Search FHIR

Guide d'implémentation FHIR - Mesures de santé
3.1.0 - 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 3.1.0 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

Resource Profile: DiagnosticReport mesures biologie

Official URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-diagnostic-report Version: 3.1.0
Active as of 2026-01-20 Computable Name: MesDiagnosticReport

Profil biologie de la ressource DiagnosticReport pour définir un rapport de biologie

Utilisations:

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.

This structure is derived from DiagnosticReport

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... code 1..1 CodeableConcept Name/Code for this diagnostic report
Motif requis: Au moins les éléments suivants
.... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
..... system 1..1 uri Identity of the terminology system
Valeur fixe : http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : 11502-2
..... display 1..1 string Representation defined by the system
Valeur fixe : Compte rendu du laboratoire [Recherche] Patient ; Document
... Slices pour result 0..* Reference(Observation) Observations
Slice: Non ordonné, Ouvert par profile:resolve()
.... result:ldl-cholesterol S 0..1 Reference(Cholestérol - LDL) Observations
.... result:hdl-cholesterol S 0..1 Reference(Cholestérol - HDL) Observations
.... result:total-cholesterol S 0..1 Reference(Cholestérol - total) Observations
.... result:trigly-cholesterol S 0..1 Reference(Observation) Observations
.... result:cholesterol-aspect S 0..1 Reference(Cholestérol - aspect) Observations
.... result:glycemie S 0..1 Reference(Glycémie) Observations

doco Documentation pour ce format
NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Valeur fixe : http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : 11502-2
..... display 1..1 string Representation defined by the system
Valeur fixe : Compte rendu du laboratoire [Recherche] Patient ; Document
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices pour result 0..* Reference(Observation) Observations
Slice: Non ordonné, Ouvert par profile:resolve()
.... result:ldl-cholesterol S 0..1 Reference(Cholestérol - LDL) Observations
.... result:hdl-cholesterol S 0..1 Reference(Cholestérol - HDL) Observations
.... result:total-cholesterol S 0..1 Reference(Cholestérol - total) Observations
.... result:trigly-cholesterol S 0..1 Reference(Observation) Observations
.... result:cholesterol-aspect S 0..1 Reference(Cholestérol - aspect) Observations
.... result:glycemie S 0..1 Reference(Glycémie) Observations

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 Std. FHIR
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport 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 DiagnosticReport 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 DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 bonne pratique DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **TOUS** les éléments All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **TOUTES** les extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... 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
... 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 report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Motif requis: Au moins les éléments suivants
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Valeur fixe : http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : 11502-2
..... display 1..1 string Representation defined by the system
Valeur fixe : Compte rendu du laboratoire [Recherche] Patient ; Document
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... Slices pour result 0..* Reference(Observation) Observations
Slice: Non ordonné, Ouvert par profile:resolve()
.... result:ldl-cholesterol S 0..1 Reference(Cholestérol - LDL) Observations
.... result:hdl-cholesterol S 0..1 Reference(Cholestérol - HDL) Observations
.... result:total-cholesterol S 0..1 Reference(Cholestérol - total) Observations
.... result:trigly-cholesterol S 0..1 Reference(Observation) Observations
.... result:cholesterol-aspect S 0..1 Reference(Cholestérol - aspect) Observations
.... result:glycemie S 0..1 Reference(Glycémie) Observations
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... 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
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 Std. FHIR
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 Std. FHIR
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 Std. FHIR
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 Std. FHIR
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport 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 DiagnosticReport 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 DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 bonne pratique DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **TOUS** les éléments All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **TOUTES** les extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... code 1..1 CodeableConcept Name/Code for this diagnostic report
Motif requis: Au moins les éléments suivants
.... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
..... system 1..1 uri Identity of the terminology system
Valeur fixe : http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : 11502-2
..... display 1..1 string Representation defined by the system
Valeur fixe : Compte rendu du laboratoire [Recherche] Patient ; Document
... Slices pour result 0..* Reference(Observation) Observations
Slice: Non ordonné, Ouvert par profile:resolve()
.... result:ldl-cholesterol S 0..1 Reference(Cholestérol - LDL) Observations
.... result:hdl-cholesterol S 0..1 Reference(Cholestérol - HDL) Observations
.... result:total-cholesterol S 0..1 Reference(Cholestérol - total) Observations
.... result:trigly-cholesterol S 0..1 Reference(Observation) Observations
.... result:cholesterol-aspect S 0..1 Reference(Cholestérol - aspect) Observations
.... result:glycemie S 0..1 Reference(Glycémie) Observations

doco Documentation pour ce format

Key Elements View

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Valeur fixe : http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : 11502-2
..... display 1..1 string Representation defined by the system
Valeur fixe : Compte rendu du laboratoire [Recherche] Patient ; Document
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices pour result 0..* Reference(Observation) Observations
Slice: Non ordonné, Ouvert par profile:resolve()
.... result:ldl-cholesterol S 0..1 Reference(Cholestérol - LDL) Observations
.... result:hdl-cholesterol S 0..1 Reference(Cholestérol - HDL) Observations
.... result:total-cholesterol S 0..1 Reference(Cholestérol - total) Observations
.... result:trigly-cholesterol S 0..1 Reference(Observation) Observations
.... result:cholesterol-aspect S 0..1 Reference(Cholestérol - aspect) Observations
.... result:glycemie S 0..1 Reference(Glycémie) Observations

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 Std. FHIR
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport 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 DiagnosticReport 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 DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 bonne pratique DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **TOUS** les éléments All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **TOUTES** les extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Snapshot View

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... 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
... 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 report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Motif requis: Au moins les éléments suivants
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Valeur fixe : http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : 11502-2
..... display 1..1 string Representation defined by the system
Valeur fixe : Compte rendu du laboratoire [Recherche] Patient ; Document
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... Slices pour result 0..* Reference(Observation) Observations
Slice: Non ordonné, Ouvert par profile:resolve()
.... result:ldl-cholesterol S 0..1 Reference(Cholestérol - LDL) Observations
.... result:hdl-cholesterol S 0..1 Reference(Cholestérol - HDL) Observations
.... result:total-cholesterol S 0..1 Reference(Cholestérol - total) Observations
.... result:trigly-cholesterol S 0..1 Reference(Observation) Observations
.... result:cholesterol-aspect S 0..1 Reference(Cholestérol - aspect) Observations
.... result:glycemie S 0..1 Reference(Glycémie) Observations
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... 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
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 Std. FHIR
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 Std. FHIR
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 Std. FHIR
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 Std. FHIR
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport 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 DiagnosticReport 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 DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 bonne pratique DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **TOUS** les éléments All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **TOUTES** les extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron