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FR Document Core (FHIR)
0.1.0 - ci-build France (la) flag

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

Resource Profile: Observation - FR Observation Multiresistant Microorganisms Identification Document

Official URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-multiresistant-microorganism-document Version: 0.1.0
Draft as of 2026-08-07 Computable Name: FRObservationMultiresistantMicroorganismsIdentificationDocument

FRObservationMultiresistantMicroorganismsIdentificationDocument permet de décrire sous forme textuelle les micro-organismes identifiés.

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* (Complex) Auteur de l’observation
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) | FR Organization Document(0.1.0) | FR Patient INS Document(0.1.0)) Value of extension
..... url 1..1 uri "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code Statut de l'observation
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... code SΣ 1..1 CodeableConcept Code de l'observation
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MED-144
..... display 1..1 string Representation defined by the system
Fixed Value: Identification de micro-organismes multirésistants
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) Patient concerné
... encounter Σ 0..1 Reference(Encounter - FR Encounter Document(0.1.0)) Rencontre de soins durant laquelle cette observation a été effectuée
... effective[x] SΣ 1..1 Date de l'observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... value[x] SΣC 1..1 string Valeur de l'observation
... interpretation S 0..1 CodeableConcept Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... note S 0..* Annotation Commentaire
... bodySite S 0..1 CodeableConcept Localisation anatomique
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept Méthode
Binding: ObservationMethod (20260619134042) (required)

doco 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.status Base required ObservationStatus 📍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.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base required ObservationMethod 📍20260619134042 Terminologies de Santé v1.11

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.modifierExtension, Observation.identifier, Observation.status, Observation.code, Observation.subject, Observation.encounter, Observation.effective[x], Observation.value[x], Observation.interpretation, Observation.note, Observation.bodySite, Observation.method 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.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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* (Complex) Auteur de l’observation
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) | FR Organization Document(0.1.0) | FR Patient INS Document(0.1.0)) Value of extension
... identifier 0..* Identifier Identifiant de l'observation
... status S 1..1 code Statut de l'observation
Required Pattern: final
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MED-144
..... display 1..1 string Representation defined by the system
Fixed Value: Identification de micro-organismes multirésistants
... subject S 1..1 Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) Patient concerné
... encounter 0..1 Reference(Encounter - FR Encounter Document(0.1.0)) Rencontre de soins durant laquelle cette observation a été effectuée
... effective[x] S 1..1 dateTime, Period, Timing, instant Date de l'observation
... value[x] S 1..1 string Valeur de l'observation
... interpretation S 0..1 CodeableConcept Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... note S 0..* Annotation Commentaire
... bodySite S 0..1 CodeableConcept Localisation anatomique
... method S 0..1 CodeableConcept Méthode
Binding: ObservationMethod (20260619134042) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.interpretation Base required ObservationInterpretation 📍20260619134042 Terminologies de Santé v1.11
Observation.method Base required ObservationMethod 📍20260619134042 Terminologies de Santé v1.11
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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..* (Complex) Auteur de l’observation
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) | FR Organization Document(0.1.0) | FR Patient INS Document(0.1.0)) Value of extension
..... url 1..1 uri "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Identifiant de l'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 Statut de l'observation
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Code de l'observation
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MED-144
..... display 1..1 string Representation defined by the system
Fixed Value: Identification de micro-organismes multirésistants
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) Patient concerné
... 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 - FR Encounter Document(0.1.0)) Rencontre de soins durant laquelle cette observation a été effectuée
... effective[x] SΣ 1..1 Date de l'observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 1..1 string Valeur de l'observation
... 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..1 CodeableConcept Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... note S 0..* Annotation Commentaire
... bodySite S 0..1 CodeableConcept Localisation anatomique
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept Méthode
Binding: ObservationMethod (20260619134042) (required)
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... 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 Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... 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

doco 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.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 required ObservationMethod 📍20260619134042 Terminologies de Santé v1.11
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.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], 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.modifierExtension, 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* (Complex) Auteur de l’observation
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) | FR Organization Document(0.1.0) | FR Patient INS Document(0.1.0)) Value of extension
..... url 1..1 uri "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code Statut de l'observation
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... code SΣ 1..1 CodeableConcept Code de l'observation
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MED-144
..... display 1..1 string Representation defined by the system
Fixed Value: Identification de micro-organismes multirésistants
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) Patient concerné
... encounter Σ 0..1 Reference(Encounter - FR Encounter Document(0.1.0)) Rencontre de soins durant laquelle cette observation a été effectuée
... effective[x] SΣ 1..1 Date de l'observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... value[x] SΣC 1..1 string Valeur de l'observation
... interpretation S 0..1 CodeableConcept Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... note S 0..* Annotation Commentaire
... bodySite S 0..1 CodeableConcept Localisation anatomique
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept Méthode
Binding: ObservationMethod (20260619134042) (required)

doco 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.status Base required ObservationStatus 📍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.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base required ObservationMethod 📍20260619134042 Terminologies de Santé v1.11

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.modifierExtension, Observation.identifier, Observation.status, Observation.code, Observation.subject, Observation.encounter, Observation.effective[x], Observation.value[x], Observation.interpretation, Observation.note, Observation.bodySite, Observation.method 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.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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* (Complex) Auteur de l’observation
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) | FR Organization Document(0.1.0) | FR Patient INS Document(0.1.0)) Value of extension
... identifier 0..* Identifier Identifiant de l'observation
... status S 1..1 code Statut de l'observation
Required Pattern: final
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MED-144
..... display 1..1 string Representation defined by the system
Fixed Value: Identification de micro-organismes multirésistants
... subject S 1..1 Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) Patient concerné
... encounter 0..1 Reference(Encounter - FR Encounter Document(0.1.0)) Rencontre de soins durant laquelle cette observation a été effectuée
... effective[x] S 1..1 dateTime, Period, Timing, instant Date de l'observation
... value[x] S 1..1 string Valeur de l'observation
... interpretation S 0..1 CodeableConcept Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... note S 0..* Annotation Commentaire
... bodySite S 0..1 CodeableConcept Localisation anatomique
... method S 0..1 CodeableConcept Méthode
Binding: ObservationMethod (20260619134042) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.interpretation Base required ObservationInterpretation 📍20260619134042 Terminologies de Santé v1.11
Observation.method Base required ObservationMethod 📍20260619134042 Terminologies de Santé v1.11

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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..* (Complex) Auteur de l’observation
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) | FR Organization Document(0.1.0) | FR Patient INS Document(0.1.0)) Value of extension
..... url 1..1 uri "https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension"
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Identifiant de l'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 Statut de l'observation
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Code de l'observation
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MED-144
..... display 1..1 string Representation defined by the system
Fixed Value: Identification de micro-organismes multirésistants
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(FR Patient INS Document(0.1.0) | FR Patient Document(0.1.0)) Patient concerné
... 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 - FR Encounter Document(0.1.0)) Rencontre de soins durant laquelle cette observation a été effectuée
... effective[x] SΣ 1..1 Date de l'observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 1..1 string Valeur de l'observation
... 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..1 CodeableConcept Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... note S 0..* Annotation Commentaire
... bodySite S 0..1 CodeableConcept Localisation anatomique
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept Méthode
Binding: ObservationMethod (20260619134042) (required)
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... 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 Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... 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

doco 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.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 required ObservationMethod 📍20260619134042 Terminologies de Santé v1.11
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.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], 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.modifierExtension, 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()

 

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