Guide d'implémentation de la télésurveillance
0.1.0 - trial-use
Guide d'implémentation de la télésurveillance
0.1.0 - trial-use
Guide d'implémentation de la télésurveillance - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://interop.esante.gouv.fr/ig/fhir/telesurveillance/StructureDefinition/tlsv-observation | Version: 0.1.0 | |||
| Active as of 2025-04-03 | 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.
| Nom | Drapeaux | Card. | Type | Description et contraintes |
|---|---|---|---|---|
  Observation |
C | 0..* | Observation | Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 identifier |
SΣ | 0..* | Identifier | (recommandé) identifiant métier unique attribué à cette mesure/réponse ele-1: All FHIR elements must have a @value or children |
| status |
?!Σ | 1..1 | code | Statut de la mesure/réponse: final | corrected | entered-in-error Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children |
| 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) ele-1: All FHIR elements must have a @value or children |
| code |
Σ | 1..1 | CodeableConcept | Le code descriptif de l'observation Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children |
 subject |
Σ | 1..1 | Reference(FR Core Patient Profile) | La référence au patient télésuivi : pointe vers la ressource Patient accessible sur un serveur ou présente dans le Bundle courant ele-1: All FHIR elements must have a @value or children |
| encounter |
Σ | 0..1 | Reference(Encounter) | Référence à une visite d'un thérapeute au patient ele-1: All FHIR elements must have a @value or children |
  effective[x] |
Σ | 1..1 | Le temps clinique ou physiologique de l'observation : par exemple la journée pour un comptage de pas, ou la date et heure de pesage ele-1: All FHIR elements must have a @value or children | |
 effectiveDateTime |
dateTime | |||
 effectivePeriod |
Period | |||
| issued |
Σ | 0..1 | instant | (recommandé) date et heure de mise à disposition de cette version de l'observation ele-1: All FHIR elements must have a @value or children |
| performer |
Σ | 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 ...) ele-1: All FHIR elements must have a @value or children |
| 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 ele-1: All FHIR elements must have a @value or children | |
| 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. ele-1: All FHIR elements must have a @value or children |
| interpretation |
0..* | CodeableConcept | Utilisable pour représenter un niveau d'alerte déclenché par cette observation Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children | |
| note |
0..* | Annotation | Commentaire sur cette observation ele-1: All FHIR elements must have a @value or children | |
| bodySite |
0..1 | CodeableConcept | Partie du corps spécifiquement concernée par l'observation Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children | |
| method |
0..1 | CodeableConcept | La méthode de mesure employée Binding: ObservationMethods (example): Methods for simple observations. ele-1: All FHIR elements must have a @value or children | |
| device |
0..1 | Reference(Device | DeviceMetric) | Le dispositif de mesure employé ele-1: All FHIR elements must have a @value or children | |
| referenceRange |
C | 0..* | BackboneElement | Un intervalle de référence applicable à ce patient pour cette observation ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| derivedFrom |
Σ | 0..* | Reference(QuestionnaireResponse | Observation) | La ou les ressources qui contiennent les réponses du questionnaire ele-1: All FHIR elements must have a @value or children |
 component |
Σ | 0..* | BackboneElement | (conditionnel) présent pour certaines observations combinant deux mesures concomitantes, et dans ce cas l'élément Observation.value n'est en général pas présent ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformité | 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 |
| Id | Grade | Path(s) | Détails | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Other representations of profile: CSV, Excel, Schematron
