Guide d'implémentation du GT Standards et Interopérabilité pour les EDS
0.1.0 - ci-build
Guide d'implémentation du GT Standards et Interopérabilité pour les EDS
0.1.0 - ci-build
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
| Official URL: https://interop.esante.gouv.fr/ig/fhir/eds/StructureDefinition/EDSObservationLaboratoryUremie | Version: 0.1.0 | |||
| Draft as of 2024-10-08 | Computable Name: EDSObservationLaboratoryUremie | |||
Profil des résultats d’urémie du socle commun des EDS
| Item | Définition de l’item | Valeur attendue | Métadonnées |
|---|---|---|---|
| Dosage de l’urée dans le sang | Dosage sanguin de l’urée qui permet d’évaluer la fonction rénale | Valeur numérique | Métadonnées LOINC Grandeur Temporalité Milieu Echelle Technique Autres métadonnées Date et heure du prélèvement Unité de mesure Statut de validation Borne inférieure de normalité du résultat Borne supérieure de normalité du résultat |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
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 | |
   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: 22664-7 | |
 display |
1..1 | string | Representation defined by the system Fixed Value: Urée [Moles/Volume] Sérum/Plasma ; Numérique | |
 value[x] |
0..1 | Quantity | Actual result | |
| value |
0..1 | decimal | Valeur mesurée | |
| system |
0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: mmol/L | |
| referenceRange |
S | 1..* | BackboneElement | Provides guide for interpretation |
| Documentation for this format | ||||
| 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-2: Value and referenceRange SHALL have the same unit |
 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 |
| 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: 22664-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Urée [Moles/Volume] Sérum/Plasma ; Numérique | |
| 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 | Quantity | Actual result eds-lab-1: SHALL use UCUM for coded quantity units |
| value |
Σ | 0..1 | decimal | 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 | 1..1 | code | Coded form of the unit Fixed Value: mmol/L |
| referenceRange |
SC | 1..* | BackboneElement | Provides guide for interpretation 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 |
| component |
SΣC | 0..* | BackboneElement | Component results eds-lab-2: Value and referenceRange SHALL have the same unit |
| 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] |
SΣC | 0..1 | Actual component result eds-lab-1: SHALL use UCUM for coded quantity units | |
| 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | Fixed Value: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | required | Fixed Value: LOINC Code 22664-7("Urée [Moles/Volume] Sérum/Plasma ; Numérique")https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryfrom this IG | |
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component.code | required | EDSLaboratoryhttps://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryfrom this IG |
| 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.value[x], Observation.component.value[x] | SHALL use UCUM for coded quantity units : ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org' | |
| eds-lab-2 | error | Observation, Observation.component | 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()) | |
| 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() |
| 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-2: Value and referenceRange SHALL have the same unit | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
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 | ||||
| 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: 22664-7 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Urée [Moles/Volume] Sérum/Plasma ; Numérique | |||||
| 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 | Quantity | Actual result eds-lab-1: SHALL use UCUM for coded quantity units | ||||
| 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 | Valeur mesurée | ||||
| 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 | 1..1 | code | Coded form of the unit Fixed Value: mmol/L | ||||
| 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 |
SC | 1..* | 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 | ||||
| component |
SΣC | 0..* | BackboneElement | Component results eds-lab-2: Value and referenceRange SHALL have the same unit | ||||
| 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] |
SΣC | 0..1 | Actual component result eds-lab-1: SHALL use UCUM for coded quantity units | |||||
| 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 | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | Fixed Value: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | required | Fixed Value: LOINC Code 22664-7("Urée [Moles/Volume] Sérum/Plasma ; Numérique")https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryfrom this IG | ||||
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | required | EDSLaboratoryhttps://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryfrom this IG | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| eds-lab-1 | error | Observation.value[x], Observation.component.value[x] | SHALL use UCUM for coded quantity units : ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org' | |
| eds-lab-2 | error | Observation, Observation.component | 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()) | |
| 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
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 | |
| 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: 22664-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Urée [Moles/Volume] Sérum/Plasma ; Numérique | |
| value[x] |
0..1 | Quantity | Actual result | |
| value |
0..1 | decimal | Valeur mesurée | |
| system |
0..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: mmol/L | |
| referenceRange |
S | 1..* | BackboneElement | Provides guide for interpretation |
| Documentation for this format | ||||
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-2: Value and referenceRange SHALL have the same unit |
| 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 |
| 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: 22664-7 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Urée [Moles/Volume] Sérum/Plasma ; Numérique | |
| 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 | Quantity | Actual result eds-lab-1: SHALL use UCUM for coded quantity units |
| value |
Σ | 0..1 | decimal | 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 | 1..1 | code | Coded form of the unit Fixed Value: mmol/L |
| referenceRange |
SC | 1..* | BackboneElement | Provides guide for interpretation 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 |
| component |
SΣC | 0..* | BackboneElement | Component results eds-lab-2: Value and referenceRange SHALL have the same unit |
| 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] |
SΣC | 0..1 | Actual component result eds-lab-1: SHALL use UCUM for coded quantity units | |
| 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | Fixed Value: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | required | Fixed Value: LOINC Code 22664-7("Urée [Moles/Volume] Sérum/Plasma ; Numérique")https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryfrom this IG | |
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component.code | required | EDSLaboratoryhttps://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryfrom this IG |
| 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.value[x], Observation.component.value[x] | SHALL use UCUM for coded quantity units : ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org' | |
| eds-lab-2 | error | Observation, Observation.component | 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()) | |
| 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() |
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-2: Value and referenceRange SHALL have the same unit | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
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 | ||||
| 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: 22664-7 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Urée [Moles/Volume] Sérum/Plasma ; Numérique | |||||
| 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 | Quantity | Actual result eds-lab-1: SHALL use UCUM for coded quantity units | ||||
| 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 | Valeur mesurée | ||||
| 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 | 1..1 | code | Coded form of the unit Fixed Value: mmol/L | ||||
| 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 |
SC | 1..* | 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 | ||||
| component |
SΣC | 0..* | BackboneElement | Component results eds-lab-2: Value and referenceRange SHALL have the same unit | ||||
| 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] |
SΣC | 0..1 | Actual component result eds-lab-1: SHALL use UCUM for coded quantity units | |||||
| 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 | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | Fixed Value: laboratoryhttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | required | Fixed Value: LOINC Code 22664-7("Urée [Moles/Volume] Sérum/Plasma ; Numérique")https://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryfrom this IG | ||||
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | required | EDSLaboratoryhttps://interop.esante.gouv.fr/ig/fhir/eds/ValueSet/EDSLaboratoryfrom this IG | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| eds-lab-1 | error | Observation.value[x], Observation.component.value[x] | SHALL use UCUM for coded quantity units : ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org' | |
| eds-lab-2 | error | Observation, Observation.component | 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()) | |
| 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
Other representations of profile: CSV, Excel, Schematron