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{
  "resourceType": "StructureDefinition",
  "id": "2e6388e2-8697-4d64-85c0-3ea083d822e2",
  "meta": {
    "lastUpdated": "2022-08-02T10:20:25.1804375+00:00"
  },
  "url": "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_ObservationGlucose",
  "version": "1.2",
  "name": "ENS_ObservationGlucose",
  "status": "draft",
  "date": "2022-08-02",
  "publisher": "ANS",
  "description": "Glycémie - profil créé pour l'alimentation de l'Espace Numérique de Santé.\r\n\r\nCe profil permet de gérer 4 types d'indicateurs de glycémie:\r\n- le taux de glucose sanguin, mesuré en mg/dl\r\n- le taux de glucose interstitiel, mesuré en mg/dl\r\n- l’hémoglobine glyquée (Hb1Ac) mesurée en %\r\n- l’index de gestion de glycémie (IGG) qui procure une estimation de l’HbA1c également mesuré en %\r\n\r\nL'extension ENS_NumberOfDays permet de spécifier le nombre de jours dans la mesure du taux de glucose interstitiel et de l’index de gestion de glycémie (IGG) .\r\n\r\nL'extension ENS_MomentOfMeasurement (contexte de la mesure) est utilisée dans le cas de la mesure du glucose sanguin.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "sct-concept",
      "uri": "http://snomed.info/conceptdomain",
      "name": "SNOMED CT Concept Domain Binding"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "sct-attr",
      "uri": "http://snomed.org/attributebinding",
      "name": "SNOMED CT Attribute Binding"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/vitalsigns",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "min": 1
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_ObservationGlucose"
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Observation.extension:supportingInfo",
        "path": "Observation.extension",
        "sliceName": "supportingInfo",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:ENS_ReasonForMeasurement",
        "path": "Observation.extension",
        "sliceName": "ENS_ReasonForMeasurement",
        "short": "Motif de la mesure",
        "definition": "Motif de la mesure\r\nTexte libre (ex. diabète, surpoids, maladie du cœur et des vaisseaux, cholestérol…)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_ReasonForMeasurement"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:ENS_MomentOfMeasurement",
        "path": "Observation.extension",
        "sliceName": "ENS_MomentOfMeasurement",
        "short": "Moment de la mesure",
        "definition": "Moment de la mesure",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_MomentOfMeasurement"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:ENS_MomentOfMeasurement.value[x]",
        "path": "Observation.extension.value[x]",
        "binding": {
          "strength": "required",
          "description": "JDV-J157-MomentGlucose-ENS",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS"
        }
      },
      {
        "id": "Observation.extension:ENS_NumberOfDays",
        "path": "Observation.extension",
        "sliceName": "ENS_NumberOfDays",
        "short": "Nombre de jours",
        "definition": "Nombre de jours. \r\nUtilisé pour les mesures du taux de glucose interstitiel et l’index de gestion de glycémie.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_NumberOfDays"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension:ENS_NumberOfDays.value[x]",
        "path": "Observation.extension.value[x]",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "JDV_J164-GlucoseNumberOfDays-ENS",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J164-GlucoseNumberOfDays-ENS/FHIR/JDV-J164-GlucoseNumberOfDays-ENS"
        }
      },
      {
        "id": "Observation.extension:ENS_DiabetisType",
        "path": "Observation.extension",
        "sliceName": "ENS_DiabetisType",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_DiabetisType"
            ]
          }
        ]
      },
      {
        "id": "Observation.category:VSCat",
        "path": "Observation.category",
        "sliceName": "VSCat"
      },
      {
        "id": "Observation.category:VSCat.coding.display",
        "path": "Observation.category.coding.display",
        "fixedString": "Signes vitaux"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "Types de glycémie",
        "definition": "Types de glycémie:\r\n• Glucose sanguin\r\n• Glucose interstitiel\r\n• Hémoglobine glyquée (HbA1c)\r\n• Index de gestion de glycémie (IGG)",
        "binding": {
          "strength": "extensible",
          "description": "Glucose sanguin ou intersticiel",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS"
        }
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.interopsante.org/fhir/structuredefinition/resource/fr-patient"
            ]
          }
        ]
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.interopsante.org/fhir/structuredefinition/resource/fr-encounter"
            ]
          }
        ]
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://interopsante.org/fhir/structuredefinition/resource/fr-practitioner",
              "http://www.interopsante.org/fhir/structuredefinition/fr-practitioner-role-exercice",
              "http://interopsante.org/fhir/structuredefinition/resource/fr-organization",
              "http://www.interopsante.org/fhir/structuredefinition/resource/fr-patient"
            ]
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.value[x].value",
        "path": "Observation.value[x].value",
        "short": "Valeur mesurée"
      },
      {
        "id": "Observation.value[x].system",
        "path": "Observation.value[x].system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.value[x].code",
        "path": "Observation.value[x].code",
        "min": 1,
        "binding": {
          "strength": "required",
          "description": "JDV-J163-GlucoseUnits-ENS",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS"
        }
      },
      {
        "id": "Observation.dataAbsentReason.coding.system",
        "path": "Observation.dataAbsentReason.coding.system",
        "min": 1
      },
      {
        "id": "Observation.dataAbsentReason.coding.code",
        "path": "Observation.dataAbsentReason.coding.code",
        "min": 1
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        }
      },
      {
        "id": "Observation.method:GlucoseSanguin",
        "path": "Observation.method",
        "sliceName": "GlucoseSanguin",
        "short": "JDV pour la glycémie sanguine",
        "binding": {
          "strength": "required",
          "description": "JDV_J155-MethodGlucoseSanguin-ENS",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J155-MethodGlucoseSanguin-ENS/FHIR/JDV-J155-MethodGlucoseSanguin-ENS"
        }
      },
      {
        "id": "Observation.method:GlucoseSanguin.coding.system",
        "path": "Observation.method.coding.system",
        "min": 1
      },
      {
        "id": "Observation.method:GlucoseSanguin.coding.code",
        "path": "Observation.method.coding.code",
        "min": 1
      },
      {
        "id": "Observation.method:GlucoseInterstitiel",
        "path": "Observation.method",
        "sliceName": "GlucoseInterstitiel",
        "short": "JDV pour la glycémie interstitielle",
        "binding": {
          "strength": "required",
          "description": "JDV_J156-MethodGlucoseInterstitiel-ENS",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J156-MethodGlucoseInterstitiel-ENS/FHIR/JDV-J156-MethodGlucoseInterstitiel-ENS"
        }
      },
      {
        "id": "Observation.method:GlucoseInterstitiel.coding.system",
        "path": "Observation.method.coding.system",
        "min": 1
      },
      {
        "id": "Observation.method:GlucoseInterstitiel.coding.code",
        "path": "Observation.method.coding.code",
        "min": 1
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "definition": "Dispositif utilisé pour l'observation\r\nSi la mesure a été faite par un objet connecté (Profil PhdDevice) =>cette référence est obligatoire",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"
            ]
          }
        ]
      },
      {
        "id": "Observation.referenceRange.appliesTo",
        "path": "Observation.referenceRange.appliesTo",
        "binding": {
          "strength": "required",
          "description": "JDV_J148-ReferenceRangeAppliesTo-CISIS",
          "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS"
        }
      },
      {
        "id": "Observation.referenceRange.appliesTo.coding.system",
        "path": "Observation.referenceRange.appliesTo.coding.system",
        "min": 1
      },
      {
        "id": "Observation.referenceRange.appliesTo.coding.code",
        "path": "Observation.referenceRange.appliesTo.coding.code",
        "min": 1
      }
    ]
  }
}

name : ENS_ObservationGlucose

{

}