Guide d'implémentation FHIR - Mesures de santé
3.1.1 - ci-build
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
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<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>>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><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>
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<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>
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<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>
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<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>
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<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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<type value="Patient"/>
<display value="Pierre Durand"/>
</subject>
<effectiveDateTime value="2024-10-15"/>
<valueQuantity>
<value value="0.4"/>
<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"/>
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<low>
<value value="2.8"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
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<high>
<value value="11.1"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
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<url value="Observation"/>
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<entry>
<fullUrl value="urn:uuid:8057b6ec-1417-4f1f-9a00-b0c46e7e71b1"/>
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<Observation>
<id value="8057b6ec-1417-4f1f-9a00-b0c46e7e71b1"/>
<meta>
<profile
value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-glucose"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_8057b6ec-1417-4f1f-9a00-b0c46e7e71b1"> </a><p class="res-header-id"><b>Narratif généré : Observation 8057b6ec-1417-4f1f-9a00-b0c46e7e71b1</b></p><a name="8057b6ec-1417-4f1f-9a00-b0c46e7e71b1"> </a><a name="hc8057b6ec-1417-4f1f-9a00-b0c46e7e71b1"> </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-glucose.html">Glycémie</a></p></div><p><b>Raison de la mesure</b>: Malaise du patient</p><p><b>Moment de la mesure</b>: <span title="Codes :{https://mos.esante.gouv.fr/NOS/TRE_A04-Loinc/FHIR/TRE-A04-Loinc 16915-1}">Glucose post prandial</span></p><p><b>Nombre de jours</b>: <span title="Codes :{https://mos.esante.gouv.fr/NOS/TRE_R308-TAASIP/FHIR/TRE-R308-TAASIP GEN-275}">7j</span></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes :{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes :{https://mos.esante.gouv.fr/NOS/TRE_A04-Loinc/FHIR/TRE-A04-Loinc 4548-4}">Hémoglobine A1c %</span></p><p><b>subject</b>: <a href="Patient-example-mes-fr-patient-001.html">Pierre Durand</a></p><p><b>effective</b>: 2022-11-06</p><p><b>value</b>: 92 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmg/dL = 'mg/dL')</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>70 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmg/dL = 'mg/dL')</span></td><td>100 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Détails : code UCUMmg/dL = 'mg/dL')</span></td></tr></table></div>
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<coding>
<system
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<code value="16915-1"/>
<display value="Glucose post prandial"/>
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<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="GEN-275"/>
<display value="7j"/>
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<status value="final"/>
<category>
<coding>
<system
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<code value="vital-signs"/>
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<system
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<code value="4548-4"/>
</coding>
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<subject>🔗
<reference value="Patient/example-mes-fr-patient-001"/>
<type value="Patient"/>
<display value="Pierre Durand"/>
</subject>
<effectiveDateTime value="2022-11-06"/>
<valueQuantity>
<value value="92"/>
<unit value="milligramme par décilitre"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
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<low>
<value value="70"/>
<unit value="milligramme par décilitre"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
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<value value="100"/>
<unit value="milligramme par décilitre"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
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<url value="Observation"/>
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