Guide d'implémentation FR Core
2.2.0-ballot - ballot

Guide d'implémentation FR Core, publié par Interop'Santé. Ce guide nest pas une publication autorisée ; cest la version en intégration continue pour la version 2.2.0-ballot construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/Interop-Sante/hl7.fhir.fr.core/ et change régulièrement. Voir le répertoire des versions publiées

## Resource Profile: FR Core Observation Head Circum Profile

Official URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-head-circum | Version: 2.2.0-ballot
Active as of 2025-12-29 | Computable Name: FRCoreObservationHeadCircumProfile

French profile for Occipital-frontal circumference.

Profil HL7 Vital Signs Circonférence de la tête

Utilisations:

- Exemples pour ce Profil: Observation/FRCoreObservationHeadCircumExample

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 Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-headcircum(4.0.1) | FHIR Head Circumference Profile Constraints: obs-6, obs-7, vs-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:supportingInfo | S | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices pour category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Non ordonné, Ouvert par value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding | S Σ | 1..* | Coding | Code defined by a terminology system
system | S Σ | 1..1 | uri | Identity of the terminology system Valeur fixe: http://terminology.hl7.org/CodeSystem/observation-category
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Valeur fixe: vital-signs
code | S Σ | 1..1 | CodeableConcept | Head Circumference Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:code, value:system
coding:HeadCircumCode | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Valeur fixe: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Valeur fixe: 9843-4
subject | S Σ | 1..1 | Reference(FR Core Patient Profile(2.2.0-ballot)) | Who and/or what the observation is about
encounter | Σ | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Healthcare event during which this observation is made
effective[x] | S Σ C | 1..1 |  | Often just a dateTime for Vital Signs Constraints: vs-1
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | Σ | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole | FR Core Patient Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Who is responsible for the observation
Slices pour value[x] | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Non ordonné, Fermé par type:$this
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
value | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component | S Σ C | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | Std. FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.category:VSCat | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.code | Base | extensible | Vital Signs | 📍4.0.1 | Std. FHIR
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | Std. FHIR
Observation.value[x]:valueQuantity.​code | Base | required | Body Length Units | 📍4.0.1 | Std. FHIR
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.component.​code | Base | extensible | Vital Signs | 📍4.0.1 | Std. FHIR
Observation.component.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | Std. FHIR
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
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 | bonne pratique | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Observation.implicitRules, Observation.extension, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.status, Observation.category, Observation.category:VSCat, Observation.category:VSCat.coding, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.code, Observation.code, Observation.code.coding, Observation.code.coding:HeadCircumCode, Observation.code.coding:HeadCircumCode.system, Observation.code.coding:HeadCircumCode.code, Observation.subject, Observation.encounter, Observation.effective[x], Observation.performer, Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueQuantity.value, Observation.value[x]:valueQuantity.comparator, Observation.value[x]:valueQuantity.unit, Observation.value[x]:valueQuantity.system, Observation.value[x]:valueQuantity.code, Observation.dataAbsentReason, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Observation.extension, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.component.modifierExtension | 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()`
vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | `$this is dateTime implies $this.toString().length() >= 10`
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | `(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
vs-3 | error | Observation.component | If there is no a value a data absent reason must be present | `value.exists() or dataAbsentReason.exists()`

This structure is derived from observation-headcircum

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | observation-headcircum(4.0.1) | FHIR Head Circumference Profile
meta |  |  |  |
Slices pour profile |  | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:fr-canonical |  | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-head-circum|2.2.0-ballot
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:supportingInfo | S | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
code |  |  |  |
coding |  | 1..* | Coding | Code defined by a terminology system
subject |  | 1..1 | Reference(FR Core Patient Profile(2.2.0-ballot)) | Who and/or what the observation is about
encounter |  | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Healthcare event during which this observation is made
performer |  | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole | FR Core Patient Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Who is responsible for the observation
value[x] |  | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Non ordonné, Ouvert par type:$this
Documentation pour ce format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-headcircum(4.0.1) | FHIR Head Circumference Profile Constraints: obs-6, obs-7, vs-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-head-circum|2.2.0-ballot
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:supportingInfo | S | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
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)
Slices pour category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Non ordonné, Ouvert par value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
coding | S Σ | 1..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
system | S Σ | 1..1 | uri | Identity of the terminology system Valeur fixe: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Valeur fixe: vital-signs
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | Head Circumference Binding: VitalSigns (extensible): This identifies the vital sign result type.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
Slices pour coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:code, value:system
coding:HeadCircumCode | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
system | Σ | 1..1 | uri | Identity of the terminology system Valeur fixe: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Valeur fixe: 9843-4
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(FR Core Patient Profile(2.2.0-ballot)) | Who and/or what the observation is about
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Healthcare event during which this observation is made
effective[x] | S Σ C | 1..1 |  | Often just a dateTime for Vital Signs Constraints: vs-1
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole | FR Core Patient Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Who is responsible for the observation
Slices pour value[x] | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Non ordonné, Fermé par type:$this
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
value | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
dataAbsentReason | S 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from
component | S Σ C | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | Voir referenceRange (Observation) | Provides guide for interpretation of component result
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Observation.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | Std. FHIR
Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | Std. FHIR
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | Std. FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.category:VSCat | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.code | Base | extensible | Vital Signs | 📍4.0.1 | Std. FHIR
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | Std. FHIR
Observation.value[x]:valueQuantity.​code | Base | required | Body Length Units | 📍4.0.1 | Std. FHIR
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | Std. FHIR
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | Std. FHIR
Observation.method | Base | example | Observation Methods | 📍4.0.1 | Std. FHIR
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | Std. FHIR
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | Std. FHIR
Observation.component.​code | Base | extensible | Vital Signs | 📍4.0.1 | Std. FHIR
Observation.component.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | Std. FHIR
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
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 | bonne pratique | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Observation.meta, Observation.meta.extension, Observation.meta.versionId, Observation.meta.lastUpdated, Observation.meta.source, Observation.meta.profile, Observation.meta.profile:fr-canonical, Observation.meta.security, Observation.meta.tag, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.category:VSCat, Observation.category:VSCat.extension, Observation.category:VSCat.coding, Observation.category:VSCat.coding.extension, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.version, Observation.category:VSCat.coding.code, Observation.category:VSCat.coding.display, Observation.category:VSCat.coding.userSelected, Observation.category:VSCat.text, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.coding:HeadCircumCode, Observation.code.coding:HeadCircumCode.extension, Observation.code.coding:HeadCircumCode.system, Observation.code.coding:HeadCircumCode.version, Observation.code.coding:HeadCircumCode.code, Observation.code.coding:HeadCircumCode.display, Observation.code.coding:HeadCircumCode.userSelected, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueQuantity.extension, Observation.value[x]:valueQuantity.value, Observation.value[x]:valueQuantity.comparator, Observation.value[x]:valueQuantity.unit, Observation.value[x]:valueQuantity.system, Observation.value[x]:valueQuantity.code, Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Observation.meta.extension, Observation.extension, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.category:VSCat.extension, Observation.category:VSCat.coding.extension, Observation.code.extension, Observation.code.coding:HeadCircumCode.extension, Observation.value[x]:valueQuantity.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension | 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()`
vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | `$this is dateTime implies $this.toString().length() >= 10`
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | `(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
vs-3 | error | Observation.component | If there is no a value a data absent reason must be present | `value.exists() or dataAbsentReason.exists()`

This structure is derived from observation-headcircum

Résumé

Obligatoire : 1 élément
Must-Support : 1 élément

Structures

Cette structure fait référence à ces autres structures:

- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient|2.2.0-ballot)
- FR Core Encounter Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.2.0-ballot)
- CareTeam (http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1)
- RelatedPerson (http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1)
- FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner|2.2.0-ballot)
- PractitionerRole (http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1)
- FR Core Organization Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization|2.2.0-ballot)

Extensions

Cette structure fait référence à ces extensions:

- http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo|5.2.0

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of Observation.meta.profile
- The element 1 is sliced based on the value of Observation.value[x]

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-headcircum(4.0.1) | FHIR Head Circumference Profile Constraints: obs-6, obs-7, vs-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:supportingInfo | S | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices pour category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Non ordonné, Ouvert par value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding | S Σ | 1..* | Coding | Code defined by a terminology system
system | S Σ | 1..1 | uri | Identity of the terminology system Valeur fixe: http://terminology.hl7.org/CodeSystem/observation-category
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Valeur fixe: vital-signs
code | S Σ | 1..1 | CodeableConcept | Head Circumference Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices pour coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:code, value:system
coding:HeadCircumCode | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Valeur fixe: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Valeur fixe: 9843-4
subject | S Σ | 1..1 | Reference(FR Core Patient Profile(2.2.0-ballot)) | Who and/or what the observation is about
encounter | Σ | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Healthcare event during which this observation is made
effective[x] | S Σ C | 1..1 |  | Often just a dateTime for Vital Signs Constraints: vs-1
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | Σ | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole | FR Core Patient Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Who is responsible for the observation
Slices pour value[x] | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Non ordonné, Fermé par type:$this
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
value | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component | S Σ C | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | Std. FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.category:VSCat | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.code | Base | extensible | Vital Signs | 📍4.0.1 | Std. FHIR
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | Std. FHIR
Observation.value[x]:valueQuantity.​code | Base | required | Body Length Units | 📍4.0.1 | Std. FHIR
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.component.​code | Base | extensible | Vital Signs | 📍4.0.1 | Std. FHIR
Observation.component.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | Std. FHIR
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
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 | bonne pratique | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Observation.implicitRules, Observation.extension, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.status, Observation.category, Observation.category:VSCat, Observation.category:VSCat.coding, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.code, Observation.code, Observation.code.coding, Observation.code.coding:HeadCircumCode, Observation.code.coding:HeadCircumCode.system, Observation.code.coding:HeadCircumCode.code, Observation.subject, Observation.encounter, Observation.effective[x], Observation.performer, Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueQuantity.value, Observation.value[x]:valueQuantity.comparator, Observation.value[x]:valueQuantity.unit, Observation.value[x]:valueQuantity.system, Observation.value[x]:valueQuantity.code, Observation.dataAbsentReason, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Observation.extension, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.component.modifierExtension | 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()`
vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | `$this is dateTime implies $this.toString().length() >= 10`
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | `(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
vs-3 | error | Observation.component | If there is no a value a data absent reason must be present | `value.exists() or dataAbsentReason.exists()`

Differential View

This structure is derived from observation-headcircum

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | observation-headcircum(4.0.1) | FHIR Head Circumference Profile
meta |  |  |  |
Slices pour profile |  | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:fr-canonical |  | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-head-circum|2.2.0-ballot
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:supportingInfo | S | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
code |  |  |  |
coding |  | 1..* | Coding | Code defined by a terminology system
subject |  | 1..1 | Reference(FR Core Patient Profile(2.2.0-ballot)) | Who and/or what the observation is about
encounter |  | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Healthcare event during which this observation is made
performer |  | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole | FR Core Patient Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Who is responsible for the observation
value[x] |  | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Non ordonné, Ouvert par type:$this
Documentation pour ce format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-headcircum(4.0.1) | FHIR Head Circumference Profile Constraints: obs-6, obs-7, vs-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-head-circum|2.2.0-ballot
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:supportingInfo | S | 0..1 | Reference(Resource) | Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
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)
Slices pour category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Non ordonné, Ouvert par value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
coding | S Σ | 1..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
system | S Σ | 1..1 | uri | Identity of the terminology system Valeur fixe: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Valeur fixe: vital-signs
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | Head Circumference Binding: VitalSigns (extensible): This identifies the vital sign result type.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
Slices pour coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Non ordonné, Ouvert par value:code, value:system
coding:HeadCircumCode | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
system | Σ | 1..1 | uri | Identity of the terminology system Valeur fixe: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Valeur fixe: 9843-4
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(FR Core Patient Profile(2.2.0-ballot)) | Who and/or what the observation is about
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(FR Core Encounter Profile(2.2.0-ballot)) | Healthcare event during which this observation is made
effective[x] | S Σ C | 1..1 |  | Often just a dateTime for Vital Signs Constraints: vs-1
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile(2.2.0-ballot) | PractitionerRole | FR Core Patient Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot)) | Who is responsible for the observation
Slices pour value[x] | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Non ordonné, Fermé par type:$this
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
value | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Binding: BodyLengthUnits (required): Common UCUM units for body length measures such as Body Height and Head Circumference.
dataAbsentReason | S 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from
component | S Σ C | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange |  | 0..* | Voir referenceRange (Observation) | Provides guide for interpretation of component result
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Observation.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | Std. FHIR
Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | Std. FHIR
Observation.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Observation.status | Base | required | ObservationStatus | 📍4.0.1 | Std. FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.category:VSCat | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.code | Base | extensible | Vital Signs | 📍4.0.1 | Std. FHIR
Observation.value[x]:valueQuantity.​comparator | Base | required | QuantityComparator | 📍4.0.1 | Std. FHIR
Observation.value[x]:valueQuantity.​code | Base | required | Body Length Units | 📍4.0.1 | Std. FHIR
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | Std. FHIR
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | Std. FHIR
Observation.method | Base | example | Observation Methods | 📍4.0.1 | Std. FHIR
Observation.referenceRange.​type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | Std. FHIR
Observation.referenceRange.​appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | Std. FHIR
Observation.component.​code | Base | extensible | Vital Signs | 📍4.0.1 | Std. FHIR
Observation.component.​value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | Std. FHIR
Observation.component.​dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.component.​interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
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 | bonne pratique | Observation | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | Observation.meta, Observation.meta.extension, Observation.meta.versionId, Observation.meta.lastUpdated, Observation.meta.source, Observation.meta.profile, Observation.meta.profile:fr-canonical, Observation.meta.security, Observation.meta.tag, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.category:VSCat, Observation.category:VSCat.extension, Observation.category:VSCat.coding, Observation.category:VSCat.coding.extension, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.version, Observation.category:VSCat.coding.code, Observation.category:VSCat.coding.display, Observation.category:VSCat.coding.userSelected, Observation.category:VSCat.text, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.coding:HeadCircumCode, Observation.code.coding:HeadCircumCode.extension, Observation.code.coding:HeadCircumCode.system, Observation.code.coding:HeadCircumCode.version, Observation.code.coding:HeadCircumCode.code, Observation.code.coding:HeadCircumCode.display, Observation.code.coding:HeadCircumCode.userSelected, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueQuantity.extension, Observation.value[x]:valueQuantity.value, Observation.value[x]:valueQuantity.comparator, Observation.value[x]:valueQuantity.unit, Observation.value[x]:valueQuantity.system, Observation.value[x]:valueQuantity.code, Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Observation.meta.extension, Observation.extension, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.category:VSCat.extension, Observation.category:VSCat.coding.extension, Observation.code.extension, Observation.code.coding:HeadCircumCode.extension, Observation.value[x]:valueQuantity.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension | 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()`
vs-1 | error | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | `$this is dateTime implies $this.toString().length() >= 10`
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | `(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
vs-3 | error | Observation.component | If there is no a value a data absent reason must be present | `value.exists() or dataAbsentReason.exists()`

This structure is derived from observation-headcircum

Résumé

Obligatoire : 1 élément
Must-Support : 1 élément

Structures

Cette structure fait référence à ces autres structures:

- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient|2.2.0-ballot)
- FR Core Encounter Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter|2.2.0-ballot)
- CareTeam (http://hl7.org/fhir/StructureDefinition/CareTeam|4.0.1)
- RelatedPerson (http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1)
- FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner|2.2.0-ballot)
- PractitionerRole (http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1)
- FR Core Organization Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization|2.2.0-ballot)

Extensions

Cette structure fait référence à ces extensions:

- http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo|5.2.0

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of Observation.meta.profile
- The element 1 is sliced based on the value of Observation.value[x]

Other representations of profile: CSV, Excel, Schematron