Final answer:
The genitourinary system is typically not included in the major body systems approach.
Step-by-step explanation:
The body system that is typically not included in the major body systems approach is the genitourinary system. This system includes the organs involved in reproduction and urinary excretion, such as the kidneys, bladder, and reproductive organs. While this system is important, it is often not considered as one of the primary body systems assessed in a general physical examination.