Search FHIR

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

FR Document Core (FHIR), publié par Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. Ce guide n'est pas une publication autorisée ; C'est la version en intégration continue pour la version 0.1.0 construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/ansforge/interop-IG-fhir-document-core/ et change régulièrement. Voir le répertoire des versions publiées

Profil de ressource: Observation - FR Observation Vital Signs Document

URL officielle: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-vital-signs-document Version: 0.1.0
Draft à partir de 2026-08-07 Nom computable: FRObservationVitalSignsDocument

  • FRObservationVitalSignsDocument permet d'indiquer les informations détaillées relatives à une mesure clinique spécifique.
  • Il est basée sur la ressource Observation qu'elle spécialise en portant des contraintes sur les vocabulaires des éléments 'code' et 'value'.

Utilisations:

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

Vues formelles du contenu du profil

Description des profils, des différentiels, des instantanés et de leurs représentations.

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Observation C 0..* observation-vitalsigns(4.0.1) FHIR Vital Signs Profile
Constraints: obs-6, obs-7, vs-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices pour extension 0..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
.... extension:author 0..* (Complexe) Auteur de l’observation
URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Constraints: ext-1
..... Slices pour extension 2..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:type 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 0..1 code Value of extension
Binding: FRValueSetActorTypeDocument (0.1.0) (required)
Motif requis: AUT
...... extension:typeCode 0..1 Extension Type de participation
Constraints: ext-1
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
....... url 1..1 uri "typeCode"
...... extension:actor 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par 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)
Motif requis: final
... Slices pour category S 1..* CodeableConcept Classification of type of observation
Slice: Non ordonné, Ouvert par value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Valeur fixe: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Valeur fixe: vital-signs
... code SΣ 1..1 CodeableConcept Signe vital observé
Binding: JdvSigneVitalCisis (20260619134043) (required)
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... effective[x] SΣC 1..1 dateTime Date de l'observation
Constraints: vs-1
... value[x] SΣC 0..1 Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 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 Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... bodySite 0..1 CodeableConcept Site de l'observation
Binding: SNOMEDCTBodyStructures (extensible)
... method S 0..1 CodeableConcept Méthode utilisée pour l'observation
Binding: ObservationMethods (example): Methods for simple observations.
... component SΣC 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... value[x] SΣC 1..1 Quantity Valeur quantitative du signe vital
Binding: UCUMCodes (1.0.0) (required)
.... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Observation.extension:author.​extension:type.value[x] Base required ValueSet - FR ValueSet Actor Type Document 📍0.1.0 cet IG
Observation.status Base required ObservationStatus 📍4.0.1 Std. FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 Std. FHIR
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 Std. FHIR
Observation.code Base required JDV Signe Vital CISIS 📍20260619134043 Terminologies de Santé v1.11
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 Std. FHIR
Observation.interpretation Base required ObservationInterpretation 📍20260619134042 Terminologies de Santé v1.11
Observation.bodySite Base extensible SNOMED CT Body Structures 📍4.0.1 Std. FHIR
Observation.method Base example Observation Methods 📍4.0.1 Std. FHIR
Observation.component.​code Base extensible Vital Signs 📍4.0.1 Std. FHIR
Observation.component.​value[x] Base required UCUM Codes 📍1.0.0 THO v7.3
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(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 bonne pratique 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.category, Observation.category:VSCat, Observation.category:VSCat.coding, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.code, Observation.code, Observation.subject, Observation.effective[x], Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.bodySite, Observation.method, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason 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.component.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()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Cette structure est dérivée de observation-vitalsigns

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Observation 0..* observation-vitalsigns(4.0.1) FHIR Vital Signs Profile
... Slices pour extension 0..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
.... extension:author 0..* (Complexe) Auteur de l’observation
URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:type 1..1 Extension Extension
....... value[x] 0..1 code Value of extension
Motif requis: 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
... status 1..1 code Statut de l'observation
Motif requis: final
... effective[x] 1..1 dateTime Date de l'observation
... interpretation S 0..* CodeableConcept Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... bodySite 0..1 CodeableConcept Site de l'observation
Binding: SNOMEDCTBodyStructures (extensible)
... method S 0..1 CodeableConcept Méthode utilisée pour l'observation
... component
.... value[x] 1..1 Quantity Valeur quantitative du signe vital
Binding: UCUMCodes (1.0.0) (required)

doco Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Observation.code Base required JDV Signe Vital CISIS 📍20260619134043 Terminologies de Santé v1.11
Observation.interpretation Base required ObservationInterpretation 📍20260619134042 Terminologies de Santé v1.11
Observation.bodySite Base extensible SNOMED CT Body Structures 📍4.0.1 Std. FHIR
Observation.component.​value[x] Base required UCUM Codes 📍1.0.0 THO v7.3
NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Observation C 0..* observation-vitalsigns(4.0.1) FHIR Vital Signs Profile
Constraints: obs-6, obs-7, vs-2
... 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.
Bindings AdditionnelsBut
AllLanguages Binding Max
... 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 pour extension 0..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
.... extension:author 0..* (Complexe) 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 pour extension 2..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
..... Slices pour extension Contenu/Règles pour toutes les 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: Non ordonné, Ouvert par value:url
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 0..1 code Value of extension
Binding: FRValueSetActorTypeDocument (0.1.0) (required)
Motif requis: 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: Non ordonné, Ouvert par 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: Non ordonné, Ouvert par 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
... 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)
Motif requis: final
... Slices pour category S 1..* CodeableConcept Classification of type of observation
Slice: Non ordonné, Ouvert par value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
..... coding SΣ 1..* 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: Non ordonné, Ouvert par value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Valeur fixe: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Valeur fixe: vital-signs
...... 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
... code SΣ 1..1 CodeableConcept Signe vital observé
Binding: JdvSigneVitalCisis (20260619134043) (required)
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... 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
... effective[x] SΣC 1..1 dateTime Date de l'observation
Constraints: vs-1
... 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 0..1 Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 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 Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Site de l'observation
Binding: SNOMEDCTBodyStructures (extensible)
... method S 0..1 CodeableConcept Méthode utilisée pour l'observation
Binding: ObservationMethods (example): Methods for simple observations.
... 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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Used when reporting vital signs panel components
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Related measurements the observation is made from
... component SΣC 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-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
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... value[x] SΣC 1..1 Quantity Valeur quantitative du signe vital
Binding: UCUMCodes (1.0.0) (required)
.... dataAbsentReason SC 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..* Voir referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Observation.language Base preferred Common Languages 📍4.0.1 Std. FHIR
Observation.extension:author.​extension:type.value[x] Base required ValueSet - FR ValueSet Actor Type Document 📍0.1.0 cet IG
Observation.status Base required ObservationStatus 📍4.0.1 Std. FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 Std. FHIR
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 Std. FHIR
Observation.code Base required JDV Signe Vital CISIS 📍20260619134043 Terminologies de Santé v1.11
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 Std. FHIR
Observation.interpretation Base required ObservationInterpretation 📍20260619134042 Terminologies de Santé v1.11
Observation.bodySite Base extensible SNOMED CT Body Structures 📍4.0.1 Std. FHIR
Observation.method Base example Observation Methods 📍4.0.1 Std. FHIR
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 Std. FHIR
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 Std. FHIR
Observation.component.​code Base extensible Vital Signs 📍4.0.1 Std. FHIR
Observation.component.​value[x] Base required UCUM Codes 📍1.0.0 THO v7.3
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 Std. FHIR
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(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 bonne pratique 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.category:VSCat, Observation.category:VSCat.extension, Observation.category:VSCat.coding, Observation.category:VSCat.coding.extension, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.version, Observation.category:VSCat.coding.code, Observation.category:VSCat.coding.display, Observation.category:VSCat.coding.userSelected, Observation.category:VSCat.text, 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.category:VSCat.extension, Observation.category:VSCat.coding.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()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Vue des éléments clés

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Observation C 0..* observation-vitalsigns(4.0.1) FHIR Vital Signs Profile
Constraints: obs-6, obs-7, vs-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices pour extension 0..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
.... extension:author 0..* (Complexe) Auteur de l’observation
URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
Constraints: ext-1
..... Slices pour extension 2..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:type 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 0..1 code Value of extension
Binding: FRValueSetActorTypeDocument (0.1.0) (required)
Motif requis: AUT
...... extension:typeCode 0..1 Extension Type de participation
Constraints: ext-1
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
....... url 1..1 uri "typeCode"
...... extension:actor 1..1 Extension Extension
Constraints: ext-1
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par 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)
Motif requis: final
... Slices pour category S 1..* CodeableConcept Classification of type of observation
Slice: Non ordonné, Ouvert par value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Valeur fixe: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Valeur fixe: vital-signs
... code SΣ 1..1 CodeableConcept Signe vital observé
Binding: JdvSigneVitalCisis (20260619134043) (required)
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... effective[x] SΣC 1..1 dateTime Date de l'observation
Constraints: vs-1
... value[x] SΣC 0..1 Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 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 Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... bodySite 0..1 CodeableConcept Site de l'observation
Binding: SNOMEDCTBodyStructures (extensible)
... method S 0..1 CodeableConcept Méthode utilisée pour l'observation
Binding: ObservationMethods (example): Methods for simple observations.
... component SΣC 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... value[x] SΣC 1..1 Quantity Valeur quantitative du signe vital
Binding: UCUMCodes (1.0.0) (required)
.... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Observation.extension:author.​extension:type.value[x] Base required ValueSet - FR ValueSet Actor Type Document 📍0.1.0 cet IG
Observation.status Base required ObservationStatus 📍4.0.1 Std. FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 Std. FHIR
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 Std. FHIR
Observation.code Base required JDV Signe Vital CISIS 📍20260619134043 Terminologies de Santé v1.11
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 Std. FHIR
Observation.interpretation Base required ObservationInterpretation 📍20260619134042 Terminologies de Santé v1.11
Observation.bodySite Base extensible SNOMED CT Body Structures 📍4.0.1 Std. FHIR
Observation.method Base example Observation Methods 📍4.0.1 Std. FHIR
Observation.component.​code Base extensible Vital Signs 📍4.0.1 Std. FHIR
Observation.component.​value[x] Base required UCUM Codes 📍1.0.0 THO v7.3
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(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 bonne pratique 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.category, Observation.category:VSCat, Observation.category:VSCat.coding, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.code, Observation.code, Observation.subject, Observation.effective[x], Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.bodySite, Observation.method, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason 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.component.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()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Vue différentielle

Cette structure est dérivée de observation-vitalsigns

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Observation 0..* observation-vitalsigns(4.0.1) FHIR Vital Signs Profile
... Slices pour extension 0..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
.... extension:author 0..* (Complexe) Auteur de l’observation
URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:type 1..1 Extension Extension
....... value[x] 0..1 code Value of extension
Motif requis: 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
... status 1..1 code Statut de l'observation
Motif requis: final
... effective[x] 1..1 dateTime Date de l'observation
... interpretation S 0..* CodeableConcept Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... bodySite 0..1 CodeableConcept Site de l'observation
Binding: SNOMEDCTBodyStructures (extensible)
... method S 0..1 CodeableConcept Méthode utilisée pour l'observation
... component
.... value[x] 1..1 Quantity Valeur quantitative du signe vital
Binding: UCUMCodes (1.0.0) (required)

doco Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Observation.code Base required JDV Signe Vital CISIS 📍20260619134043 Terminologies de Santé v1.11
Observation.interpretation Base required ObservationInterpretation 📍20260619134042 Terminologies de Santé v1.11
Observation.bodySite Base extensible SNOMED CT Body Structures 📍4.0.1 Std. FHIR
Observation.component.​value[x] Base required UCUM Codes 📍1.0.0 THO v7.3

Vue d'ensembleView

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Observation C 0..* observation-vitalsigns(4.0.1) FHIR Vital Signs Profile
Constraints: obs-6, obs-7, vs-2
... 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.
Bindings AdditionnelsBut
AllLanguages Binding Max
... 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 pour extension 0..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
.... extension:author 0..* (Complexe) 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 pour extension 2..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
..... Slices pour extension Contenu/Règles pour toutes les 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: Non ordonné, Ouvert par value:url
Constraints: ext-1
....... url 1..1 uri "type"
....... value[x] 0..1 code Value of extension
Binding: FRValueSetActorTypeDocument (0.1.0) (required)
Motif requis: 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: Non ordonné, Ouvert par 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: Non ordonné, Ouvert par 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
... 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)
Motif requis: final
... Slices pour category S 1..* CodeableConcept Classification of type of observation
Slice: Non ordonné, Ouvert par value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
Constraints: ext-1
..... coding SΣ 1..* 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: Non ordonné, Ouvert par value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Valeur fixe: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Valeur fixe: vital-signs
...... 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
... code SΣ 1..1 CodeableConcept Signe vital observé
Binding: JdvSigneVitalCisis (20260619134043) (required)
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... 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
... effective[x] SΣC 1..1 dateTime Date de l'observation
Constraints: vs-1
... 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 0..1 Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 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 Interprétation
Binding: ObservationInterpretation (20260619134042) (required)
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Site de l'observation
Binding: SNOMEDCTBodyStructures (extensible)
... method S 0..1 CodeableConcept Méthode utilisée pour l'observation
Binding: ObservationMethods (example): Methods for simple observations.
... 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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Used when reporting vital signs panel components
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Related measurements the observation is made from
... component SΣC 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-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
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... value[x] SΣC 1..1 Quantity Valeur quantitative du signe vital
Binding: UCUMCodes (1.0.0) (required)
.... dataAbsentReason SC 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..* Voir referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Observation.language Base preferred Common Languages 📍4.0.1 Std. FHIR
Observation.extension:author.​extension:type.value[x] Base required ValueSet - FR ValueSet Actor Type Document 📍0.1.0 cet IG
Observation.status Base required ObservationStatus 📍4.0.1 Std. FHIR
Observation.category Base preferred Observation Category Codes 📍4.0.1 Std. FHIR
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 Std. FHIR
Observation.code Base required JDV Signe Vital CISIS 📍20260619134043 Terminologies de Santé v1.11
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 Std. FHIR
Observation.interpretation Base required ObservationInterpretation 📍20260619134042 Terminologies de Santé v1.11
Observation.bodySite Base extensible SNOMED CT Body Structures 📍4.0.1 Std. FHIR
Observation.method Base example Observation Methods 📍4.0.1 Std. FHIR
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 Std. FHIR
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 Std. FHIR
Observation.component.​code Base extensible Vital Signs 📍4.0.1 Std. FHIR
Observation.component.​value[x] Base required UCUM Codes 📍1.0.0 THO v7.3
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 Std. FHIR
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(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 bonne pratique 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.category:VSCat, Observation.category:VSCat.extension, Observation.category:VSCat.coding, Observation.category:VSCat.coding.extension, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.version, Observation.category:VSCat.coding.code, Observation.category:VSCat.coding.display, Observation.category:VSCat.coding.userSelected, Observation.category:VSCat.text, 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.category:VSCat.extension, Observation.category:VSCat.coding.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()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

 

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