Data Management with FHIR 0.1.0 - ci-build

Data Management with FHIR - version de développement local (intégration continue v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

## Resource Profile: Gamma-glutamyl transférase (GGT)

Official URL: https://aphp.github.io/IG-fhir-dm/StructureDefinition/DMObservationLaboratoryGGT | Version: 0.1.0
Draft as of 2026-04-16 | Computable Name: DMObservationLaboratoryGGT

Taux sanguin de GGT. Aminoacyltransférase impliquées dans la catalyse d'enzymes hépatiques impliquées dans le métabolisme des acides aminés.

Utilisations:

- Exemples pour ce/t/te Profil: Observation/ggt-cas-9

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | DMObservationLaboratoryGeneric | Measurements and simple assertions Constraints: obs-6, obs-7, dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Valeur fixe: Comme indiqué (Laboratory)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : laboratory
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Valeur fixe: Comme indiqué
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 2324-2
display |  | 1..1 | string | Representation defined by the system Valeur fixe : Gamma glutamyltransférase [Catalytique/Volume] Sérum/Plasma ; Numérique
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
subject | S Σ | 0..1 | Reference(Patient) | L'observation concerne la personne que l'on analyse.
effective[x] | S Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
value[x] | S Σ C | 0..1 | Quantity | Actual result
value | Σ | 0..1 | decimal | Valeur mesurée
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Motif requis: U/L
system | Σ C | 0..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code | Σ | 0..1 | code | Coded form of the unit Valeur fixe: U/L
component | S Σ | 0..* | BackboneElement | Component results
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S 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 |
referenceRange | S | 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.status | Base | required | ObservationStatus | 📍4.0.1 | Std. FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | cet IG
Observation.value[x].​comparator | Base | required | QuantityComparator | 📍4.0.1 | Std. FHIR
Observation.component.​code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-lab-2 | error | Observation | SHALL use UCUM for referenceRange unit | `referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org'))`
dm-lab-3 | error | Observation | Value and referenceRange SHALL have the same unit | `((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty())`
dm-lab-4 | error | Observation | SHALL use UCUM for component.valueQuantity | `component.all(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-lab-5 | error | Observation | SHALL use UCUM for component.referenceRange unit | `component.all(referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org')))`
dm-lab-6 | error | Observation | component.value and component.referenceRange SHALL have the same unit.code | `component.all(((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty()))`
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 | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | 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()`

This structure is derived from DMObservationLaboratoryGeneric

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | DMObservationLaboratoryGeneric | Measurements and simple assertions
code |  | 1..1 | CodeableConcept | Type of observation (code / type) Valeur fixe: Comme indiqué
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 2324-2
display |  | 1..1 | string | Representation defined by the system Valeur fixe : Gamma glutamyltransférase [Catalytique/Volume] Sérum/Plasma ; Numérique
value[x] |  | 0..1 | Quantity | Actual result
value |  | 0..1 | decimal | Valeur mesurée
unit |  | 0..1 | string | Unit representation Motif requis: U/L
system |  | 0..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code |  | 0..1 | code | Coded form of the unit Valeur fixe: U/L
Documentation pour ce format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | DMObservationLaboratoryGeneric | Measurements and simple assertions Constraints: obs-6, obs-7, dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Valeur fixe: Comme indiqué (Laboratory)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : laboratory
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Valeur fixe: Comme indiqué
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 2324-2
display |  | 1..1 | string | Representation defined by the system Valeur fixe : Gamma glutamyltransférase [Catalytique/Volume] Sérum/Plasma ; Numérique
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
subject | S Σ | 0..1 | Reference(Patient) | L'observation concerne la personne que l'on analyse.
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] | S Σ | 0..1 |  | Clinically relevant time/time-period for 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 | 0..1 | Quantity | Actual result
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
value | Σ | 0..1 | decimal | Valeur mesurée
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Motif requis: U/L
system | Σ C | 0..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code | Σ | 0..1 | code | Coded form of the unit Valeur fixe: U/L
dataAbsentReason | C | 0..1 | CodeableConcept | Why the 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.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
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 | S Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S 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 | S | 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.status | Base | required | ObservationStatus | 📍4.0.1 | Std. FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | cet IG
Observation.value[x].​comparator | Base | required | QuantityComparator | 📍4.0.1 | Std. FHIR
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | Std. FHIR
Observation.bodySite | Base | example | 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 | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | cet IG
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
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-lab-2 | error | Observation | SHALL use UCUM for referenceRange unit | `referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org'))`
dm-lab-3 | error | Observation | Value and referenceRange SHALL have the same unit | `((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty())`
dm-lab-4 | error | Observation | SHALL use UCUM for component.valueQuantity | `component.all(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-lab-5 | error | Observation | SHALL use UCUM for component.referenceRange unit | `component.all(referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org')))`
dm-lab-6 | error | Observation | component.value and component.referenceRange SHALL have the same unit.code | `component.all(((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty()))`
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 | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | 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()`

This structure is derived from DMObservationLaboratoryGeneric

Résumé

Fixe : 3 éléments

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | DMObservationLaboratoryGeneric | Measurements and simple assertions Constraints: obs-6, obs-7, dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Valeur fixe: Comme indiqué (Laboratory)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : laboratory
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Valeur fixe: Comme indiqué
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 2324-2
display |  | 1..1 | string | Representation defined by the system Valeur fixe : Gamma glutamyltransférase [Catalytique/Volume] Sérum/Plasma ; Numérique
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
subject | S Σ | 0..1 | Reference(Patient) | L'observation concerne la personne que l'on analyse.
effective[x] | S Σ | 0..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
value[x] | S Σ C | 0..1 | Quantity | Actual result
value | Σ | 0..1 | decimal | Valeur mesurée
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Motif requis: U/L
system | Σ C | 0..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code | Σ | 0..1 | code | Coded form of the unit Valeur fixe: U/L
component | S Σ | 0..* | BackboneElement | Component results
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S 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 |
referenceRange | S | 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.status | Base | required | ObservationStatus | 📍4.0.1 | Std. FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | cet IG
Observation.value[x].​comparator | Base | required | QuantityComparator | 📍4.0.1 | Std. FHIR
Observation.component.​code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-lab-2 | error | Observation | SHALL use UCUM for referenceRange unit | `referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org'))`
dm-lab-3 | error | Observation | Value and referenceRange SHALL have the same unit | `((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty())`
dm-lab-4 | error | Observation | SHALL use UCUM for component.valueQuantity | `component.all(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-lab-5 | error | Observation | SHALL use UCUM for component.referenceRange unit | `component.all(referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org')))`
dm-lab-6 | error | Observation | component.value and component.referenceRange SHALL have the same unit.code | `component.all(((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty()))`
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 | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present | `dataAbsentReason.empty() or value.empty()`
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | `value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()`

Differential View

This structure is derived from DMObservationLaboratoryGeneric

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation |  | 0..* | DMObservationLaboratoryGeneric | Measurements and simple assertions
code |  | 1..1 | CodeableConcept | Type of observation (code / type) Valeur fixe: Comme indiqué
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 2324-2
display |  | 1..1 | string | Representation defined by the system Valeur fixe : Gamma glutamyltransférase [Catalytique/Volume] Sérum/Plasma ; Numérique
value[x] |  | 0..1 | Quantity | Actual result
value |  | 0..1 | decimal | Valeur mesurée
unit |  | 0..1 | string | Unit representation Motif requis: U/L
system |  | 0..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code |  | 0..1 | code | Coded form of the unit Valeur fixe: U/L
Documentation pour ce format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Observation | C | 0..* | DMObservationLaboratoryGeneric | Measurements and simple assertions Constraints: obs-6, obs-7, dm-lab-1, dm-lab-2, dm-lab-3, dm-lab-4, dm-lab-5, dm-lab-6
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Valeur fixe: Comme indiqué (Laboratory)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/observation-category
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : laboratory
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required) Valeur fixe: Comme indiqué
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 2324-2
display |  | 1..1 | string | Representation defined by the system Valeur fixe : Gamma glutamyltransférase [Catalytique/Volume] Sérum/Plasma ; Numérique
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
subject | S Σ | 0..1 | Reference(Patient) | L'observation concerne la personne que l'on analyse.
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] | S Σ | 0..1 |  | Clinically relevant time/time-period for 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 | 0..1 | Quantity | Actual result
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
value | Σ | 0..1 | decimal | Valeur mesurée
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation Motif requis: U/L
system | Σ C | 0..1 | uri | System that defines coded unit form Valeur fixe: http://unitsofmeasure.org
code | Σ | 0..1 | code | Coded form of the unit Valeur fixe: U/L
dataAbsentReason | C | 0..1 | CodeableConcept | Why the 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.
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method |  | 0..1 | CodeableConcept | How it was done 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
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 | S Σ | 0..* | BackboneElement | Component results
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: Liste des analyses biologiques socle des EDS (required)
value[x] | S 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 | S | 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.status | Base | required | ObservationStatus | 📍4.0.1 | Std. FHIR
Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | Std. FHIR
Observation.code | Base | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | cet IG
Observation.value[x].​comparator | Base | required | QuantityComparator | 📍4.0.1 | Std. FHIR
Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | Std. FHIR
Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | Std. FHIR
Observation.bodySite | Base | example | 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 | required | Liste des analyses biologiques socle des EDS | 📦0.1.0 | cet IG
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
dm-lab-1 | error | Observation | SHALL use UCUM for valueQuantity | `(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-lab-2 | error | Observation | SHALL use UCUM for referenceRange unit | `referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org'))`
dm-lab-3 | error | Observation | Value and referenceRange SHALL have the same unit | `((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty())`
dm-lab-4 | error | Observation | SHALL use UCUM for component.valueQuantity | `component.all(value.ofType(Quantity).system.empty() or value.ofType(Quantity).system = 'http://unitsofmeasure.org')`
dm-lab-5 | error | Observation | SHALL use UCUM for component.referenceRange unit | `component.all(referenceRange.all((low.system.empty() or low.system = 'http://unitsofmeasure.org') and (high.system.empty() or high.system = 'http://unitsofmeasure.org')))`
dm-lab-6 | error | Observation | component.value and component.referenceRange SHALL have the same unit.code | `component.all(((referenceRange.low.code in (value.ofType(Quantity).code)) or referenceRange.low.code.empty()) and ((referenceRange.high.code in (value.ofType(Quantity).code)) or referenceRange.high.code.empty()))`
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 | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | 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()`

This structure is derived from DMObservationLaboratoryGeneric

Résumé

Fixe : 3 éléments

Other representations of profile: CSV, Excel, Schematron