Guide d'implémentation de la télésurveillance
0.1.0-ballot - draft
Guide d'implémentation de la télésurveillance
0.1.0-ballot - draft
This page is part of the Guide d'implémentation de la télésurveillance (v0.1.0-ballot: Release) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
| Official URL: https://interop.esante.gouv.fr/ig/fhir/telesurveillance/StructureDefinition/tlsv-observation | Version: 0.1.0-ballot | |||
| Draft as of 2024-06-17 | Computable Name: TLSVObservation | |||
Profil de la ressource Observation dans le cadre de la télésurveillance pour transmettre une information de questionnaire
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
0..* | Observation | Measurements and simple assertions | |
  identifier |
S | 0..* | Identifier | recommandé : identifiant métier unique attribué à cette mesure/réponse |
| status |
1..1 | code | requis : statut de la mesure/réponse: final | corrected | entered-in-error | |
| category |
S | 0..* | CodeableConcept | recommandé : Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures |
survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...) Binding: TLSV Categories (required) |
| code |
1..1 | CodeableConcept | requis : le type précis d'observation | |
 subject |
1..1 | Reference(Patient) | requis : La référence au patient télésuivi : pointe vers la ressource Patient accessible sur un serveur ou présente dans le Bundle courant | |
| encounter |
0..1 | Reference(Encounter) | optionnel : référence à une visite d'un thérapeute au patient | |
  effective[x] |
1..1 | requis : le temps clinique ou physiologique de l'observation : par exemple la journée pour un comptage de pas, ou la date et heure de pesage | ||
  effectiveDateTime |
dateTime | |||
  effectivePeriod |
Period | |||
| issued |
0..1 | instant | recommandé : date et heure de mise à disposition de cette version de l'observation | |
| performer |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | recommandé : La personne qui a réalisé l'observation, ou saisi ou validé le résultat (un professionnel de santé, un aidant, le patient ...) | |
| value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | recommandé : le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource | |
| dataAbsentReason |
0..1 | CodeableConcept | recommandé : à renseigner dans le cas où l'élément 'value' est absent | |
| interpretation |
0..* | CodeableConcept | optionnel : utilisable pour représenter un niveau d'alerte déclenché par cette observation | |
| note |
0..* | Annotation | optionnel : commentaire sur cette observation | |
| bodySite |
0..1 | CodeableConcept | optionnel : partie du corps spécifiquement concernée par l'observation | |
| method |
0..1 | CodeableConcept | optionnel : la méthode de mesure employée | |
| device |
0..1 | Reference(Device | DeviceMetric) | optionnel : le dispositif de mesure employé | |
| referenceRange |
0..* | BackboneElement | optionnel : un intervalle de référence applicable à ce patient pour cette observation | |
| derivedFrom |
0..* | Reference(QuestionnaireResponse | Observation) | optionnel : la ou les ressources qui contiennent les réponses du questionnaire | |
| component |
0..* | BackboneElement | conditionnel : présent pour certaines observations combinant deux mesures concomitantes (exemple pression artérielle systolique et diastolique), et dans ce cas l'élément Observation.value n'est en général pas présent | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.category | required | TLSVCategoryhttps://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategoryfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions 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 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| identifier |
SΣ | 0..* | Identifier | recommandé : identifiant métier unique attribué à cette mesure/réponse |
| status |
?!Σ | 1..1 | code | requis : statut de la mesure/réponse: final | corrected | entered-in-error Binding: ObservationStatus (required): Codes providing the status of an observation. |
| category |
S | 0..* | CodeableConcept | recommandé : Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures |
survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...) Binding: TLSV Categories (required) |
| code |
Σ | 1..1 | CodeableConcept | requis : le type précis d'observation Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| subject |
ΣC | 1..1 | Reference(Patient) | requis : La référence au patient télésuivi : pointe vers la ressource Patient accessible sur un serveur ou présente dans le Bundle courant ref-1: SHALL have a contained resource if a local reference is provided |
| encounter |
ΣC | 0..1 | Reference(Encounter) | optionnel : référence à une visite d'un thérapeute au patient ref-1: SHALL have a contained resource if a local reference is provided |
| effective[x] |
Σ | 1..1 | requis : le temps clinique ou physiologique de l'observation : par exemple la journée pour un comptage de pas, ou la date et heure de pesage | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| issued |
Σ | 0..1 | instant | recommandé : date et heure de mise à disposition de cette version de l'observation |
| performer |
ΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | recommandé : La personne qui a réalisé l'observation, ou saisi ou validé le résultat (un professionnel de santé, un aidant, le patient ...) ref-1: SHALL have a contained resource if a local reference is provided |
| value[x] |
ΣC | 0..1 | recommandé : le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
C | 0..1 | CodeableConcept | recommandé : à renseigner dans le cas où l'élément 'value' est absent Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation |
0..* | CodeableConcept | optionnel : utilisable pour représenter un niveau d'alerte déclenché par cette observation Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
| note |
0..* | Annotation | optionnel : commentaire sur cette observation | |
| bodySite |
0..1 | CodeableConcept | optionnel : partie du corps spécifiquement concernée par l'observation Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |
| method |
0..1 | CodeableConcept | optionnel : la méthode de mesure employée Binding: ObservationMethods (example): Methods for simple observations. | |
| device |
C | 0..1 | Reference(Device | DeviceMetric) | optionnel : le dispositif de mesure employé ref-1: SHALL have a contained resource if a local reference is provided |
| referenceRange |
C | 0..* | BackboneElement | optionnel : un intervalle de référence applicable à ce patient pour cette observation obs-3: Must have at least a low or a high or text |
| 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 |
| derivedFrom |
ΣC | 0..* | Reference(QuestionnaireResponse | Observation) | optionnel : la ou les ressources qui contiennent les réponses du questionnaire ref-1: SHALL have a contained resource if a local reference is provided |
 component |
Σ | 0..* | BackboneElement | conditionnel : présent pour certaines observations combinant deux mesures concomitantes (exemple pression artérielle systolique et diastolique), et dans ce cas l'élément Observation.value n'est en général pas présent |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| dataAbsentReason |
C | 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.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | required | TLSVCategoryhttps://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategoryfrom this IG | |
| Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| 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 | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom 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.modifierExtension, Observation.referenceRange.modifierExtension, 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.subject, Observation.encounter, Observation.performer, Observation.device, 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')) | |
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity : comparator.empty() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions 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 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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 | |||||
 extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
SΣ | 0..* | Identifier | recommandé : identifiant métier unique attribué à cette mesure/réponse | ||||
| 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 |
?!Σ | 1..1 | code | requis : statut de la mesure/réponse: final | corrected | entered-in-error Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category |
S | 0..* | CodeableConcept | recommandé : Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures |
survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...) Binding: TLSV Categories (required) | ||||
| code |
Σ | 1..1 | CodeableConcept | requis : le type précis d'observation Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| subject |
ΣC | 1..1 | Reference(Patient) | requis : La référence au patient télésuivi : pointe vers la ressource Patient accessible sur un serveur ou présente dans le Bundle courant 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(Encounter) | optionnel : référence à une visite d'un thérapeute au patient ref-1: SHALL have a contained resource if a local reference is provided | ||||
| effective[x] |
Σ | 1..1 | requis : le temps clinique ou physiologique de l'observation : par exemple la journée pour un comptage de pas, ou la date et heure de pesage | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | recommandé : date et heure de mise à disposition de cette version de l'observation | ||||
| performer |
ΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | recommandé : La personne qui a réalisé l'observation, ou saisi ou validé le résultat (un professionnel de santé, un aidant, le patient ...) ref-1: SHALL have a contained resource if a local reference is provided | ||||
| value[x] |
ΣC | 0..1 | recommandé : le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | recommandé : à renseigner dans le cas où l'élément 'value' est absent Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | optionnel : utilisable pour représenter un niveau d'alerte déclenché par cette observation Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | optionnel : commentaire sur cette observation | |||||
| bodySite |
0..1 | CodeableConcept | optionnel : partie du corps spécifiquement concernée par l'observation Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
0..1 | CodeableConcept | optionnel : la méthode de mesure employée Binding: ObservationMethods (example): Methods for simple observations. | |||||
| 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 |
C | 0..1 | Reference(Device | DeviceMetric) | optionnel : le dispositif de mesure employé ref-1: SHALL have a contained resource if a local reference is provided | ||||
| referenceRange |
C | 0..* | BackboneElement | optionnel : un intervalle de référence applicable à ce patient pour cette observation 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: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| 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(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group ref-1: SHALL have a contained resource if a local reference is provided | ||||
| derivedFrom |
ΣC | 0..* | Reference(QuestionnaireResponse | Observation) | optionnel : la ou les ressources qui contiennent les réponses du questionnaire ref-1: SHALL have a contained resource if a local reference is provided | ||||
| component |
Σ | 0..* | BackboneElement | conditionnel : présent pour certaines observations combinant deux mesures concomitantes (exemple pression artérielle systolique et diastolique), et dans ce cas l'élément Observation.value n'est en général pas présent | ||||
| 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 |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] |
Σ | 0..1 | Actual component result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 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.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | required | TLSVCategoryhttps://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategoryfrom this IG | ||||
| Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| 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 | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom 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.extension, Observation.modifierExtension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, 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() |
This structure is derived from Observation
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
0..* | Observation | Measurements and simple assertions | |
| identifier |
S | 0..* | Identifier | recommandé : identifiant métier unique attribué à cette mesure/réponse |
| status |
1..1 | code | requis : statut de la mesure/réponse: final | corrected | entered-in-error | |
| category |
S | 0..* | CodeableConcept | recommandé : Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures |
survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...) Binding: TLSV Categories (required) |
| code |
1..1 | CodeableConcept | requis : le type précis d'observation | |
| subject |
1..1 | Reference(Patient) | requis : La référence au patient télésuivi : pointe vers la ressource Patient accessible sur un serveur ou présente dans le Bundle courant | |
| encounter |
0..1 | Reference(Encounter) | optionnel : référence à une visite d'un thérapeute au patient | |
| effective[x] |
1..1 | requis : le temps clinique ou physiologique de l'observation : par exemple la journée pour un comptage de pas, ou la date et heure de pesage | ||
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| issued |
0..1 | instant | recommandé : date et heure de mise à disposition de cette version de l'observation | |
| performer |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | recommandé : La personne qui a réalisé l'observation, ou saisi ou validé le résultat (un professionnel de santé, un aidant, le patient ...) | |
| value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | recommandé : le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource | |
| dataAbsentReason |
0..1 | CodeableConcept | recommandé : à renseigner dans le cas où l'élément 'value' est absent | |
| interpretation |
0..* | CodeableConcept | optionnel : utilisable pour représenter un niveau d'alerte déclenché par cette observation | |
| note |
0..* | Annotation | optionnel : commentaire sur cette observation | |
| bodySite |
0..1 | CodeableConcept | optionnel : partie du corps spécifiquement concernée par l'observation | |
| method |
0..1 | CodeableConcept | optionnel : la méthode de mesure employée | |
| device |
0..1 | Reference(Device | DeviceMetric) | optionnel : le dispositif de mesure employé | |
| referenceRange |
0..* | BackboneElement | optionnel : un intervalle de référence applicable à ce patient pour cette observation | |
| derivedFrom |
0..* | Reference(QuestionnaireResponse | Observation) | optionnel : la ou les ressources qui contiennent les réponses du questionnaire | |
| component |
0..* | BackboneElement | conditionnel : présent pour certaines observations combinant deux mesures concomitantes (exemple pression artérielle systolique et diastolique), et dans ce cas l'élément Observation.value n'est en général pas présent | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.category | required | TLSVCategoryhttps://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategoryfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions 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 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| identifier |
SΣ | 0..* | Identifier | recommandé : identifiant métier unique attribué à cette mesure/réponse |
| status |
?!Σ | 1..1 | code | requis : statut de la mesure/réponse: final | corrected | entered-in-error Binding: ObservationStatus (required): Codes providing the status of an observation. |
| category |
S | 0..* | CodeableConcept | recommandé : Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures |
survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...) Binding: TLSV Categories (required) |
| code |
Σ | 1..1 | CodeableConcept | requis : le type précis d'observation Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| subject |
ΣC | 1..1 | Reference(Patient) | requis : La référence au patient télésuivi : pointe vers la ressource Patient accessible sur un serveur ou présente dans le Bundle courant ref-1: SHALL have a contained resource if a local reference is provided |
| encounter |
ΣC | 0..1 | Reference(Encounter) | optionnel : référence à une visite d'un thérapeute au patient ref-1: SHALL have a contained resource if a local reference is provided |
| effective[x] |
Σ | 1..1 | requis : le temps clinique ou physiologique de l'observation : par exemple la journée pour un comptage de pas, ou la date et heure de pesage | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| issued |
Σ | 0..1 | instant | recommandé : date et heure de mise à disposition de cette version de l'observation |
| performer |
ΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | recommandé : La personne qui a réalisé l'observation, ou saisi ou validé le résultat (un professionnel de santé, un aidant, le patient ...) ref-1: SHALL have a contained resource if a local reference is provided |
| value[x] |
ΣC | 0..1 | recommandé : le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
C | 0..1 | CodeableConcept | recommandé : à renseigner dans le cas où l'élément 'value' est absent Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation |
0..* | CodeableConcept | optionnel : utilisable pour représenter un niveau d'alerte déclenché par cette observation Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |
| note |
0..* | Annotation | optionnel : commentaire sur cette observation | |
| bodySite |
0..1 | CodeableConcept | optionnel : partie du corps spécifiquement concernée par l'observation Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |
| method |
0..1 | CodeableConcept | optionnel : la méthode de mesure employée Binding: ObservationMethods (example): Methods for simple observations. | |
| device |
C | 0..1 | Reference(Device | DeviceMetric) | optionnel : le dispositif de mesure employé ref-1: SHALL have a contained resource if a local reference is provided |
| referenceRange |
C | 0..* | BackboneElement | optionnel : un intervalle de référence applicable à ce patient pour cette observation obs-3: Must have at least a low or a high or text |
| 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 |
| derivedFrom |
ΣC | 0..* | Reference(QuestionnaireResponse | Observation) | optionnel : la ou les ressources qui contiennent les réponses du questionnaire ref-1: SHALL have a contained resource if a local reference is provided |
| component |
Σ | 0..* | BackboneElement | conditionnel : présent pour certaines observations combinant deux mesures concomitantes (exemple pression artérielle systolique et diastolique), et dans ce cas l'élément Observation.value n'est en général pas présent |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| dataAbsentReason |
C | 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.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | required | TLSVCategoryhttps://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategoryfrom this IG | |
| Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| 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 | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom 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.modifierExtension, Observation.referenceRange.modifierExtension, 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.subject, Observation.encounter, Observation.performer, Observation.device, 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')) | |
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity : comparator.empty() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions 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 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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 | |||||
| extension |
N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension |
?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
SΣ | 0..* | Identifier | recommandé : identifiant métier unique attribué à cette mesure/réponse | ||||
| 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 |
?!Σ | 1..1 | code | requis : statut de la mesure/réponse: final | corrected | entered-in-error Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category |
S | 0..* | CodeableConcept | recommandé : Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures |
survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...) Binding: TLSV Categories (required) | ||||
| code |
Σ | 1..1 | CodeableConcept | requis : le type précis d'observation Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| subject |
ΣC | 1..1 | Reference(Patient) | requis : La référence au patient télésuivi : pointe vers la ressource Patient accessible sur un serveur ou présente dans le Bundle courant 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(Encounter) | optionnel : référence à une visite d'un thérapeute au patient ref-1: SHALL have a contained resource if a local reference is provided | ||||
| effective[x] |
Σ | 1..1 | requis : le temps clinique ou physiologique de l'observation : par exemple la journée pour un comptage de pas, ou la date et heure de pesage | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | recommandé : date et heure de mise à disposition de cette version de l'observation | ||||
| performer |
ΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | recommandé : La personne qui a réalisé l'observation, ou saisi ou validé le résultat (un professionnel de santé, un aidant, le patient ...) ref-1: SHALL have a contained resource if a local reference is provided | ||||
| value[x] |
ΣC | 0..1 | recommandé : le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | recommandé : à renseigner dans le cas où l'élément 'value' est absent Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | optionnel : utilisable pour représenter un niveau d'alerte déclenché par cette observation Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | optionnel : commentaire sur cette observation | |||||
| bodySite |
0..1 | CodeableConcept | optionnel : partie du corps spécifiquement concernée par l'observation Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
0..1 | CodeableConcept | optionnel : la méthode de mesure employée Binding: ObservationMethods (example): Methods for simple observations. | |||||
| 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 |
C | 0..1 | Reference(Device | DeviceMetric) | optionnel : le dispositif de mesure employé ref-1: SHALL have a contained resource if a local reference is provided | ||||
| referenceRange |
C | 0..* | BackboneElement | optionnel : un intervalle de référence applicable à ce patient pour cette observation 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: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| 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(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group ref-1: SHALL have a contained resource if a local reference is provided | ||||
| derivedFrom |
ΣC | 0..* | Reference(QuestionnaireResponse | Observation) | optionnel : la ou les ressources qui contiennent les réponses du questionnaire ref-1: SHALL have a contained resource if a local reference is provided | ||||
| component |
Σ | 0..* | BackboneElement | conditionnel : présent pour certaines observations combinant deux mesures concomitantes (exemple pression artérielle systolique et diastolique), et dans ce cas l'élément Observation.value n'est en général pas présent | ||||
| 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 |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] |
Σ | 0..1 | Actual component result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 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.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | required | TLSVCategoryhttps://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategoryfrom this IG | ||||
| Observation.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| 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 | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom 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.extension, Observation.modifierExtension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, 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() |
This structure is derived from Observation
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