This page is part of the Guide d'implémentation FHIR - Mesures de santé (v3.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: Pression Artérielle

Profil de la ressource Observation pour définir une Pression Artérielle (acronyme : PA ou BP)

Usage:

• Use this Resource Profile: Bundle d'alimentation
• Examples for this Resource Profile: Observation/ExampleMesFrObservationBP001

Formal Views of Profile Content

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

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

This structure is derived from FRCoreObservationBpProfile

Name	Flags	Card.	Type	Description & Constraints
Observation			FRCoreObservationBpProfile
meta
source		0..1	uri	Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’une oid : « urn:oid:xx.xx.xx »
Slices for extension				Content/Rules for all slices
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	CodeableConcept	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
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
subject		1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
effective[x]		1..1	dateTime	Often just a dateTime for Vital Signs
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible)
bodySite		0..1	CodeableConcept	Observed body part Binding: JDV_J149-BodySiteBP-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
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: JDV_J150-MethodBP-ENS (extensible)
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. 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): https://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	required	JDV_J149-BodySiteBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
Observation.method	extensible	JDV_J150-MethodBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J150-MethodBP-ENS/FHIR/JDV-J150-MethodBP-ENS
Observation.referenceRange.appliesTo	required	JDV_J148-ReferenceRangeAppliesTo-CISIS https://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	FRCoreObservationBpProfile	FHIR Blood Pressure Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present 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 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	CodeableConcept	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category	S	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	Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:BPCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
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
dataAbsentReason	SC	0..1	CodeableConcept	Why the 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)
bodySite		0..1	CodeableConcept	Observed body part Binding: JDV_J149-BodySiteBP-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
method	S	0..1	CodeableConcept	How it was done Binding: JDV_J150-MethodBP-ENS (extensible)
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire
Slices for component	SΣC	2..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system vs-3: If there is no a value a data absent reason must be present
component:All Slices				Content/Rules for all slices
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 (required): 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.
component:SystolicBP	SΣC	1..1	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.
Slices for coding	Σ	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:SBPCode	Σ	1..1	Coding	Systolic Blood Pressure
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
value[x]	SΣC	0..1	Quantity	Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
value[x]:All Slices				Content/Rules for all slices
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:DiastolicBP	SΣC	1..1	BackboneElement	Used when reporting diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices for coding	Σ	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:DBPCode	Σ	1..1	Coding	Diastolic Blood Pressure
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
value[x]	SΣC	0..1	Quantity	Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
value[x]:All Slices				Content/Rules for all slices
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:MeanBP	SΣC	0..1	BackboneElement	Mean 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.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:MBPCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Mean blood pressure Fixed Value: 8478-0
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): 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

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	required	JDV_J149-BodySiteBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
Observation.method	extensible	JDV_J150-MethodBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J150-MethodBP-ENS/FHIR/JDV-J150-MethodBP-ENS
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:SystolicBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:SystolicBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:SystolicBP.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:SystolicBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:DiastolicBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:DiastolicBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:DiastolicBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:MeanBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:MeanBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:MeanBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

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	**ALL** extensions	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()
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, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanBP	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..*	FRCoreObservationBpProfile	FHIR Blood Pressure Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present 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 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		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’une oid : « urn:oid:xx.xx.xx »
Slices for profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-bp
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension 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	CodeableConcept	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category	S	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		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		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	Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:BPCode	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
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	SΣ	1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(FR Core Encounter Profile)	Healthcare event during which this observation is made
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	Σ	0..*	Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Related Person Profile)	Who is responsible for the observation
dataAbsentReason	SC	0..1	CodeableConcept	Why the 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)
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: JDV_J149-BodySiteBP-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
id		0..1	string	Unique id for inter-element referencing
extension		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		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
method	S	0..1	CodeableConcept	How it was done Binding: JDV_J150-MethodBP-ENS (extensible)
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire
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		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
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): https://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS
id		0..1	string	Unique id for inter-element referencing
extension		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		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		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from
Slices for component	SΣC	2..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system vs-3: If there is no a value a data absent reason must be present
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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 (required): 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
component:SystolicBP	SΣC	1..1	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		0..*	Extension	Additional content defined by implementations
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:SBPCode	Σ	1..1	Coding	Systolic Blood Pressure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
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
value[x]	SΣC	0..1	Quantity	Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
value[x]:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
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
component:DiastolicBP	SΣC	1..1	BackboneElement	Used when reporting 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		0..*	Extension	Additional content defined by implementations
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:DBPCode	Σ	1..1	Coding	Diastolic Blood Pressure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
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
value[x]	SΣC	0..1	Quantity	Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
value[x]:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
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
component:MeanBP	SΣC	0..1	BackboneElement	Mean 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		0..*	Extension	Additional content defined by implementations
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:MBPCode	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Mean blood pressure Fixed Value: 8478-0
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
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): 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

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Observation.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	required	JDV_J149-BodySiteBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
Observation.method	extensible	JDV_J150-MethodBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J150-MethodBP-ENS/FHIR/JDV-J150-MethodBP-ENS
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	required	JDV_J148-ReferenceRangeAppliesTo-CISIS https://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:SystolicBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:SystolicBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:SystolicBP.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:SystolicBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:SystolicBP.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:DiastolicBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:DiastolicBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:DiastolicBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:DiastolicBP.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:MeanBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:MeanBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:MeanBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:MeanBP.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

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	**ALL** extensions	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()
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, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanBP	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

This structure is derived from FRCoreObservationBpProfile

Summary

Mandatory: 0 element(4 nested mandatory elements)
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• PhdDevice (http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice)

Extensions

This structure refers to these extensions:

• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement

Differential View

This structure is derived from FRCoreObservationBpProfile

Name	Flags	Card.	Type	Description & Constraints
Observation			FRCoreObservationBpProfile
meta
source		0..1	uri	Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’une oid : « urn:oid:xx.xx.xx »
Slices for extension				Content/Rules for all slices
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	CodeableConcept	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
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
subject		1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
effective[x]		1..1	dateTime	Often just a dateTime for Vital Signs
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible)
bodySite		0..1	CodeableConcept	Observed body part Binding: JDV_J149-BodySiteBP-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
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: JDV_J150-MethodBP-ENS (extensible)
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. 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): https://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	required	JDV_J149-BodySiteBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
Observation.method	extensible	JDV_J150-MethodBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J150-MethodBP-ENS/FHIR/JDV-J150-MethodBP-ENS
Observation.referenceRange.appliesTo	required	JDV_J148-ReferenceRangeAppliesTo-CISIS https://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..*	FRCoreObservationBpProfile	FHIR Blood Pressure Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present 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 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	CodeableConcept	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category	S	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	Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:BPCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
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
dataAbsentReason	SC	0..1	CodeableConcept	Why the 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)
bodySite		0..1	CodeableConcept	Observed body part Binding: JDV_J149-BodySiteBP-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
method	S	0..1	CodeableConcept	How it was done Binding: JDV_J150-MethodBP-ENS (extensible)
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire
Slices for component	SΣC	2..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system vs-3: If there is no a value a data absent reason must be present
component:All Slices				Content/Rules for all slices
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 (required): 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.
component:SystolicBP	SΣC	1..1	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.
Slices for coding	Σ	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:SBPCode	Σ	1..1	Coding	Systolic Blood Pressure
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
value[x]	SΣC	0..1	Quantity	Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
value[x]:All Slices				Content/Rules for all slices
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:DiastolicBP	SΣC	1..1	BackboneElement	Used when reporting diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices for coding	Σ	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:DBPCode	Σ	1..1	Coding	Diastolic Blood Pressure
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
value[x]	SΣC	0..1	Quantity	Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
value[x]:All Slices				Content/Rules for all slices
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:MeanBP	SΣC	0..1	BackboneElement	Mean 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.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:MBPCode	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Mean blood pressure Fixed Value: 8478-0
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): 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

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	required	JDV_J149-BodySiteBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
Observation.method	extensible	JDV_J150-MethodBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J150-MethodBP-ENS/FHIR/JDV-J150-MethodBP-ENS
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:SystolicBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:SystolicBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:SystolicBP.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:SystolicBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:DiastolicBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:DiastolicBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:DiastolicBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:MeanBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:MeanBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:MeanBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

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	**ALL** extensions	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()
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, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanBP	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..*	FRCoreObservationBpProfile	FHIR Blood Pressure Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present 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 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		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’une oid : « urn:oid:xx.xx.xx »
Slices for profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-bp
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension 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	CodeableConcept	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category	S	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		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		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	Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:BPCode	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
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	SΣ	1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(FR Core Encounter Profile)	Healthcare event during which this observation is made
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	Σ	0..*	Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Related Person Profile)	Who is responsible for the observation
dataAbsentReason	SC	0..1	CodeableConcept	Why the 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)
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: JDV_J149-BodySiteBP-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
id		0..1	string	Unique id for inter-element referencing
extension		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		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
method	S	0..1	CodeableConcept	How it was done Binding: JDV_J150-MethodBP-ENS (extensible)
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire
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		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
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): https://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS
id		0..1	string	Unique id for inter-element referencing
extension		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		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		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from
Slices for component	SΣC	2..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system vs-3: If there is no a value a data absent reason must be present
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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 (required): 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
component:SystolicBP	SΣC	1..1	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		0..*	Extension	Additional content defined by implementations
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:SBPCode	Σ	1..1	Coding	Systolic Blood Pressure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
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
value[x]	SΣC	0..1	Quantity	Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
value[x]:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
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
component:DiastolicBP	SΣC	1..1	BackboneElement	Used when reporting 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		0..*	Extension	Additional content defined by implementations
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:DBPCode	Σ	1..1	Coding	Diastolic Blood Pressure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
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
value[x]	SΣC	0..1	Quantity	Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.
value[x]:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
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
component:MeanBP	SΣC	0..1	BackboneElement	Mean 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		0..*	Extension	Additional content defined by implementations
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:MBPCode	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Mean blood pressure Fixed Value: 8478-0
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
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): 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

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Observation.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	required	JDV_J149-BodySiteBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J149-BodySiteBP-ENS/FHIR/JDV-J149-BodySiteBP-ENS
Observation.method	extensible	JDV_J150-MethodBP-ENS https://mos.esante.gouv.fr/NOS/JDV_J150-MethodBP-ENS/FHIR/JDV-J150-MethodBP-ENS
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	required	JDV_J148-ReferenceRangeAppliesTo-CISIS https://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:SystolicBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:SystolicBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:SystolicBP.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:SystolicBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:SystolicBP.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:DiastolicBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:DiastolicBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:DiastolicBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:DiastolicBP.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:MeanBP.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component:MeanBP.value[x]	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component:MeanBP.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:MeanBP.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

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	**ALL** extensions	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()
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, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanBP	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

This structure is derived from FRCoreObservationBpProfile

Summary

Mandatory: 0 element(4 nested mandatory elements)
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• PhdDevice (http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice)

Extensions

This structure refers to these extensions:

• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement