Guide d'implémentation de la télésurveillance
0.1.0 - trial-use France flag

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

Resource Profile: Profil Observation pour la telesurveillance

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:

Formal Views of Profile Content

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

NomDrapeauxCard.TypeDescription et contraintesdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

PathConformitéValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categoryrequiredTLSVCategory
https://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategory
from this IG
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DétailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()

This structure is derived from Observation

NomDrapeauxCard.TypeDescription et contraintesdoco
.. Observation 0..* Observation Measurements and simple assertions
... identifier S 0..* Identifier (recommandé) identifiant métier unique attribué à cette mesure/réponse
... status 1..1 code Statut de la mesure/réponse: final | corrected | entered-in-error
... category S 0..* CodeableConcept (recommandé) Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures | survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...)
Binding: TLSV Categories (required)
... subject 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
... encounter 0..1 Reference(Encounter) Référence à une visite d'un thérapeute au patient
... effective[x] 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
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued 0..1 instant (recommandé) date et heure de mise à disposition de cette version de l'observation
... performer 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) (recommandé) La personne qui a réalisé l'observation, ou saisi ou validé le résultat (un professionnel de santé, un aidant, le patient ...)
... value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period (recommandé) le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource
... dataAbsentReason 0..1 CodeableConcept (recommandé) à renseigner dans le cas où l'élément 'value' est absent
... interpretation 0..* CodeableConcept Utilisable pour représenter un niveau d'alerte déclenché par cette observation
... note 0..* Annotation Commentaire sur cette observation
... bodySite 0..1 CodeableConcept Partie du corps spécifiquement concernée par l'observation
... method 0..1 CodeableConcept La méthode de mesure employée
... device 0..1 Reference(Device | DeviceMetric) Le dispositif de mesure employé
... referenceRange 0..* BackboneElement Un intervalle de référence applicable à ce patient pour cette observation
... derivedFrom 0..* Reference(QuestionnaireResponse | Observation) La ou les ressources qui contiennent les réponses du questionnaire
... component 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformitéValueSetURI
Observation.categoryrequiredTLSVCategory
https://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategory
from this IG
NomDrapeauxCard.TypeDescription et contraintesdoco
.. Observation C 0..* Observation Measurements and simple assertions
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
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Bindings AdditionnelsBut
AllLanguages Binding Max
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier (recommandé) identifiant métier unique attribué à cette mesure/réponse
... 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 ?!Σ 1..1 code Statut de la mesure/réponse: final | corrected | entered-in-error
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* CodeableConcept (recommandé) Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures | survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...)
Binding: TLSV Categories (required)
... code Σ 1..1 CodeableConcept Le code descriptif de l'observation
Binding: LOINCCodes (example): Codes identifying names of simple observations.

... 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
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Référence à une visite d'un thérapeute au patient
... 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
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant (recommandé) date et heure de mise à disposition de cette version de l'observation
... 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 ...)
... value[x] ΣC 0..1 (recommandé) le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept (recommandé) à renseigner dans le cas où l'élément 'value' est absent
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..* CodeableConcept Utilisable pour représenter un niveau d'alerte déclenché par cette observation
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Commentaire sur cette observation
... bodySite 0..1 CodeableConcept Partie du corps spécifiquement concernée par l'observation
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept La méthode de mesure employée
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) Le dispositif de mesure employé
... referenceRange C 0..* BackboneElement Un intervalle de référence applicable à ce patient pour cette observation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 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(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(QuestionnaireResponse | Observation) La ou les ressources qui contiennent les réponses du questionnaire
... 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
.... 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformitéValueSetURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Bindings Additionnels But
AllLanguages Binding Max
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categoryrequiredTLSVCategory
https://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategory
from this IG
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DétailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()

This structure is derived from Observation

Résumé

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

Key Elements View

NomDrapeauxCard.TypeDescription et contraintesdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings

PathConformitéValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categoryrequiredTLSVCategory
https://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategory
from this IG
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DétailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()

Differential View

This structure is derived from Observation

NomDrapeauxCard.TypeDescription et contraintesdoco
.. Observation 0..* Observation Measurements and simple assertions
... identifier S 0..* Identifier (recommandé) identifiant métier unique attribué à cette mesure/réponse
... status 1..1 code Statut de la mesure/réponse: final | corrected | entered-in-error
... category S 0..* CodeableConcept (recommandé) Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures | survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...)
Binding: TLSV Categories (required)
... subject 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
... encounter 0..1 Reference(Encounter) Référence à une visite d'un thérapeute au patient
... effective[x] 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
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued 0..1 instant (recommandé) date et heure de mise à disposition de cette version de l'observation
... performer 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) (recommandé) La personne qui a réalisé l'observation, ou saisi ou validé le résultat (un professionnel de santé, un aidant, le patient ...)
... value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period (recommandé) le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource
... dataAbsentReason 0..1 CodeableConcept (recommandé) à renseigner dans le cas où l'élément 'value' est absent
... interpretation 0..* CodeableConcept Utilisable pour représenter un niveau d'alerte déclenché par cette observation
... note 0..* Annotation Commentaire sur cette observation
... bodySite 0..1 CodeableConcept Partie du corps spécifiquement concernée par l'observation
... method 0..1 CodeableConcept La méthode de mesure employée
... device 0..1 Reference(Device | DeviceMetric) Le dispositif de mesure employé
... referenceRange 0..* BackboneElement Un intervalle de référence applicable à ce patient pour cette observation
... derivedFrom 0..* Reference(QuestionnaireResponse | Observation) La ou les ressources qui contiennent les réponses du questionnaire
... component 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformitéValueSetURI
Observation.categoryrequiredTLSVCategory
https://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategory
from this IG

Snapshot View

NomDrapeauxCard.TypeDescription et contraintesdoco
.. Observation C 0..* Observation Measurements and simple assertions
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
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Bindings AdditionnelsBut
AllLanguages Binding Max
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier (recommandé) identifiant métier unique attribué à cette mesure/réponse
... 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 ?!Σ 1..1 code Statut de la mesure/réponse: final | corrected | entered-in-error
Binding: ObservationStatus (required): Codes providing the status of an observation.

... category S 0..* CodeableConcept (recommandé) Grande catégorie qui peut servir à identifier les différentes sources d'observations en télésurveillance: vital-sign : constantes physiologiques, signes vitaux, mesures | survey : réponse à questionnaire ou score | activity : activité physique (#pas, #longueurs de piscine, ...)
Binding: TLSV Categories (required)
... code Σ 1..1 CodeableConcept Le code descriptif de l'observation
Binding: LOINCCodes (example): Codes identifying names of simple observations.

... 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
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Référence à une visite d'un thérapeute au patient
... 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
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant (recommandé) date et heure de mise à disposition de cette version de l'observation
... 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 ...)
... value[x] ΣC 0..1 (recommandé) le résultat de l'observation. En principe présent. Peut être absent pour signifier une question laissée sans réponse, ou pour effacer un résultat précédemment communiqué dans une version précédente de la ressource
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason C 0..1 CodeableConcept (recommandé) à renseigner dans le cas où l'élément 'value' est absent
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..* CodeableConcept Utilisable pour représenter un niveau d'alerte déclenché par cette observation
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..* Annotation Commentaire sur cette observation
... bodySite 0..1 CodeableConcept Partie du corps spécifiquement concernée par l'observation
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1 CodeableConcept La méthode de mesure employée
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) Le dispositif de mesure employé
... referenceRange C 0..* BackboneElement Un intervalle de référence applicable à ce patient pour cette observation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 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(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(QuestionnaireResponse | Observation) La ou les ressources qui contiennent les réponses du questionnaire
... 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
.... 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 Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformitéValueSetURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Bindings Additionnels But
AllLanguages Binding Max
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categoryrequiredTLSVCategory
https://interop.esante.gouv.fr/ig/fhir/tlsv/ValueSet/TLSVCategory
from this IG
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DétailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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()

This structure is derived from Observation

Résumé

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron