FR Document Core (FHIR)
0.1.0 - ci-build

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 Work Related Accident Document

URL officielle: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-work-related-accident-document | Version: 0.1.0 | Surligner les changements ?
Draft à partir de 2026-08-07 | Nom computable: FRObservationWorkRelatedAccidentDocument

FRObservationWorkRelatedAccidentDocument permet d'indiquer si l'élément auquel elle est associée est en rapport avec un accident du travail / une maladie professionnelle.

Utilisations:

- Référence ce Profil: DeviceRequest - FR Device request Document, DeviceUseStatement - FR Device Use Statement Document and MedicationRequest - FR Medication Request Document

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.

- Tableau des éléments clés
- Tableau différentiel (differential)
- Tableau récapitulatif (snapshot)
- Statistiques/Références
- Tous

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation(4.0.1) | Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices 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
identifier | Σ | 0..* | Identifier | Identifiant de l'observation
status | ?!S Σ | 1..1 | code | Statut de l'observation Binding: ObservationStatus (required): Codes providing the status of an observation. Motif requis: final
code | S Σ | 1..1 | CodeableConcept | Code de l'observation Binding: LOINCCodes (example): Codes identifying names of simple observations. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : 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 Valeur fixe : GEN-180
display |  | 1..1 | string | Representation defined by the system Valeur fixe : En rapport avec un accident du travail ou une maladie professionnelle
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 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] | S Σ | 1..1 |  | Date de l'observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
value[x] | S Σ C | 1..1 | boolean | 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)
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.code | Base | example | LOINC Codes | 📍4.0.1 | Std. FHIR
Observation.interpretation | Base | required | ObservationInterpretation | 📍20260619134042 | Terminologies de Santé v1.11
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | Std. FHIR
Observation.method | Base | required | ObservationMethod | 📍20260619134042 | Terminologies de Santé v1.11

#### 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.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()`

Cette structure est dérivée de Observation

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation(4.0.1) | Measurements and simple assertions
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 de l'observation
status | S | 1..1 | code | Statut de l'observation Motif requis: final
code | S | 1..1 | CodeableConcept | Code de l'observation Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : GEN-180
display |  | 1..1 | string | Representation defined by the system Valeur fixe : En rapport avec un accident du travail ou une maladie professionnelle
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 | boolean | 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)
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation(4.0.1) | Measurements and simple assertions Constraints: obs-6, obs-7
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
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 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 | ?!S Σ | 1..1 | code | Statut de l'observation Binding: ObservationStatus (required): Codes providing the status of an observation. Motif requis: final
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | S Σ | 1..1 | CodeableConcept | Code de l'observation Binding: LOINCCodes (example): Codes identifying names of simple observations. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : 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 Valeur fixe : GEN-180
display |  | 1..1 | string | Representation defined by the system Valeur fixe : En rapport avec un accident du travail ou une maladie professionnelle
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 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] | S Σ | 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] | S Σ C | 1..1 | boolean | 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..* | Voir referenceRange (Observation) | Provides guide for interpretation of component result
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.code | Base | example | LOINC Codes | 📍4.0.1 | Std. FHIR
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.interpretation | Base | required | ObservationInterpretation | 📍20260619134042 | Terminologies de Santé v1.11
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | Std. FHIR
Observation.method | Base | required | ObservationMethod | 📍20260619134042 | Terminologies de Santé v1.11
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 | example | LOINC Codes | 📍4.0.1 | Std. FHIR
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.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()`

Cette structure est dérivée de Observation

Résumé

Obligatoire : 3 éléments
Must-Support : 9 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
- FR Organization Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-organization-document|0.1.0)
- FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
- FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)
- Encounter - FR Encounter Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-encounter-document|0.1.0)

Extensions

Cette structure fait référence à ces extensions:

- https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension|0.1.0

Vue des éléments clés

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation(4.0.1) | Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices 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
identifier | Σ | 0..* | Identifier | Identifiant de l'observation
status | ?!S Σ | 1..1 | code | Statut de l'observation Binding: ObservationStatus (required): Codes providing the status of an observation. Motif requis: final
code | S Σ | 1..1 | CodeableConcept | Code de l'observation Binding: LOINCCodes (example): Codes identifying names of simple observations. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : 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 Valeur fixe : GEN-180
display |  | 1..1 | string | Representation defined by the system Valeur fixe : En rapport avec un accident du travail ou une maladie professionnelle
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 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] | S Σ | 1..1 |  | Date de l'observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
value[x] | S Σ C | 1..1 | boolean | 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)
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.code | Base | example | LOINC Codes | 📍4.0.1 | Std. FHIR
Observation.interpretation | Base | required | ObservationInterpretation | 📍20260619134042 | Terminologies de Santé v1.11
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | Std. FHIR
Observation.method | Base | required | ObservationMethod | 📍20260619134042 | Terminologies de Santé v1.11

#### 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.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()`

Vue différentielle

Cette structure est dérivée de Observation

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation(4.0.1) | Measurements and simple assertions
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 de l'observation
status | S | 1..1 | code | Statut de l'observation Motif requis: final
code | S | 1..1 | CodeableConcept | Code de l'observation Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : GEN-180
display |  | 1..1 | string | Representation defined by the system Valeur fixe : En rapport avec un accident du travail ou une maladie professionnelle
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 | boolean | 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)
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (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

Vue d'ensembleView

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation(4.0.1) | Measurements and simple assertions Constraints: obs-6, obs-7
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
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 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 | ?!S Σ | 1..1 | code | Statut de l'observation Binding: ObservationStatus (required): Codes providing the status of an observation. Motif requis: final
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code | S Σ | 1..1 | CodeableConcept | Code de l'observation Binding: LOINCCodes (example): Codes identifying names of simple observations. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : 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 Valeur fixe : GEN-180
display |  | 1..1 | string | Representation defined by the system Valeur fixe : En rapport avec un accident du travail ou une maladie professionnelle
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 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] | S Σ | 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] | S Σ C | 1..1 | boolean | 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..* | Voir referenceRange (Observation) | Provides guide for interpretation of component result
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.code | Base | example | LOINC Codes | 📍4.0.1 | Std. FHIR
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.interpretation | Base | required | ObservationInterpretation | 📍20260619134042 | Terminologies de Santé v1.11
Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | Std. FHIR
Observation.method | Base | required | ObservationMethod | 📍20260619134042 | Terminologies de Santé v1.11
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 | example | LOINC Codes | 📍4.0.1 | Std. FHIR
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.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()`

Cette structure est dérivée de Observation

Résumé

Obligatoire : 3 éléments
Must-Support : 9 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
- FR Organization Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-organization-document|0.1.0)
- FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
- FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)
- Encounter - FR Encounter Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-encounter-document|0.1.0)

Extensions

Cette structure fait référence à ces extensions:

- https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension|0.1.0

Autres représentations du profil : CSV, Excel, Schematron