Guide d'implémentation du GT Standards et Interopérabilité pour les EDS - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Fonction rénale

Profil des résultats de fonction rénale du socle commun des EDS

Usage:

• Examples for this Resource Profile: Observation/laboratory-fonction-renale-example-1

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 EDSObservationLaboratoryGeneric

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	EDSObservationLaboratoryGeneric	Measurements and simple assertions
code		1..1	CodeableConcept	Type of observation (code / type) Fixed Value: As shown (Creatinine and Glomerular filtration rate.predicted panel - Serum, Plasma or Blood)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45066-8
Slices for component		2..*	BackboneElement	Permet de rapporter la créatininémie et l'estimation du DFG. Slice: Unordered, Open by value:code
component:Creat	S	1..1	BackboneElement	Créatininémie
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Creatinine [Moles/volume] in Serum or Plasma)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 14682-9
value[x]		0..1	Quantity	Valeur mesurée
system		0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Fixed Value: umol/L
referenceRange		1..*		Provides guide for interpretation of component result
component:Dfg	S	1..1	BackboneElement	Débit de filtration glomérulaire estimé
code		1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses correspondant à l'estimation du DFG - socle des EDS (required)
value[x]		0..1	Quantity	Valeur mesurée
system		0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Binding: Liste des unités possibles pour une estimation du débit de filtration glomérulaire - socle des EDS (extensible)
referenceRange		1..*		Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.component:Dfg.code	required	EDSLaboratoryEstimatedDFG https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFG from this IG
Observation.component:Dfg.value[x].code	extensible	EDSLaboratoryEstimatedDFGUnit https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFGUnit from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	EDSObservationLaboratoryGeneric	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 eds-lab-1: SHALL use UCUM for valueQuantity eds-lab-2: SHALL use UCUM for referenceRange unit eds-lab-3: Value and referenceRange SHALL have the same unit eds-lab-4: SHALL use UCUM for component.valueQuantity eds-lab-5: SHALL use UCUM for component.referenceRange unit eds-lab-6: component.value and component.referenceRange SHALL have the same unit.code
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown (Laboratory)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Fixed Value: As shown (Creatinine and Glomerular filtration rate.predicted panel - Serum, Plasma or Blood)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45066-8
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(Patient)	L'observation concerne la personne que l'on analyse.
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	SΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for component	SΣ	2..*	BackboneElement	Permet de rapporter la créatininémie et l'estimation du DFG. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x]	SΣ	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
referenceRange	S	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:Creat	SΣ	1..1	BackboneElement	Créatininémie
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Fixed Value: As shown (Creatinine [Moles/volume] in Serum or Plasma)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 14682-9
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	SΣ	0..1	Quantity	Valeur mesurée
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Fixed Value: umol/L
referenceRange	S	1..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:Dfg	SΣ	1..1	BackboneElement	Débit de filtration glomérulaire estimé
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses correspondant à l'estimation du DFG - socle des EDS (required)
value[x]	SΣ	0..1	Quantity	Valeur mesurée
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Binding: Liste des unités possibles pour une estimation du débit de filtration glomérulaire - socle des EDS (extensible)
referenceRange	S	1..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Fixed Value: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	Fixed Value: LOINC Code 45066-8 https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component.code	required	EDSLaboratory https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component:Creat.code	required	Fixed Value: LOINC Code 14682-9 https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component:Creat.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:Dfg.code	required	EDSLaboratoryEstimatedDFG https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFG from this IG
Observation.component:Dfg.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:Dfg.value[x].code	extensible	EDSLaboratoryEstimatedDFGUnit https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFGUnit from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
eds-lab-1	error	Observation	SHALL use UCUM for valueQuantity : (value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')
eds-lab-2	error	Observation	SHALL use UCUM for referenceRange unit : referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org'))
eds-lab-3	error	Observation	Value and referenceRange SHALL have the same unit : ((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty())
eds-lab-4	error	Observation	SHALL use UCUM for component.valueQuantity : component.all(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')
eds-lab-5	error	Observation	SHALL use UCUM for component.referenceRange unit : component.all(referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org')))
eds-lab-6	error	Observation	component.value and component.referenceRange SHALL have the same unit.code : component.all(((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty()))
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()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	EDSObservationLaboratoryGeneric	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 eds-lab-1: SHALL use UCUM for valueQuantity eds-lab-2: SHALL use UCUM for referenceRange unit eds-lab-3: Value and referenceRange SHALL have the same unit eds-lab-4: SHALL use UCUM for component.valueQuantity eds-lab-5: SHALL use UCUM for component.referenceRange unit eds-lab-6: component.value and component.referenceRange SHALL have the same unit.code
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. Additional Bindings Purpose AllLanguages Max Binding
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	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown (Laboratory)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Fixed Value: As shown (Creatinine and Glomerular filtration rate.predicted panel - Serum, Plasma or Blood)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45066-8
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(Patient)	L'observation concerne la personne que l'on analyse.
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)	Healthcare event during which this observation is made
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	0..1		Actual 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 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.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: 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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣ	2..*	BackboneElement	Permet de rapporter la créatininémie et l'estimation du DFG. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x]	SΣ	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	S	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:Creat	SΣ	1..1	BackboneElement	Créatininémie
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Fixed Value: As shown (Creatinine [Moles/volume] in Serum or Plasma)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 14682-9
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	SΣ	0..1	Quantity	Valeur mesurée
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	Σ	0..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	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Fixed Value: umol/L
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	S	1..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:Dfg	SΣ	1..1	BackboneElement	Débit de filtration glomérulaire estimé
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses correspondant à l'estimation du DFG - socle des EDS (required)
value[x]	SΣ	0..1	Quantity	Valeur mesurée
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	Σ	0..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	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Binding: Liste des unités possibles pour une estimation du débit de filtration glomérulaire - socle des EDS (extensible)
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	S	1..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Fixed Value: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	Fixed Value: LOINC Code 45066-8 https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	required	EDSLaboratory https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:Creat.code	required	Fixed Value: LOINC Code 14682-9 https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component:Creat.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:Creat.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:Creat.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:Dfg.code	required	EDSLaboratoryEstimatedDFG https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFG from this IG
Observation.component:Dfg.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:Dfg.value[x].code	extensible	EDSLaboratoryEstimatedDFGUnit https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFGUnit from this IG
Observation.component:Dfg.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:Dfg.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
eds-lab-1	error	Observation	SHALL use UCUM for valueQuantity : (value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')
eds-lab-2	error	Observation	SHALL use UCUM for referenceRange unit : referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org'))
eds-lab-3	error	Observation	Value and referenceRange SHALL have the same unit : ((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty())
eds-lab-4	error	Observation	SHALL use UCUM for component.valueQuantity : component.all(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')
eds-lab-5	error	Observation	SHALL use UCUM for component.referenceRange unit : component.all(referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org')))
eds-lab-6	error	Observation	component.value and component.referenceRange SHALL have the same unit.code : component.all(((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty()))
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()

This structure is derived from EDSObservationLaboratoryGeneric

Summary

Mandatory: 4 elements
Must-Support: 2 elements
Fixed: 5 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component

Differential View

This structure is derived from EDSObservationLaboratoryGeneric

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	EDSObservationLaboratoryGeneric	Measurements and simple assertions
code		1..1	CodeableConcept	Type of observation (code / type) Fixed Value: As shown (Creatinine and Glomerular filtration rate.predicted panel - Serum, Plasma or Blood)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45066-8
Slices for component		2..*	BackboneElement	Permet de rapporter la créatininémie et l'estimation du DFG. Slice: Unordered, Open by value:code
component:Creat	S	1..1	BackboneElement	Créatininémie
code		1..1	CodeableConcept	Type of component observation (code / type) Fixed Value: As shown (Creatinine [Moles/volume] in Serum or Plasma)
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 14682-9
value[x]		0..1	Quantity	Valeur mesurée
system		0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Fixed Value: umol/L
referenceRange		1..*		Provides guide for interpretation of component result
component:Dfg	S	1..1	BackboneElement	Débit de filtration glomérulaire estimé
code		1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses correspondant à l'estimation du DFG - socle des EDS (required)
value[x]		0..1	Quantity	Valeur mesurée
system		0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Binding: Liste des unités possibles pour une estimation du débit de filtration glomérulaire - socle des EDS (extensible)
referenceRange		1..*		Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.component:Dfg.code	required	EDSLaboratoryEstimatedDFG https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFG from this IG
Observation.component:Dfg.value[x].code	extensible	EDSLaboratoryEstimatedDFGUnit https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFGUnit from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	EDSObservationLaboratoryGeneric	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 eds-lab-1: SHALL use UCUM for valueQuantity eds-lab-2: SHALL use UCUM for referenceRange unit eds-lab-3: Value and referenceRange SHALL have the same unit eds-lab-4: SHALL use UCUM for component.valueQuantity eds-lab-5: SHALL use UCUM for component.referenceRange unit eds-lab-6: component.value and component.referenceRange SHALL have the same unit.code
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown (Laboratory)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Fixed Value: As shown (Creatinine and Glomerular filtration rate.predicted panel - Serum, Plasma or Blood)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45066-8
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(Patient)	L'observation concerne la personne que l'on analyse.
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
value[x]	SΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for component	SΣ	2..*	BackboneElement	Permet de rapporter la créatininémie et l'estimation du DFG. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x]	SΣ	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
referenceRange	S	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:Creat	SΣ	1..1	BackboneElement	Créatininémie
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Fixed Value: As shown (Creatinine [Moles/volume] in Serum or Plasma)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 14682-9
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	SΣ	0..1	Quantity	Valeur mesurée
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Fixed Value: umol/L
referenceRange	S	1..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:Dfg	SΣ	1..1	BackboneElement	Débit de filtration glomérulaire estimé
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses correspondant à l'estimation du DFG - socle des EDS (required)
value[x]	SΣ	0..1	Quantity	Valeur mesurée
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Binding: Liste des unités possibles pour une estimation du débit de filtration glomérulaire - socle des EDS (extensible)
referenceRange	S	1..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Fixed Value: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	Fixed Value: LOINC Code 45066-8 https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component.code	required	EDSLaboratory https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component:Creat.code	required	Fixed Value: LOINC Code 14682-9 https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component:Creat.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:Dfg.code	required	EDSLaboratoryEstimatedDFG https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFG from this IG
Observation.component:Dfg.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:Dfg.value[x].code	extensible	EDSLaboratoryEstimatedDFGUnit https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFGUnit from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
eds-lab-1	error	Observation	SHALL use UCUM for valueQuantity : (value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')
eds-lab-2	error	Observation	SHALL use UCUM for referenceRange unit : referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org'))
eds-lab-3	error	Observation	Value and referenceRange SHALL have the same unit : ((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty())
eds-lab-4	error	Observation	SHALL use UCUM for component.valueQuantity : component.all(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')
eds-lab-5	error	Observation	SHALL use UCUM for component.referenceRange unit : component.all(referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org')))
eds-lab-6	error	Observation	component.value and component.referenceRange SHALL have the same unit.code : component.all(((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty()))
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	EDSObservationLaboratoryGeneric	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 eds-lab-1: SHALL use UCUM for valueQuantity eds-lab-2: SHALL use UCUM for referenceRange unit eds-lab-3: Value and referenceRange SHALL have the same unit eds-lab-4: SHALL use UCUM for component.valueQuantity eds-lab-5: SHALL use UCUM for component.referenceRange unit eds-lab-6: component.value and component.referenceRange SHALL have the same unit.code
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. Additional Bindings Purpose AllLanguages Max Binding
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	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Fixed Value: As shown (Laboratory)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Fixed Value: As shown (Creatinine and Glomerular filtration rate.predicted panel - Serum, Plasma or Blood)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45066-8
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(Patient)	L'observation concerne la personne que l'on analyse.
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)	Healthcare event during which this observation is made
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	0..1		Actual 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 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.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: 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(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣ	2..*	BackboneElement	Permet de rapporter la créatininémie et l'estimation du DFG. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x]	SΣ	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	S	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:Creat	SΣ	1..1	BackboneElement	Créatininémie
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Fixed Value: As shown (Creatinine [Moles/volume] in Serum or Plasma)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
coding		1..1	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 14682-9
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text		0..0	string	Plain text representation of the concept
value[x]	SΣ	0..1	Quantity	Valeur mesurée
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	Σ	0..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	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Fixed Value: umol/L
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	S	1..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:Dfg	SΣ	1..1	BackboneElement	Débit de filtration glomérulaire estimé
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Liste des analyses correspondant à l'estimation du DFG - socle des EDS (required)
value[x]	SΣ	0..1	Quantity	Valeur mesurée
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	Σ	0..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	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Binding: Liste des unités possibles pour une estimation du débit de filtration glomérulaire - socle des EDS (extensible)
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	S	1..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	Fixed Value: laboratory http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	Fixed Value: LOINC Code 45066-8 https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	required	EDSLaboratory https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:Creat.code	required	Fixed Value: LOINC Code 14682-9 https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratory from this IG
Observation.component:Creat.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:Creat.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:Creat.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:Dfg.code	required	EDSLaboratoryEstimatedDFG https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFG from this IG
Observation.component:Dfg.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.component:Dfg.value[x].code	extensible	EDSLaboratoryEstimatedDFGUnit https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryEstimatedDFGUnit from this IG
Observation.component:Dfg.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:Dfg.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
eds-lab-1	error	Observation	SHALL use UCUM for valueQuantity : (value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')
eds-lab-2	error	Observation	SHALL use UCUM for referenceRange unit : referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org'))
eds-lab-3	error	Observation	Value and referenceRange SHALL have the same unit : ((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty())
eds-lab-4	error	Observation	SHALL use UCUM for component.valueQuantity : component.all(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')
eds-lab-5	error	Observation	SHALL use UCUM for component.referenceRange unit : component.all(referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org')))
eds-lab-6	error	Observation	component.value and component.referenceRange SHALL have the same unit.code : component.all(((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty()))
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()

This structure is derived from EDSObservationLaboratoryGeneric

Summary

Mandatory: 4 elements
Must-Support: 2 elements
Fixed: 5 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component