Guide d'implémentation FHIR - Mesures de santé
3.1.0-ballot - working
Guide d'implémentation FHIR - Mesures de santé
3.1.0-ballot - working
This page is part of the Guide d'implémentation FHIR - Mesures de santé (v3.1.0-ballot: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.1. For a full list of available versions, see the Directory of published versions
| Official URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-glucose | Version: 3.1.0-ballot | |||
| Active as of 2024-06-05 | Computable Name: MesObservationGlucose | |||
Profil de la ressource Observation pour définir une Glycémie
Ce profil permet de gérer 4 types d’indicateurs de glycémie:
L’extension MesNumberOfDays permet de spécifier le nombre de jours dans la mesure du taux de glucose interstitiel et de l’index de gestion de glycémie (IGG) .
L’extension MesMomentOfMeasurement (contexte de la mesure) est utilisée dans le cas de la mesure du glucose sanguin.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from observation-vitalsigns
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
observation-vitalsigns | |||
  meta |
||||
  source |
0..1 | uri | Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’un oid : « urn:oid:xx.xx.xx » | |
 Slices for extension |
Content/Rules for all slices | |||
  supportingInfo |
0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
| MesReasonForMeasurement |
0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement | |
 MesMomentOfMeasurement |
0..1 | (Complex) | Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement | |
  value[x] |
0..1 | CodeableConcept | Value of extension Binding: JDV_J157-MomentGlucose-ENS (required) | |
| MesNumberOfDays |
0..1 | CodeableConcept | Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required) | |
 MesDiabetisType |
0..1 | CodeableConcept | Type de diabète URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-diabetis-type Binding: JDV_J153-TypeDiabete-ENS (required) | |
| Slices for category |
Content/Rules for all slices | |||
 category:VSCat |
1..1 | CodeableConcept | Classification of type of observation | |
  coding |
||||
| display |
0..1 | string | Representation defined by the system Required Pattern: vital-signs | |
| code |
1..1 | CodeableConcept | Types de glycémie:
• Glucose sanguin
• Glucose interstitiel
• Hémoglobine glyquée (HbA1c)
• Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible) | |
 coding |
||||
 system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
 subject |
1..1 | Reference(FR Core Patient Profile) | Who and/or what the observation is about | |
| encounter |
0..1 | Reference(FR Core Encounter Profile) | Healthcare event during which this observation is made | |
 effective[x] |
1..1 | dateTime | Often just a dateTime for Vital Signs | |
| performer |
0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile) | Who is responsible for the observation | |
 value[x] |
0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | |
| value |
0..1 | decimal | Valeur mesurée | |
| system |
1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | |
| dataAbsentReason |
||||
| coding |
||||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible) |
| device |
S | 0..1 | Reference(PhdDevice) | Dispositif utilisé pour l'observation Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire |
| referenceRange |
||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: JDV_J148-ReferenceRangeAppliesTo-CISIS (required): JDV_J148-ReferenceRangeAppliesTo-CISIS | |
| coding |
||||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.extension:MesMomentOfMeasurement.value[x] | required | JDV_J157-MomentGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS | |
| Observation.code | extensible | JDV_J154-TypeGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS | |
| Observation.value[x].code | required | JDV_J163-GlucoseUnits-ENShttps://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | |
| Observation.method | extensible | MethodeGlucoseVShttps://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vsfrom this IG | |
| Observation.referenceRange.appliesTo | required | JDV_J148-ReferenceRangeAppliesTo-CISIShttps://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | observation-vitalsigns | FHIR Vital Signs Profile obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| supportingInfo |
0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
| MesReasonForMeasurement |
0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement | |
| MesMomentOfMeasurement |
0..1 | (Complex) | Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement | |
  extension |
0..0 | |||
| url |
1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: JDV_J157-MomentGlucose-ENS (required) | |
| coding |
Σ | 0..1 | Coding | Code defined by a terminology system |
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| MesNumberOfDays |
0..1 | CodeableConcept | Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required) | |
| MesDiabetisType |
0..1 | CodeableConcept | Type de diabète URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-diabetis-type Binding: JDV_J153-TypeDiabete-ENS (required) | |
 modifierExtension |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| Slices for category |
SN | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| category:VSCat |
S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| coding |
SΣ | 1..* | Coding | Code defined by a terminology system |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: vital-signs |
| code |
SΣ | 1..1 | CodeableConcept | Types de glycémie:
• Glucose sanguin
• Glucose interstitiel
• Hémoglobine glyquée (HbA1c)
• Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible) |
| subject |
SΣC | 1..1 | Reference(FR Core Patient Profile) | Who and/or what the observation is about ref-1: SHALL have a contained resource if a local reference is provided |
| encounter |
ΣC | 0..1 | Reference(FR Core Encounter Profile) | Healthcare event during which this observation is made ref-1: SHALL have a contained resource if a local reference is provided |
| effective[x] |
SΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day |
| performer |
ΣC | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile) | Who is responsible for the observation ref-1: SHALL have a contained resource if a local reference is provided |
| value[x] |
SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. |
| value |
Σ | 0..1 | decimal | Valeur mesurée |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| system |
ΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
Σ | 1..1 | code | Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible) |
| device |
SC | 0..1 | Reference(PhdDevice) | Dispositif utilisé pour l'observation
Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire ref-1: SHALL have a contained resource if a local reference is provided |
| component |
SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. |
 value[x] |
SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.extension:MesMomentOfMeasurement.value[x] | required | JDV_J157-MomentGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | extensible | JDV_J154-TypeGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS | |
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.value[x].code | required | JDV_J163-GlucoseUnits-ENShttps://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.method | extensible | MethodeGlucoseVShttps://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vsfrom this IG | |
| Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | |
| Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | 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 | Observation.extension:supportingInfo, Observation.extension:MesReasonForMeasurement, Observation.extension:MesMomentOfMeasurement, Observation.extension:MesNumberOfDays, Observation.extension:MesDiabetisType, Observation.modifierExtension, Observation.component.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| ref-1 | error | Observation.subject, Observation.encounter, Observation.performer, Observation.device | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) | |
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | observation-vitalsigns | FHIR Vital Signs Profile obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’un oid : « urn:oid:xx.xx.xx » | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| supportingInfo |
0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||
| MesReasonForMeasurement |
0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement | |||||
| MesMomentOfMeasurement |
0..1 | (Complex) | Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement" | |||||
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: JDV_J157-MomentGlucose-ENS (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| coding |
Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| MesNumberOfDays |
0..1 | CodeableConcept | Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required) | |||||
| MesDiabetisType |
0..1 | CodeableConcept | Type de diabète URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-diabetis-type Binding: JDV_J153-TypeDiabete-ENS (required) | |||||
| modifierExtension |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
ΣC | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order ref-1: SHALL have a contained resource if a local reference is provided | ||||
| partOf |
ΣC | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event ref-1: SHALL have a contained resource if a local reference is provided | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| Slices for category |
SN | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:VSCat |
S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
 coding |
SΣ | 1..* | Coding | Code defined by a terminology system | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: vital-signs | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣ | 1..1 | CodeableConcept | Types de glycémie:
• Glucose sanguin
• Glucose interstitiel
• Hémoglobine glyquée (HbA1c)
• Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣC | 1..1 | Reference(FR Core Patient Profile) | Who and/or what the observation is about ref-1: SHALL have a contained resource if a local reference is provided | ||||
| focus |
ΣC | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record ref-1: SHALL have a contained resource if a local reference is provided | ||||
| encounter |
ΣC | 0..1 | Reference(FR Core Encounter Profile) | Healthcare event during which this observation is made ref-1: SHALL have a contained resource if a local reference is provided | ||||
| effective[x] |
SΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
ΣC | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile) | Who is responsible for the observation ref-1: SHALL have a contained resource if a local reference is provided | ||||
| value[x] |
SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| value |
Σ | 0..1 | decimal | Valeur mesurée | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
Σ | 0..1 | string | Unit representation | ||||
| system |
ΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
Σ | 1..1 | code | Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible) | ||||
| specimen |
C | 0..1 | Reference(Specimen) | Specimen used for this observation ref-1: SHALL have a contained resource if a local reference is provided | ||||
| device |
SC | 0..1 | Reference(PhdDevice) | Dispositif utilisé pour l'observation
Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire ref-1: SHALL have a contained resource if a local reference is provided | ||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: JDV_J148-ReferenceRangeAppliesTo-CISIS (required): JDV_J148-ReferenceRangeAppliesTo-CISIS | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| age |
C | 0..1 | Range | Applicable age range, if relevant rng-2: If present, low SHALL have a lower value than high | ||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
ΣC | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components ref-1: SHALL have a contained resource if a local reference is provided | ||||
| derivedFrom |
ΣC | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from ref-1: SHALL have a contained resource if a local reference is provided | ||||
| component |
SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| value[x] |
SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.extension:MesMomentOfMeasurement.value[x] | required | JDV_J157-MomentGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | extensible | JDV_J154-TypeGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS | ||||
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.value[x].code | required | JDV_J163-GlucoseUnits-ENShttps://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | extensible | MethodeGlucoseVShttps://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vsfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | required | JDV_J148-ReferenceRangeAppliesTo-CISIShttps://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS | ||||
| Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | ||||
| Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | 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 | Observation.meta.extension, Observation.extension, Observation.extension:supportingInfo, Observation.extension:MesReasonForMeasurement, Observation.extension:MesMomentOfMeasurement, Observation.extension:MesMomentOfMeasurement.value[x].extension, Observation.extension:MesMomentOfMeasurement.value[x].coding.extension, Observation.extension:MesNumberOfDays, Observation.extension:MesDiabetisType, Observation.modifierExtension, Observation.category:VSCat.extension, Observation.category:VSCat.coding.extension, Observation.code.extension, Observation.code.coding.extension, Observation.value[x].extension, Observation.dataAbsentReason.extension, Observation.dataAbsentReason.coding.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.appliesTo.extension, Observation.referenceRange.appliesTo.coding.extension, Observation.component.extension, Observation.component.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| ref-1 | error | Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) | |
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) | |
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity : comparator.empty() | |
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
This structure is derived from observation-vitalsigns
Summary
Mandatory: 0 element(8 nested mandatory elements)
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from observation-vitalsigns
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
observation-vitalsigns | |||
| meta |
||||
| source |
0..1 | uri | Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’un oid : « urn:oid:xx.xx.xx » | |
| Slices for extension |
Content/Rules for all slices | |||
| supportingInfo |
0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
| MesReasonForMeasurement |
0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement | |
| MesMomentOfMeasurement |
0..1 | (Complex) | Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: JDV_J157-MomentGlucose-ENS (required) | |
| MesNumberOfDays |
0..1 | CodeableConcept | Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required) | |
| MesDiabetisType |
0..1 | CodeableConcept | Type de diabète URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-diabetis-type Binding: JDV_J153-TypeDiabete-ENS (required) | |
| Slices for category |
Content/Rules for all slices | |||
| category:VSCat |
1..1 | CodeableConcept | Classification of type of observation | |
| coding |
||||
| display |
0..1 | string | Representation defined by the system Required Pattern: vital-signs | |
| code |
1..1 | CodeableConcept | Types de glycémie:
• Glucose sanguin
• Glucose interstitiel
• Hémoglobine glyquée (HbA1c)
• Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible) | |
| coding |
||||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| subject |
1..1 | Reference(FR Core Patient Profile) | Who and/or what the observation is about | |
| encounter |
0..1 | Reference(FR Core Encounter Profile) | Healthcare event during which this observation is made | |
| effective[x] |
1..1 | dateTime | Often just a dateTime for Vital Signs | |
| performer |
0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile) | Who is responsible for the observation | |
| value[x] |
0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | |
| value |
0..1 | decimal | Valeur mesurée | |
| system |
1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | |
| dataAbsentReason |
||||
| coding |
||||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible) |
| device |
S | 0..1 | Reference(PhdDevice) | Dispositif utilisé pour l'observation Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire |
| referenceRange |
||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: JDV_J148-ReferenceRangeAppliesTo-CISIS (required): JDV_J148-ReferenceRangeAppliesTo-CISIS | |
| coding |
||||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.extension:MesMomentOfMeasurement.value[x] | required | JDV_J157-MomentGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS | |
| Observation.code | extensible | JDV_J154-TypeGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS | |
| Observation.value[x].code | required | JDV_J163-GlucoseUnits-ENShttps://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | |
| Observation.method | extensible | MethodeGlucoseVShttps://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vsfrom this IG | |
| Observation.referenceRange.appliesTo | required | JDV_J148-ReferenceRangeAppliesTo-CISIShttps://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | observation-vitalsigns | FHIR Vital Signs Profile obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| supportingInfo |
0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |
| MesReasonForMeasurement |
0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement | |
| MesMomentOfMeasurement |
0..1 | (Complex) | Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement | |
| extension |
0..0 | |||
| url |
1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: JDV_J157-MomentGlucose-ENS (required) | |
| coding |
Σ | 0..1 | Coding | Code defined by a terminology system |
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| MesNumberOfDays |
0..1 | CodeableConcept | Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required) | |
| MesDiabetisType |
0..1 | CodeableConcept | Type de diabète URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-diabetis-type Binding: JDV_J153-TypeDiabete-ENS (required) | |
| modifierExtension |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| Slices for category |
SN | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| category:VSCat |
S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| coding |
SΣ | 1..* | Coding | Code defined by a terminology system |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: vital-signs |
| code |
SΣ | 1..1 | CodeableConcept | Types de glycémie:
• Glucose sanguin
• Glucose interstitiel
• Hémoglobine glyquée (HbA1c)
• Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible) |
| subject |
SΣC | 1..1 | Reference(FR Core Patient Profile) | Who and/or what the observation is about ref-1: SHALL have a contained resource if a local reference is provided |
| encounter |
ΣC | 0..1 | Reference(FR Core Encounter Profile) | Healthcare event during which this observation is made ref-1: SHALL have a contained resource if a local reference is provided |
| effective[x] |
SΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day |
| performer |
ΣC | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile) | Who is responsible for the observation ref-1: SHALL have a contained resource if a local reference is provided |
| value[x] |
SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. |
| value |
Σ | 0..1 | decimal | Valeur mesurée |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| system |
ΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
Σ | 1..1 | code | Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible) |
| device |
SC | 0..1 | Reference(PhdDevice) | Dispositif utilisé pour l'observation
Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire ref-1: SHALL have a contained resource if a local reference is provided |
| component |
SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. |
| value[x] |
SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.extension:MesMomentOfMeasurement.value[x] | required | JDV_J157-MomentGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS | |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | extensible | JDV_J154-TypeGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS | |
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.value[x].code | required | JDV_J163-GlucoseUnits-ENShttps://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.method | extensible | MethodeGlucoseVShttps://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vsfrom this IG | |
| Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | |
| Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | 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 | Observation.extension:supportingInfo, Observation.extension:MesReasonForMeasurement, Observation.extension:MesMomentOfMeasurement, Observation.extension:MesNumberOfDays, Observation.extension:MesDiabetisType, Observation.modifierExtension, Observation.component.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| ref-1 | error | Observation.subject, Observation.encounter, Observation.performer, Observation.device | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) | |
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | observation-vitalsigns | FHIR Vital Signs Profile obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’un oid : « urn:oid:xx.xx.xx » | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| supportingInfo |
0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo | |||||
| MesReasonForMeasurement |
0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement | |||||
| MesMomentOfMeasurement |
0..1 | (Complex) | Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement" | |||||
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: JDV_J157-MomentGlucose-ENS (required) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| coding |
Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| MesNumberOfDays |
0..1 | CodeableConcept | Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required) | |||||
| MesDiabetisType |
0..1 | CodeableConcept | Type de diabète URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-diabetis-type Binding: JDV_J153-TypeDiabete-ENS (required) | |||||
| modifierExtension |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
ΣC | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order ref-1: SHALL have a contained resource if a local reference is provided | ||||
| partOf |
ΣC | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event ref-1: SHALL have a contained resource if a local reference is provided | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| Slices for category |
SN | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:VSCat |
S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| coding |
SΣ | 1..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
| display |
Σ | 0..1 | string | Representation defined by the system Required Pattern: vital-signs | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣ | 1..1 | CodeableConcept | Types de glycémie:
• Glucose sanguin
• Glucose interstitiel
• Hémoglobine glyquée (HbA1c)
• Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣC | 1..1 | Reference(FR Core Patient Profile) | Who and/or what the observation is about ref-1: SHALL have a contained resource if a local reference is provided | ||||
| focus |
ΣC | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record ref-1: SHALL have a contained resource if a local reference is provided | ||||
| encounter |
ΣC | 0..1 | Reference(FR Core Encounter Profile) | Healthcare event during which this observation is made ref-1: SHALL have a contained resource if a local reference is provided | ||||
| effective[x] |
SΣC | 1..1 | dateTime | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
ΣC | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile) | Who is responsible for the observation ref-1: SHALL have a contained resource if a local reference is provided | ||||
| value[x] |
SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| value |
Σ | 0..1 | decimal | Valeur mesurée | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
Σ | 0..1 | string | Unit representation | ||||
| system |
ΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
Σ | 1..1 | code | Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible) | ||||
| specimen |
C | 0..1 | Reference(Specimen) | Specimen used for this observation ref-1: SHALL have a contained resource if a local reference is provided | ||||
| device |
SC | 0..1 | Reference(PhdDevice) | Dispositif utilisé pour l'observation
Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire ref-1: SHALL have a contained resource if a local reference is provided | ||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: JDV_J148-ReferenceRangeAppliesTo-CISIS (required): JDV_J148-ReferenceRangeAppliesTo-CISIS | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| age |
C | 0..1 | Range | Applicable age range, if relevant rng-2: If present, low SHALL have a lower value than high | ||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
ΣC | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components ref-1: SHALL have a contained resource if a local reference is provided | ||||
| derivedFrom |
ΣC | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from ref-1: SHALL have a contained resource if a local reference is provided | ||||
| component |
SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| value[x] |
SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Observation.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.extension:MesMomentOfMeasurement.value[x] | required | JDV_J157-MomentGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | extensible | JDV_J154-TypeGlucose-ENShttps://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS | ||||
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.value[x].code | required | JDV_J163-GlucoseUnits-ENShttps://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | extensible | MethodeGlucoseVShttps://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vsfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | required | JDV_J148-ReferenceRangeAppliesTo-CISIShttps://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS | ||||
| Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | ||||
| Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | 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 | Observation.meta.extension, Observation.extension, Observation.extension:supportingInfo, Observation.extension:MesReasonForMeasurement, Observation.extension:MesMomentOfMeasurement, Observation.extension:MesMomentOfMeasurement.value[x].extension, Observation.extension:MesMomentOfMeasurement.value[x].coding.extension, Observation.extension:MesNumberOfDays, Observation.extension:MesDiabetisType, Observation.modifierExtension, Observation.category:VSCat.extension, Observation.category:VSCat.coding.extension, Observation.code.extension, Observation.code.coding.extension, Observation.value[x].extension, Observation.dataAbsentReason.extension, Observation.dataAbsentReason.coding.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.appliesTo.extension, Observation.referenceRange.appliesTo.coding.extension, Observation.component.extension, Observation.component.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| ref-1 | error | Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) | |
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) | |
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity : comparator.empty() | |
| vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
| vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
This structure is derived from observation-vitalsigns
Summary
Mandatory: 0 element(8 nested mandatory elements)
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron