{
  "resourceType": "StructureDefinition",
  "id": "mesures-observation-cholesterol-ldl",
  "url": "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-ldl",
  "name": "MesObservationCholesterolLDL",
  "title": "Cholestérol - LDL",
  "status": "active",
  "description": "Profil biologie de la ressource Observation pour définir le cholestérol LDL",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "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.code",
        "path": "Observation.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "2089-1",
              "system": "http://loinc.org",
              "display": "Cholestérol LDL [Masse/Volume] Sérum/Plasma ; Numérique"
            }
          ]
        }
      },
      {
        "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.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",
        "min": 1
      },
      {
        "id": "Observation.value[x].unit",
        "path": "Observation.value[x].unit",
        "min": 1,
        "patternString": "mmol/L"
      },
      {
        "id": "Observation.value[x].system",
        "path": "Observation.value[x].system",
        "patternUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.value[x].code",
        "path": "Observation.value[x].code",
        "min": 1,
        "patternCode": "mmol/L"
      },
      {
        "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 LDL est fortement conseillée pour déterminer si des résultats sont comparables et ainsi utiliser cette donnée.",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://smt.esante.gouv.fr/fhir/ValueSet/jdv-technique-biologie-cisis"
        }
      },
      {
        "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",
        "constraint": [
          {
            "key": "mes-ir",
            "human": "L'intervalle de référence est obligatoire dans le cas où la donnée provient d'un compte rendu de biologie.",
            "source": "https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-ldl",
            "severity": "error"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.type",
        "path": "Observation.referenceRange.type",
        "short": "Le type de référence permet d'indiquer s'il s'agit d'un intervalle de réfence ou d'un objectif cible."
      },
      {
        "id": "Observation.hasMember",
        "path": "Observation.hasMember",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom",
        "path": "Observation.derivedFrom",
        "max": "0"
      }
    ]
  }
}