Data Management with FHIR
0.1.0 - ci-build

Data Management with FHIR - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Résultat de laboratoire ( Abstract )

Official URL: https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMObservationLaboratoryGeneric | Version: 0.1.0
Draft as of 2025-10-23 | Computable Name: DMObservationLaboratoryGeneric

Profil générique des résultats de laboratoire du socle commun des EDS.

Usages:

- Derived from this Profile: Alanine aminotransférase (ALAT), Aspartate aminotransférase (ASAT), Bilirubine conjuguée, Bilirubine totale... Show 18 more, Eosinophiles, Erythrocytes, Fonction rénale, Gamma-glutamyl transférase (GGT), Glycémie à jeun, Hémoglobine glyquée, Hématocrite, Hémoglobine, Leucocytes, Lymphocytes, Monocytes, Neutrophiles, Phosphatases alcaline, Plaquettes, Temps de céphaline activée (TCA), Taux prothrombine (TP), Urée and Volume globulaire moyen

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: DMObservationLaboratoryALAT, DMObservationLaboratoryASAT, DMObservationLaboratoryBilirubineConjuguee, DMObservationLaboratoryBilirubineTotale, DMObservationLaboratoryEosinophiles, DMObservationLaboratoryErythrocytes, DMObservationLaboratoryFonctionRenale, DMObservationLaboratoryGGT, DMObservationLaboratoryGlycemieAJeun, DMObservationLaboratoryHbA1c, DMObservationLaboratoryHematocrite, DMObservationLaboratoryHemoglobine, DMObservationLaboratoryLeucocytes, DMObservationLaboratoryLymphocytes, DMObservationLaboratoryMonocytes, DMObservationLaboratoryNeutrophiles, DMObservationLaboratoryPAL, DMObservationLaboratoryPlaquettes, DMObservationLaboratoryTCA, DMObservationLaboratoryTP, DMObservationLaboratoryUremie, DMObservationLaboratoryVGM Measurements and simple assertions Constraints: obs-6, obs-7, dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 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 | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
subject | S Σ | 0..1 | Reference(Patient) | L'observation concerne la personne que l'on analyse.
effective[x] | S Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
value[x] | S Σ C | 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 |
component | S Σ | 0..* | BackboneElement | Component results
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
referenceRange | S | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG
Observation.component.​code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-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'))`
dm-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())`
dm-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')`
dm-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')))`
dm-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()))`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

This structure is derived from Observation

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: DMObservationLaboratoryALAT, DMObservationLaboratoryASAT, DMObservationLaboratoryBilirubineConjuguee, DMObservationLaboratoryBilirubineTotale, DMObservationLaboratoryEosinophiles, DMObservationLaboratoryErythrocytes, DMObservationLaboratoryFonctionRenale, DMObservationLaboratoryGGT, DMObservationLaboratoryGlycemieAJeun, DMObservationLaboratoryHbA1c, DMObservationLaboratoryHematocrite, DMObservationLaboratoryHemoglobine, DMObservationLaboratoryLeucocytes, DMObservationLaboratoryLymphocytes, DMObservationLaboratoryMonocytes, DMObservationLaboratoryNeutrophiles, DMObservationLaboratoryPAL, DMObservationLaboratoryPlaquettes, DMObservationLaboratoryTCA, DMObservationLaboratoryTP, DMObservationLaboratoryUremie, DMObservationLaboratoryVGM Measurements and simple assertions Constraints: dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
status | S | 1..1 | code | registered | preliminary | final | amended +
category | S | 1..1 | CodeableConcept | Classification of type of observation Fixed Value: As shown (Laboratory)
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://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory
code | S | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
subject | S | 0..1 | Reference(Patient) | L'observation concerne la personne que l'on analyse.
effective[x] | S | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation
value[x] | S | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
component | S | 0..* | BackboneElement | Component results
code | S | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result
referenceRange | S | 0..* |  | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings (Differential)

Path | Statut | Usage | ValueSet | Version | Source
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG
Observation.component.​code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-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'))`
dm-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())`
dm-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')`
dm-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')))`
dm-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()))`

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: DMObservationLaboratoryALAT, DMObservationLaboratoryASAT, DMObservationLaboratoryBilirubineConjuguee, DMObservationLaboratoryBilirubineTotale, DMObservationLaboratoryEosinophiles, DMObservationLaboratoryErythrocytes, DMObservationLaboratoryFonctionRenale, DMObservationLaboratoryGGT, DMObservationLaboratoryGlycemieAJeun, DMObservationLaboratoryHbA1c, DMObservationLaboratoryHematocrite, DMObservationLaboratoryHemoglobine, DMObservationLaboratoryLeucocytes, DMObservationLaboratoryLymphocytes, DMObservationLaboratoryMonocytes, DMObservationLaboratoryNeutrophiles, DMObservationLaboratoryPAL, DMObservationLaboratoryPlaquettes, DMObservationLaboratoryTCA, DMObservationLaboratoryTP, DMObservationLaboratoryUremie, DMObservationLaboratoryVGM Measurements and simple assertions Constraints: obs-6, obs-7, dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
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 | ?!S Σ | 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 | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
subject | S Σ | 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] | S Σ | 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] | S Σ C | 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 Constraints: obs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | 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 | S Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange | S | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std.
Observation.component.​code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-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'))`
dm-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())`
dm-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')`
dm-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')))`
dm-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()))`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text | `low.exists() or high.exists() or text.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

This structure is derived from Observation

Résumé

Mandatory: 1 element
Must-Support: 10 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- Patient (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMPatient)

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: DMObservationLaboratoryALAT, DMObservationLaboratoryASAT, DMObservationLaboratoryBilirubineConjuguee, DMObservationLaboratoryBilirubineTotale, DMObservationLaboratoryEosinophiles, DMObservationLaboratoryErythrocytes, DMObservationLaboratoryFonctionRenale, DMObservationLaboratoryGGT, DMObservationLaboratoryGlycemieAJeun, DMObservationLaboratoryHbA1c, DMObservationLaboratoryHematocrite, DMObservationLaboratoryHemoglobine, DMObservationLaboratoryLeucocytes, DMObservationLaboratoryLymphocytes, DMObservationLaboratoryMonocytes, DMObservationLaboratoryNeutrophiles, DMObservationLaboratoryPAL, DMObservationLaboratoryPlaquettes, DMObservationLaboratoryTCA, DMObservationLaboratoryTP, DMObservationLaboratoryUremie, DMObservationLaboratoryVGM Measurements and simple assertions Constraints: obs-6, obs-7, dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 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 | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
subject | S Σ | 0..1 | Reference(Patient) | L'observation concerne la personne que l'on analyse.
effective[x] | S Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
value[x] | S Σ C | 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 |
component | S Σ | 0..* | BackboneElement | Component results
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
referenceRange | S | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG
Observation.component.​code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-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'))`
dm-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())`
dm-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')`
dm-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')))`
dm-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()))`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

Differential View

This structure is derived from Observation

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: DMObservationLaboratoryALAT, DMObservationLaboratoryASAT, DMObservationLaboratoryBilirubineConjuguee, DMObservationLaboratoryBilirubineTotale, DMObservationLaboratoryEosinophiles, DMObservationLaboratoryErythrocytes, DMObservationLaboratoryFonctionRenale, DMObservationLaboratoryGGT, DMObservationLaboratoryGlycemieAJeun, DMObservationLaboratoryHbA1c, DMObservationLaboratoryHematocrite, DMObservationLaboratoryHemoglobine, DMObservationLaboratoryLeucocytes, DMObservationLaboratoryLymphocytes, DMObservationLaboratoryMonocytes, DMObservationLaboratoryNeutrophiles, DMObservationLaboratoryPAL, DMObservationLaboratoryPlaquettes, DMObservationLaboratoryTCA, DMObservationLaboratoryTP, DMObservationLaboratoryUremie, DMObservationLaboratoryVGM Measurements and simple assertions Constraints: dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
status | S | 1..1 | code | registered | preliminary | final | amended +
category | S | 1..1 | CodeableConcept | Classification of type of observation Fixed Value: As shown (Laboratory)
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://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory
code | S | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
subject | S | 0..1 | Reference(Patient) | L'observation concerne la personne que l'on analyse.
effective[x] | S | 0..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation
value[x] | S | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result
component | S | 0..* | BackboneElement | Component results
code | S | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result
referenceRange | S | 0..* |  | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings (Differential)

Path | Statut | Usage | ValueSet | Version | Source
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG
Observation.component.​code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-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'))`
dm-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())`
dm-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')`
dm-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')))`
dm-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()))`

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | This is an abstract profile. Child profiles: DMObservationLaboratoryALAT, DMObservationLaboratoryASAT, DMObservationLaboratoryBilirubineConjuguee, DMObservationLaboratoryBilirubineTotale, DMObservationLaboratoryEosinophiles, DMObservationLaboratoryErythrocytes, DMObservationLaboratoryFonctionRenale, DMObservationLaboratoryGGT, DMObservationLaboratoryGlycemieAJeun, DMObservationLaboratoryHbA1c, DMObservationLaboratoryHematocrite, DMObservationLaboratoryHemoglobine, DMObservationLaboratoryLeucocytes, DMObservationLaboratoryLymphocytes, DMObservationLaboratoryMonocytes, DMObservationLaboratoryNeutrophiles, DMObservationLaboratoryPAL, DMObservationLaboratoryPlaquettes, DMObservationLaboratoryTCA, DMObservationLaboratoryTP, DMObservationLaboratoryUremie, DMObservationLaboratoryVGM Measurements and simple assertions Constraints: obs-6, obs-7, dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
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 | ?!S Σ | 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 | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
subject | S Σ | 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] | S Σ | 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] | S Σ C | 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 Constraints: obs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant
high | C | 0..1 | SimpleQuantity(4.0.1) | 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 | S Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange | S | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result
Documentation for this format

#### Terminology Bindings

Path | Statut | Usage | ValueSet | Version | Source
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std.
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std.
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std.
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std.
Observation.component.​code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | This IG
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std.
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-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'))`
dm-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())`
dm-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')`
dm-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')))`
dm-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()))`
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text | `low.exists() or high.exists() or text.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

This structure is derived from Observation

Résumé

Mandatory: 1 element
Must-Support: 10 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- Patient (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMPatient)

Other representations of profile: CSV, Excel, Schematron