Guide d'implémentation FHIR - Mesures de santé
3.1.0 - ci-build

Guide d'implémentation FHIR - Mesures de santé - Local Development build (v3.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Pression Artérielle

Official URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-fr-observation-bp | Version: 3.1.0
Active as of 2025-10-13 | Computable Name: MesFrObservationBp

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

Usages:

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

You can also check for usages in the FHIR IG Statistics

### 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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 pour extension |  |  |  | Content/Rules for all slices
extension:supportingInfo |  | 0..1 | SupportingInfo(5.2.0) | Other information that may be relevant to this event.
extension:MesReasonForMeasurement |  | 0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesOriginOfData |  | 0..1 | (Complex) | Origine de la donnée URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-origin-of-data
extension:MesMomentOfMeasurement |  | 0..1 | CodeableConcept | Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
Slices pour 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
performer |  | 0..* | Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile) | Who is responsible for the observation
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
Documentation for this format

#### Terminology Bindings (Differential)

Path | Statut | Usage | ValueSet | Version | Source
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | required | JDV_J149_BodySiteBP_ENS | 📦20240927120000 | Terminologies de Santé v1.2
Observation.method | Base | extensible | JDV_J150_MethodBP_ENS | 📦20240726120000 | Terminologies de Santé v1.2

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | FRCoreObservationBpProfile | FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  |  |  | Content/Rules for all slices
extension:supportingInfo |  | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
extension:MesReasonForMeasurement |  | 0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesOriginOfData |  | 0..1 | (Complex) | Origine de la donnée URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-origin-of-data
extension: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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices pour 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 | S Σ | 1..* | Coding | Code defined by a terminology system
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | S Σ | 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 | S Σ | 1..1 | CodeableConcept | Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour 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 | S Σ | 1..1 | Reference(FR Core Patient Profile) | Who and/or what the observation is about
effective[x] | S Σ C | 1..1 | dateTime | Often just a dateTime for Vital Signs Constraints: vs-1
performer | Σ | 0..* | Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile) | Who is responsible for the observation
dataAbsentReason | S C | 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 pour component | S Σ C | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3
component:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:SystolicBP | S Σ C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour 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] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
value[x]:All Slices |  |  |  | Content/Rules for all slices
value | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:DiastolicBP | S Σ C | 1..1 | BackboneElement | Used when reporting diastolic blood pressure. Constraints: vs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour coding | Σ | 1..* | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:DBPCode | Σ | 1..1 | Coding | Diastolic Blood Pressure
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
value[x]:All Slices |  |  |  | Content/Rules for all slices
value | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:MeanBP | S Σ C | 0..1 | BackboneElement | Mean blood pressure Constraints: vs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour 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] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S 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

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | required | JDV_J149_BodySiteBP_ENS | 📦20240927120000 | Terminologies de Santé v1.2
Observation.method | Base | extensible | JDV_J150_MethodBP_ENS | 📦20240726120000 | Terminologies de Santé v1.2
Observation.component.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:SystolicBP.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:MeanBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | FRCoreObservationBpProfile | FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
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 pour 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.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:supportingInfo |  | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
extension:MesReasonForMeasurement |  | 0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesOriginOfData |  | 0..1 | (Complex) | Origine de la donnée URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-origin-of-data
extension: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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices pour 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 pour 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 | S Σ | 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] | S Σ C | 1..1 | dateTime | Often just a dateTime for Vital Signs Constraints: vs-1
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) | Who is responsible for the observation
dataAbsentReason | S C | 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 Constraints: obs-3
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: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
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 pour component | S Σ C | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3
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 | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S 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
component:SystolicBP | S Σ C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
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 | S Σ | 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 pour 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] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): 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 | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason | S 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
component:DiastolicBP | S Σ C | 1..1 | BackboneElement | Used when reporting diastolic blood pressure. Constraints: vs-3
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 | S Σ | 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 pour 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] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): 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 | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason | S 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
component:MeanBP | S Σ C | 0..1 | BackboneElement | Mean blood pressure Constraints: vs-3
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 | S Σ | 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 pour 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] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S 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

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Observation.meta.security | Base | extensible | SecurityLabels | 📦4.0.1 | FHIR Std.
Observation.meta.tag | Base | example | Common Tags | 📦4.0.1 | FHIR Std.
Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | required | JDV_J149_BodySiteBP_ENS | 📦20240927120000 | Terminologies de Santé v1.2
Observation.method | Base | extensible | JDV_J150_MethodBP_ENS | 📦20240726120000 | Terminologies de Santé v1.2
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std.
Observation.component.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:SystolicBP.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:MeanBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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

Résumé

Mandatory: 0 element(2 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)
- FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner)
- FR Core Organization Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization)
- 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-origin-of-data
- https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement

Differential View

This structure is derived from FRCoreObservationBpProfile

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 pour extension |  |  |  | Content/Rules for all slices
extension:supportingInfo |  | 0..1 | SupportingInfo(5.2.0) | Other information that may be relevant to this event.
extension:MesReasonForMeasurement |  | 0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesOriginOfData |  | 0..1 | (Complex) | Origine de la donnée URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-origin-of-data
extension:MesMomentOfMeasurement |  | 0..1 | CodeableConcept | Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
Slices pour 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
performer |  | 0..* | Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile) | Who is responsible for the observation
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
Documentation for this format

#### Terminology Bindings (Differential)

Path | Statut | Usage | ValueSet | Version | Source
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | required | JDV_J149_BodySiteBP_ENS | 📦20240927120000 | Terminologies de Santé v1.2
Observation.method | Base | extensible | JDV_J150_MethodBP_ENS | 📦20240726120000 | Terminologies de Santé v1.2

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | FRCoreObservationBpProfile | FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  |  |  | Content/Rules for all slices
extension:supportingInfo |  | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
extension:MesReasonForMeasurement |  | 0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesOriginOfData |  | 0..1 | (Complex) | Origine de la donnée URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-origin-of-data
extension: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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices pour 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 | S Σ | 1..* | Coding | Code defined by a terminology system
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | S Σ | 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 | S Σ | 1..1 | CodeableConcept | Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour 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 | S Σ | 1..1 | Reference(FR Core Patient Profile) | Who and/or what the observation is about
effective[x] | S Σ C | 1..1 | dateTime | Often just a dateTime for Vital Signs Constraints: vs-1
performer | Σ | 0..* | Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile) | Who is responsible for the observation
dataAbsentReason | S C | 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 pour component | S Σ C | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3
component:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:SystolicBP | S Σ C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour 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] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
value[x]:All Slices |  |  |  | Content/Rules for all slices
value | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:DiastolicBP | S Σ C | 1..1 | BackboneElement | Used when reporting diastolic blood pressure. Constraints: vs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour coding | Σ | 1..* | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
coding:DBPCode | Σ | 1..1 | Coding | Diastolic Blood Pressure
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
value[x]:All Slices |  |  |  | Content/Rules for all slices
value | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:MeanBP | S Σ C | 0..1 | BackboneElement | Mean blood pressure Constraints: vs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour 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] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S 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

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | required | JDV_J149_BodySiteBP_ENS | 📦20240927120000 | Terminologies de Santé v1.2
Observation.method | Base | extensible | JDV_J150_MethodBP_ENS | 📦20240726120000 | Terminologies de Santé v1.2
Observation.component.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:SystolicBP.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:MeanBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | FRCoreObservationBpProfile | FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
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 pour 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.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:supportingInfo |  | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
extension:MesReasonForMeasurement |  | 0..1 | string | Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesOriginOfData |  | 0..1 | (Complex) | Origine de la donnée URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-origin-of-data
extension: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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices pour 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 pour 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 | S Σ | 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] | S Σ C | 1..1 | dateTime | Often just a dateTime for Vital Signs Constraints: vs-1
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) | Who is responsible for the observation
dataAbsentReason | S C | 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 Constraints: obs-3
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: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
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 pour component | S Σ C | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3
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 | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S 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
component:SystolicBP | S Σ C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
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 | S Σ | 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 pour 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] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): 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 | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason | S 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
component:DiastolicBP | S Σ C | 1..1 | BackboneElement | Used when reporting diastolic blood pressure. Constraints: vs-3
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 | S Σ | 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 pour 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] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): 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 | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg]
dataAbsentReason | S 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
component:MeanBP | S Σ C | 0..1 | BackboneElement | Mean blood pressure Constraints: vs-3
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 | S Σ | 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 pour 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] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S 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

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Observation.meta.security | Base | extensible | SecurityLabels | 📦4.0.1 | FHIR Std.
Observation.meta.tag | Base | example | Common Tags | 📦4.0.1 | FHIR Std.
Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std.
Observation.code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.bodySite | Base | required | JDV_J149_BodySiteBP_ENS | 📦20240927120000 | Terminologies de Santé v1.2
Observation.method | Base | extensible | JDV_J150_MethodBP_ENS | 📦20240726120000 | Terminologies de Santé v1.2
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std.
Observation.component.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:SystolicBP.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:SystolicBP.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:DiastolicBP.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​code | Base | extensible | Vital Signs | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std.
Observation.component:MeanBP.​dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std.
Observation.component:MeanBP.​interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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

Résumé

Mandatory: 0 element(2 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)
- FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner)
- FR Core Organization Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization)
- 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-origin-of-data
- https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement

Other representations of profile: CSV, Excel, Schematron