FR Document Core (FHIR), published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ansforge/interop-IG-fhir-document-core/ and changes regularly. See the Directory of published versions

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Resource Profile: Observation - FR Observation Laboratory Report Results Document

FRObservationLaboratoryReportResultsDocument décrit un résultat d’examen de biologie médicale.

Usages:

• Refer to this Profile: DiagnosticReport - FR Diagnostic Report BIO chapter Document, DiagnosticReport - FR Diagnostic Report Document and Observation - FR Observation Laboratory Report Results Document

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation(4.0.1)	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:author		0..1	(Complex)	Auteur URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: AUT
extension:typeCode		0..1	Extension	Type de participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
extension:actor		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:validateurResultat		0..1	(Complex)	Validateur de résultats URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
extension:actor		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:responsableExamen		0..1	(Complex)	Responsable de l'évaluation URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
extension:actor		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:dispositifAuto		0..*	(Complex)	Dispositif automatique URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
extension:actor		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(Device)	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:supportingInfo	S	0..*	Reference(Resource)	Résultats antérieurs URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SΣ	1..1	code	Niveau de complétude : - 'final' si le résultat est présent - 'cancelled' dans le cas où l'élément d'examen n’a pu être et ne sera pas réalisé - 'registered' le résultat n'est pas encore disponible et est attendu Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Code du chapitre Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Code d'identification de l'analyse ou de l'observation Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code d'identification d'attente national ou code de portée locale
text	Σ	0..1	string	Référence à l'expression verbale dans la partie visualisable du compte-rendu
subject	SΣ	1..1	Reference(FR Patient INS Document(0.1.0))	1. Si le spécimen provient du corps du patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.type contraint par le JDV jdv-specimen-type-cisis 2. Si spécimen extérieur au patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.subject = Référence vers Substance Dans Substance : - substance.category depuis le JDV HL7 substance-category - substance.code.coding / display / system
Slices for effective[x]	SΣ	0..1		Date et heure du résultat Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Clinically relevant time/time-period for observation
start	ΣC	0..1	dateTime	Début de la période
end	ΣC	0..1	dateTime	Fin de la période
performer	SΣ	0..1	Reference(FR Organization Document(0.1.0))	Laboratoire exécutant
Slices for value[x]	SΣC	0..1		Valeur du résultat : Le type de valeur (value[x]) est choisi dynamiquement. Les autres attributs qui qualifient cette valeur (comme par exemple l'unité : unit) dépendent du type de donnée choisi. Les résultats qualitatifs codés peuvent le cas échéant être exprimés dans plusieurs systèmes de codage simultanément. De même les résultats numériques peuvent être exprimés simultanément dans plusieurs unités. Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueRange	SΣC	0..1	Range	Intervalles de référence
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit
interpretation	S	0..*	CodeableConcept	Code d'interprétation Binding: ObservationInterpretation (20260619134042) (required)
note	S	0..*	Annotation	Commentaires associés à l'observation
method	S	0..1	CodeableConcept	Méthode ou technique employée Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Specimen - FR Specimen Document(0.1.0))	Prélèvement
hasMember	SΣ	0..*	Reference(Observation - FR Observation Laboratory Report Results Document(0.1.0))	Lien vers batterie d’examens ou résultats d’examens cliniquement pertinents ou isolat microbiologique
derivedFrom	SΣ	0..*	Reference(Media - FR Media Document(0.1.0))	Image illustrative
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:author.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:validateurResultat.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:validateurResultat.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.extension:responsableExamen.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:dispositifAuto.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:dispositifAuto.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.interpretation	Base	required	ObservationInterpretation	📍20260619134042	Terminologies de Santé v1.11
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Observation.implicitRules, Observation.extension, Observation.extension:author, Observation.extension:author.extension, Observation.extension:author.extension:type, Observation.extension:author.extension:type.value[x], Observation.extension:author.extension:typeCode, Observation.extension:author.extension:actor, Observation.extension:author.extension:actor.value[x], Observation.extension:validateurResultat, Observation.extension:validateurResultat.extension, Observation.extension:validateurResultat.extension:type, Observation.extension:validateurResultat.extension:type.value[x], Observation.extension:validateurResultat.extension:typeCode, Observation.extension:validateurResultat.extension:typeCode.value[x], Observation.extension:validateurResultat.extension:actor, Observation.extension:validateurResultat.extension:actor.value[x], Observation.extension:responsableExamen, Observation.extension:responsableExamen.extension, Observation.extension:responsableExamen.extension:type, Observation.extension:responsableExamen.extension:type.value[x], Observation.extension:responsableExamen.extension:typeCode, Observation.extension:responsableExamen.extension:actor, Observation.extension:responsableExamen.extension:actor.value[x], Observation.extension:dispositifAuto, Observation.extension:dispositifAuto.extension, Observation.extension:dispositifAuto.extension:type, Observation.extension:dispositifAuto.extension:type.value[x], Observation.extension:dispositifAuto.extension:typeCode, Observation.extension:dispositifAuto.extension:typeCode.value[x], Observation.extension:dispositifAuto.extension:actor, Observation.extension:dispositifAuto.extension:actor.value[x], Observation.extension:supportingInfo, Observation.modifierExtension, Observation.status, Observation.category, Observation.code, Observation.code.coding, Observation.code.text, Observation.subject, Observation.effective[x], Observation.effective[x]:effectivePeriod, Observation.effective[x]:effectivePeriod.start, Observation.effective[x]:effectivePeriod.end, Observation.performer, Observation.value[x], Observation.value[x]:valueRange, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.interpretation, Observation.note, Observation.method, Observation.specimen, Observation.hasMember, Observation.derivedFrom	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.extension, Observation.extension:author, Observation.extension:author.extension, Observation.extension:author.extension:type, Observation.extension:author.extension:typeCode, Observation.extension:author.extension:actor, Observation.extension:validateurResultat, Observation.extension:validateurResultat.extension, Observation.extension:validateurResultat.extension:type, Observation.extension:validateurResultat.extension:typeCode, Observation.extension:validateurResultat.extension:actor, Observation.extension:responsableExamen, Observation.extension:responsableExamen.extension, Observation.extension:responsableExamen.extension:type, Observation.extension:responsableExamen.extension:typeCode, Observation.extension:responsableExamen.extension:actor, Observation.extension:dispositifAuto, Observation.extension:dispositifAuto.extension, Observation.extension:dispositifAuto.extension:type, Observation.extension:dispositifAuto.extension:typeCode, Observation.extension:dispositifAuto.extension:actor, Observation.extension:supportingInfo, Observation.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	Observation(4.0.1)	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:author		0..1	(Complex)	Auteur URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		0..1	code	Value of extension Required Pattern: AUT
extension:actor		1..1	Extension	Extension
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:validateurResultat		0..1	(Complex)	Validateur de résultats URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		0..1	code	Value of extension Required Pattern: PART
extension:typeCode		0..1	Extension	Extension
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
coding
code		0..1	code	Symbol in syntax defined by the system Required Pattern: AUTHEN
extension:actor		1..1	Extension	Extension
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:responsableExamen		0..1	(Complex)	Responsable de l'évaluation URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		0..1	code	Value of extension Required Pattern: PART
extension:typeCode		0..1	Extension	Extension
value[x]
coding
code		0..1	code	Symbol in syntax defined by the system Required Pattern: RESP
extension:actor		1..1	Extension	Extension
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:dispositifAuto		0..*	(Complex)	Dispositif automatique URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		0..1	code	Value of extension Required Pattern: PART
extension:typeCode		0..1	Extension	Extension
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
coding
code		0..1	code	Symbol in syntax defined by the system Required Pattern: DEV
extension:actor		1..1	Extension	Extension
value[x]		0..1	Reference(Device)	Value of extension
extension:supportingInfo	S	0..*	Reference(Resource)	Résultats antérieurs URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
status	S	1..1	code	Niveau de complétude : - 'final' si le résultat est présent - 'cancelled' dans le cas où l'élément d'examen n’a pu être et ne sera pas réalisé - 'registered' le résultat n'est pas encore disponible et est attendu
category	S	0..*	CodeableConcept	Code du chapitre
code	S	1..1	CodeableConcept	Code d'identification de l'analyse ou de l'observation
coding		0..*	Coding	Code d'identification d'attente national ou code de portée locale
text		0..1	string	Référence à l'expression verbale dans la partie visualisable du compte-rendu
subject	S	1..1	Reference(FR Patient INS Document(0.1.0))	1. Si le spécimen provient du corps du patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.type contraint par le JDV jdv-specimen-type-cisis 2. Si spécimen extérieur au patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.subject = Référence vers Substance Dans Substance : - substance.category depuis le JDV HL7 substance-category - substance.code.coding / display / system
Slices for effective[x]	S	0..1		Date et heure du résultat Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod		0..1	Period	Clinically relevant time/time-period for observation
start		0..1	dateTime	Début de la période
end		0..1	dateTime	Fin de la période
performer	S	0..1	Reference(FR Organization Document(0.1.0))	Laboratoire exécutant
Slices for value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Valeur du résultat : Le type de valeur (value[x]) est choisi dynamiquement. Les autres attributs qui qualifient cette valeur (comme par exemple l'unité : unit) dépendent du type de donnée choisi. Les résultats qualitatifs codés peuvent le cas échéant être exprimés dans plusieurs systèmes de codage simultanément. De même les résultats numériques peuvent être exprimés simultanément dans plusieurs unités. Slice: Unordered, Open by type:$this
value[x]:valueRange	S	0..1	Range	Intervalles de référence
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
interpretation	S	0..*	CodeableConcept	Code d'interprétation Binding: ObservationInterpretation (20260619134042) (required)
note	S	0..*	Annotation	Commentaires associés à l'observation
method	S	0..1	CodeableConcept	Méthode ou technique employée
specimen	S	0..1	Reference(Specimen - FR Specimen Document(0.1.0))	Prélèvement
hasMember	S	0..*	Reference(Observation - FR Observation Laboratory Report Results Document(0.1.0))	Lien vers batterie d’examens ou résultats d’examens cliniquement pertinents ou isolat microbiologique
derivedFrom	S	0..*	Reference(Media - FR Media Document(0.1.0))	Image illustrative
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:validateurResultat.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.extension:dispositifAuto.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.interpretation	Base	required	ObservationInterpretation	📍20260619134042	Terminologies de Santé v1.11

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation(4.0.1)	Measurements and simple assertions Constraints: obs-6, obs-7
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:author		0..1	(Complex)	Auteur URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: AUT
extension:typeCode		0..1	Extension	Type de participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension
extension:actor		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:validateurResultat		0..1	(Complex)	Validateur de résultats URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: AUTHEN
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:actor		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:responsableExamen		0..1	(Complex)	Responsable de l'évaluation URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: RESP
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:actor		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:dispositifAuto		0..*	(Complex)	Dispositif automatique URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: DEV
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:actor		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(Device)	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:supportingInfo	S	0..*	Reference(Resource)	Résultats antérieurs URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	Niveau de complétude : - 'final' si le résultat est présent - 'cancelled' dans le cas où l'élément d'examen n’a pu être et ne sera pas réalisé - 'registered' le résultat n'est pas encore disponible et est attendu Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Code du chapitre Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Code d'identification de l'analyse ou de l'observation Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code d'identification d'attente national ou code de portée locale
text	Σ	0..1	string	Référence à l'expression verbale dans la partie visualisable du compte-rendu
subject	SΣ	1..1	Reference(FR Patient INS Document(0.1.0))	1. Si le spécimen provient du corps du patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.type contraint par le JDV jdv-specimen-type-cisis 2. Si spécimen extérieur au patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.subject = Référence vers Substance Dans Substance : - substance.category depuis le JDV HL7 substance-category - substance.code.coding / display / system
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Slices for effective[x]	SΣ	0..1		Date et heure du résultat Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Clinically relevant time/time-period for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
start	ΣC	0..1	dateTime	Début de la période
end	ΣC	0..1	dateTime	Fin de la période
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..1	Reference(FR Organization Document(0.1.0))	Laboratoire exécutant
Slices for value[x]	SΣC	0..1		Valeur du résultat : Le type de valeur (value[x]) est choisi dynamiquement. Les autres attributs qui qualifient cette valeur (comme par exemple l'unité : unit) dépendent du type de donnée choisi. Les résultats qualitatifs codés peuvent le cas échéant être exprimés dans plusieurs systèmes de codage simultanément. De même les résultats numériques peuvent être exprimés simultanément dans plusieurs unités. Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueRange	SΣC	0..1	Range	Intervalles de référence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Code d'interprétation Binding: ObservationInterpretation (20260619134042) (required)
note	S	0..*	Annotation	Commentaires associés à l'observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	Méthode ou technique employée Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Specimen - FR Specimen Document(0.1.0))	Prélèvement
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(Observation - FR Observation Laboratory Report Results Document(0.1.0))	Lien vers batterie d’examens ou résultats d’examens cliniquement pertinents ou isolat microbiologique
derivedFrom	SΣ	0..*	Reference(Media - FR Media Document(0.1.0))	Image illustrative
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.extension:author.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:validateurResultat.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:validateurResultat.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.extension:responsableExamen.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:dispositifAuto.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:dispositifAuto.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	required	ObservationInterpretation	📍20260619134042	Terminologies de Santé v1.11
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:author, Observation.extension:author.extension, Observation.extension:author.extension:type, Observation.extension:author.extension:type.value[x], Observation.extension:author.extension:typeCode, Observation.extension:author.extension:typeCode.value[x], Observation.extension:author.extension:actor, Observation.extension:author.extension:actor.value[x], Observation.extension:validateurResultat, Observation.extension:validateurResultat.extension, Observation.extension:validateurResultat.extension:type, Observation.extension:validateurResultat.extension:type.value[x], Observation.extension:validateurResultat.extension:typeCode, Observation.extension:validateurResultat.extension:typeCode.value[x], Observation.extension:validateurResultat.extension:typeCode.value[x].extension, Observation.extension:validateurResultat.extension:typeCode.value[x].coding, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.extension, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.system, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.version, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.code, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.display, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.userSelected, Observation.extension:validateurResultat.extension:typeCode.value[x].text, Observation.extension:validateurResultat.extension:actor, Observation.extension:validateurResultat.extension:actor.value[x], Observation.extension:responsableExamen, Observation.extension:responsableExamen.extension, Observation.extension:responsableExamen.extension:type, Observation.extension:responsableExamen.extension:type.value[x], Observation.extension:responsableExamen.extension:typeCode, Observation.extension:responsableExamen.extension:typeCode.value[x], Observation.extension:responsableExamen.extension:typeCode.value[x].extension, Observation.extension:responsableExamen.extension:typeCode.value[x].coding, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.extension, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.system, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.version, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.code, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.display, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.userSelected, Observation.extension:responsableExamen.extension:typeCode.value[x].text, Observation.extension:responsableExamen.extension:actor, Observation.extension:responsableExamen.extension:actor.value[x], Observation.extension:dispositifAuto, Observation.extension:dispositifAuto.extension, Observation.extension:dispositifAuto.extension:type, Observation.extension:dispositifAuto.extension:type.value[x], Observation.extension:dispositifAuto.extension:typeCode, Observation.extension:dispositifAuto.extension:typeCode.value[x], Observation.extension:dispositifAuto.extension:typeCode.value[x].extension, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.extension, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.system, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.version, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.code, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.display, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.userSelected, Observation.extension:dispositifAuto.extension:typeCode.value[x].text, Observation.extension:dispositifAuto.extension:actor, Observation.extension:dispositifAuto.extension:actor.value[x], Observation.extension:supportingInfo, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.effective[x]:effectivePeriod, Observation.effective[x]:effectivePeriod.extension, Observation.effective[x]:effectivePeriod.start, Observation.effective[x]:effectivePeriod.end, Observation.issued, Observation.performer, Observation.value[x], Observation.value[x]:valueRange, Observation.value[x]:valueRange.extension, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.extension, Observation.extension:author, Observation.extension:author.extension, Observation.extension:author.extension:type, Observation.extension:author.extension:typeCode, Observation.extension:author.extension:actor, Observation.extension:validateurResultat, Observation.extension:validateurResultat.extension, Observation.extension:validateurResultat.extension:type, Observation.extension:validateurResultat.extension:typeCode, Observation.extension:validateurResultat.extension:typeCode.value[x].extension, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.extension, Observation.extension:validateurResultat.extension:actor, Observation.extension:responsableExamen, Observation.extension:responsableExamen.extension, Observation.extension:responsableExamen.extension:type, Observation.extension:responsableExamen.extension:typeCode, Observation.extension:responsableExamen.extension:typeCode.value[x].extension, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.extension, Observation.extension:responsableExamen.extension:actor, Observation.extension:dispositifAuto, Observation.extension:dispositifAuto.extension, Observation.extension:dispositifAuto.extension:type, Observation.extension:dispositifAuto.extension:typeCode, Observation.extension:dispositifAuto.extension:typeCode.value[x].extension, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.extension, Observation.extension:dispositifAuto.extension:actor, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.code.extension, Observation.effective[x]:effectivePeriod.extension, Observation.value[x]:valueRange.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Summary

Mandatory: 1 element
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
• Device (http://hl7.org/fhir/StructureDefinition/Device|4.0.1)
• FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
• FR Organization Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-organization-document|0.1.0)
• Specimen - FR Specimen Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-specimen-document|0.1.0)
• Observation - FR Observation Laboratory Report Results Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-laboratory-report-results-document|0.1.0)
• Media - FR Media Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-media-document|0.1.0)

Extensions

This structure refers to these extensions:

• https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension|0.1.0
• http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo|5.3.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation(4.0.1)	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:author		0..1	(Complex)	Auteur URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: AUT
extension:typeCode		0..1	Extension	Type de participation Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
extension:actor		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:validateurResultat		0..1	(Complex)	Validateur de résultats URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
extension:actor		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:responsableExamen		0..1	(Complex)	Responsable de l'évaluation URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
extension:actor		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:dispositifAuto		0..*	(Complex)	Dispositif automatique URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
extension:actor		1..1	Extension	Extension Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(Device)	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:supportingInfo	S	0..*	Reference(Resource)	Résultats antérieurs URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SΣ	1..1	code	Niveau de complétude : - 'final' si le résultat est présent - 'cancelled' dans le cas où l'élément d'examen n’a pu être et ne sera pas réalisé - 'registered' le résultat n'est pas encore disponible et est attendu Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Code du chapitre Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Code d'identification de l'analyse ou de l'observation Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code d'identification d'attente national ou code de portée locale
text	Σ	0..1	string	Référence à l'expression verbale dans la partie visualisable du compte-rendu
subject	SΣ	1..1	Reference(FR Patient INS Document(0.1.0))	1. Si le spécimen provient du corps du patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.type contraint par le JDV jdv-specimen-type-cisis 2. Si spécimen extérieur au patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.subject = Référence vers Substance Dans Substance : - substance.category depuis le JDV HL7 substance-category - substance.code.coding / display / system
Slices for effective[x]	SΣ	0..1		Date et heure du résultat Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Clinically relevant time/time-period for observation
start	ΣC	0..1	dateTime	Début de la période
end	ΣC	0..1	dateTime	Fin de la période
performer	SΣ	0..1	Reference(FR Organization Document(0.1.0))	Laboratoire exécutant
Slices for value[x]	SΣC	0..1		Valeur du résultat : Le type de valeur (value[x]) est choisi dynamiquement. Les autres attributs qui qualifient cette valeur (comme par exemple l'unité : unit) dépendent du type de donnée choisi. Les résultats qualitatifs codés peuvent le cas échéant être exprimés dans plusieurs systèmes de codage simultanément. De même les résultats numériques peuvent être exprimés simultanément dans plusieurs unités. Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueRange	SΣC	0..1	Range	Intervalles de référence
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit
interpretation	S	0..*	CodeableConcept	Code d'interprétation Binding: ObservationInterpretation (20260619134042) (required)
note	S	0..*	Annotation	Commentaires associés à l'observation
method	S	0..1	CodeableConcept	Méthode ou technique employée Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Specimen - FR Specimen Document(0.1.0))	Prélèvement
hasMember	SΣ	0..*	Reference(Observation - FR Observation Laboratory Report Results Document(0.1.0))	Lien vers batterie d’examens ou résultats d’examens cliniquement pertinents ou isolat microbiologique
derivedFrom	SΣ	0..*	Reference(Media - FR Media Document(0.1.0))	Image illustrative
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:author.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:validateurResultat.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:validateurResultat.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.extension:responsableExamen.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:dispositifAuto.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:dispositifAuto.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.interpretation	Base	required	ObservationInterpretation	📍20260619134042	Terminologies de Santé v1.11
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Observation.implicitRules, Observation.extension, Observation.extension:author, Observation.extension:author.extension, Observation.extension:author.extension:type, Observation.extension:author.extension:type.value[x], Observation.extension:author.extension:typeCode, Observation.extension:author.extension:actor, Observation.extension:author.extension:actor.value[x], Observation.extension:validateurResultat, Observation.extension:validateurResultat.extension, Observation.extension:validateurResultat.extension:type, Observation.extension:validateurResultat.extension:type.value[x], Observation.extension:validateurResultat.extension:typeCode, Observation.extension:validateurResultat.extension:typeCode.value[x], Observation.extension:validateurResultat.extension:actor, Observation.extension:validateurResultat.extension:actor.value[x], Observation.extension:responsableExamen, Observation.extension:responsableExamen.extension, Observation.extension:responsableExamen.extension:type, Observation.extension:responsableExamen.extension:type.value[x], Observation.extension:responsableExamen.extension:typeCode, Observation.extension:responsableExamen.extension:actor, Observation.extension:responsableExamen.extension:actor.value[x], Observation.extension:dispositifAuto, Observation.extension:dispositifAuto.extension, Observation.extension:dispositifAuto.extension:type, Observation.extension:dispositifAuto.extension:type.value[x], Observation.extension:dispositifAuto.extension:typeCode, Observation.extension:dispositifAuto.extension:typeCode.value[x], Observation.extension:dispositifAuto.extension:actor, Observation.extension:dispositifAuto.extension:actor.value[x], Observation.extension:supportingInfo, Observation.modifierExtension, Observation.status, Observation.category, Observation.code, Observation.code.coding, Observation.code.text, Observation.subject, Observation.effective[x], Observation.effective[x]:effectivePeriod, Observation.effective[x]:effectivePeriod.start, Observation.effective[x]:effectivePeriod.end, Observation.performer, Observation.value[x], Observation.value[x]:valueRange, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.interpretation, Observation.note, Observation.method, Observation.specimen, Observation.hasMember, Observation.derivedFrom	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.extension, Observation.extension:author, Observation.extension:author.extension, Observation.extension:author.extension:type, Observation.extension:author.extension:typeCode, Observation.extension:author.extension:actor, Observation.extension:validateurResultat, Observation.extension:validateurResultat.extension, Observation.extension:validateurResultat.extension:type, Observation.extension:validateurResultat.extension:typeCode, Observation.extension:validateurResultat.extension:actor, Observation.extension:responsableExamen, Observation.extension:responsableExamen.extension, Observation.extension:responsableExamen.extension:type, Observation.extension:responsableExamen.extension:typeCode, Observation.extension:responsableExamen.extension:actor, Observation.extension:dispositifAuto, Observation.extension:dispositifAuto.extension, Observation.extension:dispositifAuto.extension:type, Observation.extension:dispositifAuto.extension:typeCode, Observation.extension:dispositifAuto.extension:actor, Observation.extension:supportingInfo, Observation.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	Observation(4.0.1)	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:author		0..1	(Complex)	Auteur URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		0..1	code	Value of extension Required Pattern: AUT
extension:actor		1..1	Extension	Extension
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:validateurResultat		0..1	(Complex)	Validateur de résultats URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		0..1	code	Value of extension Required Pattern: PART
extension:typeCode		0..1	Extension	Extension
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
coding
code		0..1	code	Symbol in syntax defined by the system Required Pattern: AUTHEN
extension:actor		1..1	Extension	Extension
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:responsableExamen		0..1	(Complex)	Responsable de l'évaluation URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		0..1	code	Value of extension Required Pattern: PART
extension:typeCode		0..1	Extension	Extension
value[x]
coding
code		0..1	code	Symbol in syntax defined by the system Required Pattern: RESP
extension:actor		1..1	Extension	Extension
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
extension:dispositifAuto		0..*	(Complex)	Dispositif automatique URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension
value[x]		0..1	code	Value of extension Required Pattern: PART
extension:typeCode		0..1	Extension	Extension
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
coding
code		0..1	code	Symbol in syntax defined by the system Required Pattern: DEV
extension:actor		1..1	Extension	Extension
value[x]		0..1	Reference(Device)	Value of extension
extension:supportingInfo	S	0..*	Reference(Resource)	Résultats antérieurs URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
status	S	1..1	code	Niveau de complétude : - 'final' si le résultat est présent - 'cancelled' dans le cas où l'élément d'examen n’a pu être et ne sera pas réalisé - 'registered' le résultat n'est pas encore disponible et est attendu
category	S	0..*	CodeableConcept	Code du chapitre
code	S	1..1	CodeableConcept	Code d'identification de l'analyse ou de l'observation
coding		0..*	Coding	Code d'identification d'attente national ou code de portée locale
text		0..1	string	Référence à l'expression verbale dans la partie visualisable du compte-rendu
subject	S	1..1	Reference(FR Patient INS Document(0.1.0))	1. Si le spécimen provient du corps du patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.type contraint par le JDV jdv-specimen-type-cisis 2. Si spécimen extérieur au patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.subject = Référence vers Substance Dans Substance : - substance.category depuis le JDV HL7 substance-category - substance.code.coding / display / system
Slices for effective[x]	S	0..1		Date et heure du résultat Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod		0..1	Period	Clinically relevant time/time-period for observation
start		0..1	dateTime	Début de la période
end		0..1	dateTime	Fin de la période
performer	S	0..1	Reference(FR Organization Document(0.1.0))	Laboratoire exécutant
Slices for value[x]	S	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Valeur du résultat : Le type de valeur (value[x]) est choisi dynamiquement. Les autres attributs qui qualifient cette valeur (comme par exemple l'unité : unit) dépendent du type de donnée choisi. Les résultats qualitatifs codés peuvent le cas échéant être exprimés dans plusieurs systèmes de codage simultanément. De même les résultats numériques peuvent être exprimés simultanément dans plusieurs unités. Slice: Unordered, Open by type:$this
value[x]:valueRange	S	0..1	Range	Intervalles de référence
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
interpretation	S	0..*	CodeableConcept	Code d'interprétation Binding: ObservationInterpretation (20260619134042) (required)
note	S	0..*	Annotation	Commentaires associés à l'observation
method	S	0..1	CodeableConcept	Méthode ou technique employée
specimen	S	0..1	Reference(Specimen - FR Specimen Document(0.1.0))	Prélèvement
hasMember	S	0..*	Reference(Observation - FR Observation Laboratory Report Results Document(0.1.0))	Lien vers batterie d’examens ou résultats d’examens cliniquement pertinents ou isolat microbiologique
derivedFrom	S	0..*	Reference(Media - FR Media Document(0.1.0))	Image illustrative
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:validateurResultat.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.extension:dispositifAuto.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.interpretation	Base	required	ObservationInterpretation	📍20260619134042	Terminologies de Santé v1.11

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation(4.0.1)	Measurements and simple assertions Constraints: obs-6, obs-7
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:author		0..1	(Complex)	Auteur URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: AUT
extension:typeCode		0..1	Extension	Type de participation Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension
extension:actor		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:validateurResultat		0..1	(Complex)	Validateur de résultats URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: AUTHEN
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:actor		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:responsableExamen		0..1	(Complex)	Responsable de l'évaluation URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: RESP
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:actor		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(FR PractitionerRole Document(0.1.0))	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:dispositifAuto		0..*	(Complex)	Dispositif automatique URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:type		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"type"
value[x]		0..1	code	Value of extension Binding: FRValueSetActorTypeDocument (0.1.0) (required) Required Pattern: PART
extension:typeCode		0..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"typeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: JdvParticipantAdditionnelResultatCisis (20260619134043) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: DEV
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:actor		1..1	Extension	Extension Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"actor"
value[x]		0..1	Reference(Device)	Value of extension
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
extension:supportingInfo	S	0..*	Reference(Resource)	Résultats antérieurs URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	Niveau de complétude : - 'final' si le résultat est présent - 'cancelled' dans le cas où l'élément d'examen n’a pu être et ne sera pas réalisé - 'registered' le résultat n'est pas encore disponible et est attendu Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Code du chapitre Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Code d'identification de l'analyse ou de l'observation Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code d'identification d'attente national ou code de portée locale
text	Σ	0..1	string	Référence à l'expression verbale dans la partie visualisable du compte-rendu
subject	SΣ	1..1	Reference(FR Patient INS Document(0.1.0))	1. Si le spécimen provient du corps du patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.type contraint par le JDV jdv-specimen-type-cisis 2. Si spécimen extérieur au patient : - subject = Référence vers FRPatientINSDocument - specimen = Référence vers FRSpecimenDocument - specimen.subject = Référence vers Substance Dans Substance : - substance.category depuis le JDV HL7 substance-category - substance.code.coding / display / system
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Slices for effective[x]	SΣ	0..1		Date et heure du résultat Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Clinically relevant time/time-period for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
start	ΣC	0..1	dateTime	Début de la période
end	ΣC	0..1	dateTime	Fin de la période
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..1	Reference(FR Organization Document(0.1.0))	Laboratoire exécutant
Slices for value[x]	SΣC	0..1		Valeur du résultat : Le type de valeur (value[x]) est choisi dynamiquement. Les autres attributs qui qualifient cette valeur (comme par exemple l'unité : unit) dépendent du type de donnée choisi. Les résultats qualitatifs codés peuvent le cas échéant être exprimés dans plusieurs systèmes de codage simultanément. De même les résultats numériques peuvent être exprimés simultanément dans plusieurs unités. Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueRange	SΣC	0..1	Range	Intervalles de référence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Code d'interprétation Binding: ObservationInterpretation (20260619134042) (required)
note	S	0..*	Annotation	Commentaires associés à l'observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	Méthode ou technique employée Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Specimen - FR Specimen Document(0.1.0))	Prélèvement
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(Observation - FR Observation Laboratory Report Results Document(0.1.0))	Lien vers batterie d’examens ou résultats d’examens cliniquement pertinents ou isolat microbiologique
derivedFrom	SΣ	0..*	Reference(Media - FR Media Document(0.1.0))	Image illustrative
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.extension:author.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:validateurResultat.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:validateurResultat.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.extension:responsableExamen.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:dispositifAuto.​extension:type.value[x]	Base	required	ValueSet - FR ValueSet Actor Type Document	📍0.1.0	This IG
Observation.extension:dispositifAuto.​extension:typeCode.value[x]	Base	required	JDV Participant Additionnel Resultat CISIS	📍20260619134043	Terminologies de Santé v1.11
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	required	ObservationInterpretation	📍20260619134042	Terminologies de Santé v1.11
Observation.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:author, Observation.extension:author.extension, Observation.extension:author.extension:type, Observation.extension:author.extension:type.value[x], Observation.extension:author.extension:typeCode, Observation.extension:author.extension:typeCode.value[x], Observation.extension:author.extension:actor, Observation.extension:author.extension:actor.value[x], Observation.extension:validateurResultat, Observation.extension:validateurResultat.extension, Observation.extension:validateurResultat.extension:type, Observation.extension:validateurResultat.extension:type.value[x], Observation.extension:validateurResultat.extension:typeCode, Observation.extension:validateurResultat.extension:typeCode.value[x], Observation.extension:validateurResultat.extension:typeCode.value[x].extension, Observation.extension:validateurResultat.extension:typeCode.value[x].coding, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.extension, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.system, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.version, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.code, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.display, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.userSelected, Observation.extension:validateurResultat.extension:typeCode.value[x].text, Observation.extension:validateurResultat.extension:actor, Observation.extension:validateurResultat.extension:actor.value[x], Observation.extension:responsableExamen, Observation.extension:responsableExamen.extension, Observation.extension:responsableExamen.extension:type, Observation.extension:responsableExamen.extension:type.value[x], Observation.extension:responsableExamen.extension:typeCode, Observation.extension:responsableExamen.extension:typeCode.value[x], Observation.extension:responsableExamen.extension:typeCode.value[x].extension, Observation.extension:responsableExamen.extension:typeCode.value[x].coding, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.extension, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.system, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.version, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.code, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.display, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.userSelected, Observation.extension:responsableExamen.extension:typeCode.value[x].text, Observation.extension:responsableExamen.extension:actor, Observation.extension:responsableExamen.extension:actor.value[x], Observation.extension:dispositifAuto, Observation.extension:dispositifAuto.extension, Observation.extension:dispositifAuto.extension:type, Observation.extension:dispositifAuto.extension:type.value[x], Observation.extension:dispositifAuto.extension:typeCode, Observation.extension:dispositifAuto.extension:typeCode.value[x], Observation.extension:dispositifAuto.extension:typeCode.value[x].extension, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.extension, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.system, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.version, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.code, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.display, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.userSelected, Observation.extension:dispositifAuto.extension:typeCode.value[x].text, Observation.extension:dispositifAuto.extension:actor, Observation.extension:dispositifAuto.extension:actor.value[x], Observation.extension:supportingInfo, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.effective[x]:effectivePeriod, Observation.effective[x]:effectivePeriod.extension, Observation.effective[x]:effectivePeriod.start, Observation.effective[x]:effectivePeriod.end, Observation.issued, Observation.performer, Observation.value[x], Observation.value[x]:valueRange, Observation.value[x]:valueRange.extension, Observation.value[x]:valueRange.low, Observation.value[x]:valueRange.high, Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.extension, Observation.extension:author, Observation.extension:author.extension, Observation.extension:author.extension:type, Observation.extension:author.extension:typeCode, Observation.extension:author.extension:actor, Observation.extension:validateurResultat, Observation.extension:validateurResultat.extension, Observation.extension:validateurResultat.extension:type, Observation.extension:validateurResultat.extension:typeCode, Observation.extension:validateurResultat.extension:typeCode.value[x].extension, Observation.extension:validateurResultat.extension:typeCode.value[x].coding.extension, Observation.extension:validateurResultat.extension:actor, Observation.extension:responsableExamen, Observation.extension:responsableExamen.extension, Observation.extension:responsableExamen.extension:type, Observation.extension:responsableExamen.extension:typeCode, Observation.extension:responsableExamen.extension:typeCode.value[x].extension, Observation.extension:responsableExamen.extension:typeCode.value[x].coding.extension, Observation.extension:responsableExamen.extension:actor, Observation.extension:dispositifAuto, Observation.extension:dispositifAuto.extension, Observation.extension:dispositifAuto.extension:type, Observation.extension:dispositifAuto.extension:typeCode, Observation.extension:dispositifAuto.extension:typeCode.value[x].extension, Observation.extension:dispositifAuto.extension:typeCode.value[x].coding.extension, Observation.extension:dispositifAuto.extension:actor, Observation.extension:supportingInfo, Observation.modifierExtension, Observation.code.extension, Observation.effective[x]:effectivePeriod.extension, Observation.value[x]:valueRange.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Summary

Mandatory: 1 element
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
• Device (http://hl7.org/fhir/StructureDefinition/Device|4.0.1)
• FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
• FR Organization Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-organization-document|0.1.0)
• Specimen - FR Specimen Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-specimen-document|0.1.0)
• Observation - FR Observation Laboratory Report Results Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-laboratory-report-results-document|0.1.0)
• Media - FR Media Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-media-document|0.1.0)

Extensions

This structure refers to these extensions:

• https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension|0.1.0
• http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo|5.3.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x]