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Guide d'implémentation FHIR - Mesures de santé
3.1.1 - ci-build France flag

Guide d'implémentation FHIR - Mesures de santé, publié par ANS. Ce guide nest pas une publication autorisée ; cest la version en intégration continue pour la version 3.1.1 construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/ansforge/IG-fhir-mesures-de-sante/ et change régulièrement. Voir le répertoire des versions publiées

: Exemple de bundle FHIR pour un bilan lipidique et une glycémie - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="example-mes-fr-bundle-bio-003"/>
  <meta>
    <profile
             value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-bundle-flux-alimentation-biologie"/>
  </meta>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:c727171b-3dcc-45e9-aa9f-31498d962e58"/>
    <resource>
      <DiagnosticReport>
        <id value="example-mes-fr-diagnostic-report-cholesterol-003"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-diagnostic-report"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_example-mes-fr-diagnostic-report-cholesterol-003"> </a><p class="res-header-id"><b>Narratif généré : RapportDiagnostique example-mes-fr-diagnostic-report-cholesterol-003</b></p><a name="example-mes-fr-diagnostic-report-cholesterol-003"> </a><a name="hcexample-mes-fr-diagnostic-report-cholesterol-003"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-diagnostic-report.html">DiagnosticReport mesures biologie</a></p></div><h2><span title="Codes :{http://loinc.org 11502-2}">Compte rendu du laboratoire [Recherche] Patient ; Document</span> </h2><table class="grid"/><p><b>Détails du rapport</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Valeur</b></td><td><b>Plage de référence</b></td><td><b>Drapeaux</b></td><td><b>When For</b></td></tr><tr><td><a href="Observation-b7a049e3-c07e-4e1c-95a5-909da37f75ce.html"><span title="Codes :{http://loinc.org 2093-3}">Cholestérol [Masse/Volume] Sérum/Plasma ; Numérique</span></a></td><td>0.4 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span> - 11.1 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>Final</td><td>2024-10-15</td></tr><tr><td><a href="Observation-7b166d82-27b6-4878-9765-3fe101618edf.html"><span title="Codes :{http://loinc.org 2085-9}">Cholestérol HDL [Masse/Volume] Sérum/Plasma ; Numérique</span></a></td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>&gt;3.1 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>Final</td><td>2024-10-15</td></tr><tr><td><a href="Observation-9bd2b013-27b0-4283-aa9e-fe7a5e0c6f1e.html"><span title="Codes :{http://loinc.org 2089-1}">Cholestérol LDL [Masse/Volume] Sérum/Plasma ; Numérique</span></a></td><td>7.8 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>&lt;2.6 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>Final</td><td>2024-10-15</td></tr><tr><td><a href="Observation-645f7341-715f-44fb-87e9-93f2e7d125a5.html"><span title="Codes :{http://loinc.org 2571-8}">Triglycérides [Masse/Volume] Sérum/Plasma ; Numérique</span></a></td><td>5.6 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span> - 21.1 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>Final</td><td>2024-10-15</td></tr><tr><td><a href="Observation-8057b6ec-1417-4f1f-9a00-b0c46e7e71b1.html"><span title="Codes :{https://mos.esante.gouv.fr/NOS/TRE_A04-Loinc/FHIR/TRE-A04-Loinc 4548-4}">Hémoglobine A1c %</span></a></td><td>92 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmg/dL = 'mg/dL')</span></td><td>70 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmg/dL = 'mg/dL')</span> - 100 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmg/dL = 'mg/dL')</span></td><td>Final</td><td>2022-11-06</td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11502-2"/>
            <display
                     value="Compte rendu du laboratoire [Recherche] Patient ; Document"/>
          </coding>
        </code>
        <result>🔗 
          <reference
                     value="Observation/b7a049e3-c07e-4e1c-95a5-909da37f75ce"/>
        </result>
        <result>🔗 
          <reference
                     value="Observation/7b166d82-27b6-4878-9765-3fe101618edf"/>
        </result>
        <result>🔗 
          <reference
                     value="Observation/9bd2b013-27b0-4283-aa9e-fe7a5e0c6f1e"/>
        </result>
        <result>🔗 
          <reference
                     value="Observation/645f7341-715f-44fb-87e9-93f2e7d125a5"/>
        </result>
        <result>🔗 
          <reference
                     value="Observation/8057b6ec-1417-4f1f-9a00-b0c46e7e71b1"/>
        </result>
      </DiagnosticReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="DiagnosticReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:9bd2b013-27b0-4283-aa9e-fe7a5e0c6f1e"/>
    <resource>
      <Observation>
        <id value="9bd2b013-27b0-4283-aa9e-fe7a5e0c6f1e"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-ldl"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_9bd2b013-27b0-4283-aa9e-fe7a5e0c6f1e"> </a><p class="res-header-id"><b>Narratif généré : Observation 9bd2b013-27b0-4283-aa9e-fe7a5e0c6f1e</b></p><a name="9bd2b013-27b0-4283-aa9e-fe7a5e0c6f1e"> </a><a name="hc9bd2b013-27b0-4283-aa9e-fe7a5e0c6f1e"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-observation-cholesterol-ldl.html">Cholestérol - LDL</a></p></div><blockquote><p><b>Valeur originale</b></p><ul><li>has-been-converted: true</li><li>original-code: <span title="Codes :{http://loinc.org 2089-1}">Cholestérol LDL [Masse/Volume] Sérum/Plasma ; Numérique</span></li><li>original-value: 3.02 g/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMg/L = 'g/L')</span></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes :{http://loinc.org 2089-1}">Cholestérol LDL [Masse/Volume] Sérum/Plasma ; Numérique</span></p><p><b>subject</b>: <a href="Patient-example-mes-fr-patient-001.html">Pierre Durand</a></p><p><b>effective</b>: 2024-10-15</p><p><b>value</b>: 7.8 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></p><p><b>method</b>: <span title="Codes :{https://smt.esante.gouv.fr/terminologie-tccr DEG}">DEG</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>2.6 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td></tr></table></div>
        </text>
        <extension
                   url="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-original-data">
          <extension url="has-been-converted">
            <valueBoolean value="true"/>
          </extension>
          <extension url="original-code">
            <valueCodeableConcept>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2089-1"/>
                <display
                         value="Cholestérol LDL [Masse/Volume] Sérum/Plasma ; Numérique"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="original-value">
            <valueQuantity>
              <value value="3.02"/>
              <unit value="g/L"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="g/L"/>
            </valueQuantity>
          </extension>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2089-1"/>
            <display
                     value="Cholestérol LDL [Masse/Volume] Sérum/Plasma ; Numérique"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/example-mes-fr-patient-001"/>
          <type value="Patient"/>
          <display value="Pierre Durand"/>
        </subject>
        <effectiveDateTime value="2024-10-15"/>
        <valueQuantity>
          <value value="7.8"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <method>
          <coding>
            <system value="https://smt.esante.gouv.fr/terminologie-tccr"/>
            <code value="DEG"/>
          </coding>
        </method>
        <referenceRange>
          <high>
            <value value="2.6"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </high>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7b166d82-27b6-4878-9765-3fe101618edf"/>
    <resource>
      <Observation>
        <id value="7b166d82-27b6-4878-9765-3fe101618edf"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-hdl"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_7b166d82-27b6-4878-9765-3fe101618edf"> </a><p class="res-header-id"><b>Narratif généré : Observation 7b166d82-27b6-4878-9765-3fe101618edf</b></p><a name="7b166d82-27b6-4878-9765-3fe101618edf"> </a><a name="hc7b166d82-27b6-4878-9765-3fe101618edf"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-observation-cholesterol-hdl.html">Cholestérol - HDL</a></p></div><blockquote><p><b>Valeur originale</b></p><ul><li>has-been-converted: true</li><li>original-code: <span title="Codes :{http://loinc.org 2085-9}">Cholestérol HDL [Masse/Volume] Sérum/Plasma ; Numérique</span></li><li>original-value: 1.08 g/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMg/L = 'g/L')</span></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes :{http://loinc.org 2085-9}">Cholestérol HDL [Masse/Volume] Sérum/Plasma ; Numérique</span></p><p><b>subject</b>: <a href="Patient-example-mes-fr-patient-001.html">Pierre Durand</a></p><p><b>effective</b>: 2024-10-15</p><p><b>value</b>: 2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></p><p><b>method</b>: <span title="Codes :{https://smt.esante.gouv.fr/terminologie-tccr DEG}">DEG</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td></tr><tr><td style="display: none">*</td><td>3.1 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td></tr></table></div>
        </text>
        <extension
                   url="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-original-data">
          <extension url="has-been-converted">
            <valueBoolean value="true"/>
          </extension>
          <extension url="original-code">
            <valueCodeableConcept>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2085-9"/>
                <display
                         value="Cholestérol HDL [Masse/Volume] Sérum/Plasma ; Numérique"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="original-value">
            <valueQuantity>
              <value value="1.08"/>
              <unit value="g/L"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="g/L"/>
            </valueQuantity>
          </extension>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2085-9"/>
            <display
                     value="Cholestérol HDL [Masse/Volume] Sérum/Plasma ; Numérique"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/example-mes-fr-patient-001"/>
          <type value="Patient"/>
          <display value="Pierre Durand"/>
        </subject>
        <effectiveDateTime value="2024-10-15"/>
        <valueQuantity>
          <value value="2.8"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <method>
          <coding>
            <system value="https://smt.esante.gouv.fr/terminologie-tccr"/>
            <code value="DEG"/>
          </coding>
        </method>
        <referenceRange>
          <low>
            <value value="3.1"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </low>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:645f7341-715f-44fb-87e9-93f2e7d125a5"/>
    <resource>
      <Observation>
        <id value="645f7341-715f-44fb-87e9-93f2e7d125a5"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-trigly"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_645f7341-715f-44fb-87e9-93f2e7d125a5"> </a><p class="res-header-id"><b>Narratif généré : Observation 645f7341-715f-44fb-87e9-93f2e7d125a5</b></p><a name="645f7341-715f-44fb-87e9-93f2e7d125a5"> </a><a name="hc645f7341-715f-44fb-87e9-93f2e7d125a5"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-observation-cholesterol-trigly.html">Cholestérol - triglycerides</a></p></div><blockquote><p><b>Valeur originale</b></p><ul><li>has-been-converted: true</li><li>original-code: <span title="Codes :{http://loinc.org 2571-8}">Triglycérides [Masse/Volume] Sérum/Plasma ; Numérique</span></li><li>original-value: 4.9 g/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMg/L = 'g/L')</span></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes :{http://loinc.org 2571-8}">Triglycérides [Masse/Volume] Sérum/Plasma ; Numérique</span></p><p><b>subject</b>: <a href="Patient-example-mes-fr-patient-001.html">Pierre Durand</a></p><p><b>effective</b>: 2024-10-15</p><p><b>value</b>: 5.6 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></p><p><b>method</b>: <span title="Codes :{https://smt.esante.gouv.fr/terminologie-tccr DEG}">DEG</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>21.1 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td></tr></table></div>
        </text>
        <extension
                   url="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-original-data">
          <extension url="has-been-converted">
            <valueBoolean value="true"/>
          </extension>
          <extension url="original-code">
            <valueCodeableConcept>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2571-8"/>
                <display
                         value="Triglycérides [Masse/Volume] Sérum/Plasma ; Numérique"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension url="original-value">
            <valueQuantity>
              <value value="4.9"/>
              <unit value="g/L"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="g/L"/>
            </valueQuantity>
          </extension>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2571-8"/>
            <display
                     value="Triglycérides [Masse/Volume] Sérum/Plasma ; Numérique"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/example-mes-fr-patient-001"/>
          <type value="Patient"/>
          <display value="Pierre Durand"/>
        </subject>
        <effectiveDateTime value="2024-10-15"/>
        <valueQuantity>
          <value value="5.6"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
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        <method>
          <coding>
            <system value="https://smt.esante.gouv.fr/terminologie-tccr"/>
            <code value="DEG"/>
          </coding>
        </method>
        <referenceRange>
          <low>
            <value value="2.8"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </low>
          <high>
            <value value="21.1"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </high>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b7a049e3-c07e-4e1c-95a5-909da37f75ce"/>
    <resource>
      <Observation>
        <id value="b7a049e3-c07e-4e1c-95a5-909da37f75ce"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-total"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_b7a049e3-c07e-4e1c-95a5-909da37f75ce"> </a><p class="res-header-id"><b>Narratif généré : Observation b7a049e3-c07e-4e1c-95a5-909da37f75ce</b></p><a name="b7a049e3-c07e-4e1c-95a5-909da37f75ce"> </a><a name="hcb7a049e3-c07e-4e1c-95a5-909da37f75ce"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-observation-cholesterol-total.html">Cholestérol - total</a></p></div><blockquote><p><b>Valeur originale</b></p><ul><li>has-been-converted: true</li><li>original-code: <span title="Codes :{http://loinc.org 2093-3}">Cholestérol [Masse/Volume] Sérum/Plasma ; Numérique</span></li><li>original-value: 0.155 g/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMg/L = 'g/L')</span></li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes :{http://loinc.org 2093-3}">Cholestérol [Masse/Volume] Sérum/Plasma ; Numérique</span></p><p><b>subject</b>: <a href="Patient-example-mes-fr-patient-001.html">Pierre Durand</a></p><p><b>effective</b>: 2024-10-15</p><p><b>value</b>: 0.4 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></p><p><b>method</b>: <span title="Codes :{https://smt.esante.gouv.fr/terminologie-tccr DEG}">DEG</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td><td>11.1 mmol/L<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmmol/L = 'mmol/L')</span></td></tr></table></div>
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