{
  "resourceType": "StructureDefinition",
  "id": "mesures-observation-glucose",
  "url": "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-glucose",
  "name": "MesObservationGlucose",
  "title": "Glycémie",
  "status": "active",
  "description": "Profil biologie de la ressource Observation pour définir une Glycémie\n\nCe profil permet de gérer 3 types d'indicateurs de glycémie:\n- le taux de glucose sanguin, mesuré en mg/dl\n- le taux de glucose interstitiel, mesuré en mg/dl\n- l’index de gestion de glycémie (IGG) qui procure une estimation de l’HbA1c également mesuré en %\n\nL'extension MesNumberOfDays permet de spécifier le nombre de jours dans la mesure du taux de glucose interstitiel et de l’index de gestion de glycémie (IGG) .\n\nL'extension MesMomentOfMeasurement (contexte de la mesure) est utilisée dans le cas de la mesure du glucose sanguin.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/vitalsigns",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.meta.source",
        "path": "Observation.meta.source",
        "short": "Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’une oid : « urn:oid:xx.xx.xx »"
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:supportingInfo",
        "path": "Observation.extension",
        "sliceName": "supportingInfo",
        "definition": "Autres ressources pertinentes *du dossier patient*",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:MesReasonForMeasurement",
        "path": "Observation.extension",
        "sliceName": "MesReasonForMeasurement",
        "short": "Motif de la mesure",
        "definition": "Motif de la mesure\r\nTexte libre (ex. diabète, surpoids, hypercholestérolémie, risque cardiovasculaire, suivi, ...)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:mes-original-data",
        "path": "Observation.extension",
        "sliceName": "mes-original-data",
        "short": "Valeur d'origine de la donnée. Cette extension est présente uniquement si le résultat contenu dans Observation.value provient d'une conversion (par ex. g/L converti en mmol/L)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-original-data"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:MesMomentOfMeasurement",
        "path": "Observation.extension",
        "sliceName": "MesMomentOfMeasurement",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:MesMomentOfMeasurement.value[x]",
        "path": "Observation.extension.value[x]",
        "binding": {
          "strength": "required",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS"
        }
      },
      {
        "id": "Observation.extension:MesNumberOfDays",
        "path": "Observation.extension",
        "sliceName": "MesNumberOfDays",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days"
            ]
          }
        ]
      },
      {
        "id": "Observation.category:VSCat",
        "path": "Observation.category",
        "sliceName": "VSCat"
      },
      {
        "id": "Observation.category:VSCat.coding.display",
        "path": "Observation.category.coding.display",
        "patternString": "vital-signs"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "Types de glycémie:\r\n• Glucose sanguin\r\n• Glucose interstitiel\r\n• Index de gestion de glycémie (IGG)",
        "binding": {
          "strength": "extensible",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS"
        }
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient"
            ]
          }
        ]
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter"
            ]
          }
        ]
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-related-person",
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient",
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization"
            ]
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.value[x].value",
        "path": "Observation.value[x].value",
        "short": "Valeur mesurée"
      },
      {
        "id": "Observation.value[x].system",
        "path": "Observation.value[x].system",
        "min": 1,
        "patternUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.value[x].code",
        "path": "Observation.value[x].code",
        "min": 1,
        "binding": {
          "strength": "required",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS",
          "description": "https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS"
        }
      },
      {
        "id": "Observation.dataAbsentReason.coding.system",
        "path": "Observation.dataAbsentReason.coding.system",
        "min": 1
      },
      {
        "id": "Observation.dataAbsentReason.coding.code",
        "path": "Observation.dataAbsentReason.coding.code",
        "min": 1
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "short": "La méthode de mesure du cholestérol total est fortement conseillée pour déterminer si des résultats sont comparables et ainsi interpréter cette donnée.",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vs"
        }
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "short": "Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. \r\nSi la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "short": "Associer la mesure à l'intervalle de référence est fortement recommandé pour interpréter le résultat par rapport à la norme, qui peut varier selon de nombreux critères : la méthode d'analyse, l'age, le sexe, ...",
        "max": "1",
        "mustSupport": true
      }
    ]
  }
}