratory | Lungs and airways | Left/right lung, trachea, bronchi |
digestive | GI tract and organs | Stomach, liver, colon, pancreas |
nervous | Brain and nerves | Brain, spinal cord, peripheral nerves |
musculoskeletal | Bones, joints, muscles | Knee, spine, shoulder, hip |
integumentary | Skin, hair, nails | Scalp, forearm skin, nail bed |
urinary | Kidneys and bladder | Left/right kidney, bladder, urethra |
reproductive | Reproductive organs | Uterus, ovaries, prostate, testes |
endocrine | Hormone-producing glands | Thyroid, pancreas, adrenal glands |
lymphatic | Lymph nodes and vessels | Cervical nodes, axillary nodes, spleen |
Laterality
For paired organs and bilateral structures:
| Value | Meaning | Examples |
|---|---|---|
left | Left side only | Left lung, left kidney, left knee |
right | Right side only | Right lung, right kidney, right knee |
bilateral | Both sides | Bilateral lungs, bilateral knees |
not-applicable | No laterality | Heart, 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 classificationlaterality- Side specificationdescription- Additional anatomical details
Use Cases
Surgical Site Documentation
When documenting surgery:
- Select body site where procedure performed
- Specify laterality for paired organs
- Link to procedure record
- Verify correct site marking
Diagnostic Imaging Orders
When ordering imaging:
- Specify anatomical region to image
- Include laterality for extremities
- Link body site to imaging order
- Use for image labeling and routing
Physical Examination Findings
When documenting exam findings:
- Select body site where finding observed
- Record finding details by location
- Support precise clinical communication
- Enable finding comparison over time
Injury Documentation
For trauma and injury records:
- Document injury location precisely
- Include laterality for limbs/paired organs
- Support accurate coding for billing
- Enable injury pattern analysis
Symptom Localization
When recording patient symptoms:
- Specify where patient reports symptoms
- Document radiation patterns (pain from X to Y)
- Track symptom location changes
- Support differential diagnosis
Related Entities
| Entity | Relationship | Description |
|---|---|---|
| ImagingStudy | Referenced by | Imaging studies targeting body sites |
| Procedure | Referenced by | Procedures performed at body sites |
| Diagnosis | Referenced by | Diagnoses localized to body sites |
Enums
system
| Value | Description |
|---|---|
cardiovascular | Heart, blood vessels, and circulatory system structures |
respiratory | Lungs, airways, and breathing-related structures |
digestive | Gastrointestinal tract from mouth to rectum, including liver and pancreas |
nervous | Brain, spinal cord, and peripheral nerves |
musculoskeletal | Bones, joints, muscles, tendons, and ligaments |
integumentary | Skin, hair, nails, and associated glands |
urinary | Kidneys, ureters, bladder, and urethra |
reproductive | Male and female reproductive organs |
endocrine | Hormone-producing glands (thyroid, adrenal, pituitary) |
lymphatic | Lymph nodes, lymph vessels, spleen, and thymus |
other | Anatomical sites not fitting other categories |
laterality
| Value | Description |
|---|---|
left | Left side of the body |
right | Right side of the body |
bilateral | Both left and right sides |
not-applicable | Midline or unpaired structures with no laterality |
Properties
| Property | Type | Mode | Description | Required |
|---|---|---|---|---|
| code | string | stored | Standardized anatomical code Example: | Required |
| label | string | stored | Human-readable name of the body site Example: | Required |
| system | string | stored | Body system this site belongs to Values: Example: | Optional |
| laterality | string | stored | Side of the body if applicable Values: Example: | Optional |
| description | string | 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"
}