{
  "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.",
  "_filename": "ENSObservationGlucose.json",
  "package_name": "ans.cisis.fhir.r4",
  "date": "2021-10-27T07:57:40.415713+00:00",
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2021-10-27T12:27:52.089+00:00"
  },
  "publisher": "ANS",
  "fhirVersion": "4.0.1",
  "name": "ENS_ObservationGlucose",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://snomed.info/conceptdomain",
    "name": "SNOMED CT Concept Domain Binding",
    "identity": "sct-concept"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://snomed.org/attributebinding",
    "name": "SNOMED CT Attribute Binding",
    "identity": "sct-attr"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "2.0.0",
  "status": "draft",
  "id": "1fe7ce8a-50bb-4f37-a9c0-e36290e72812",
  "kind": "resource",
  "url": "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_ObservationGlucose",
  "version": "2.0",
  "differential": {
    "element": [ {
      "id": "Observation.meta",
      "min": 1,
      "path": "Observation.meta"
    }, {
      "id": "Observation.meta.source",
      "path": "Observation.meta.source",
      "short": "Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’une oid : « urn:oid:xx.xx.xx »",
      "definition": "Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’une oid : « urn:oid:xx.xx.xx »"
    }, {
      "id": "Observation.meta.source.extension",
      "min": 0,
      "path": "Observation.meta.source.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.meta.source.extension:CISIS_metaSourceName",
      "max": "1",
      "min": 0,
      "path": "Observation.meta.source.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://esante.gouv.fr/ci-sis/fhir/CISIS_metaSourceName" ]
      } ],
      "short": "Nom du système tiers ayant envoyé la ressource.",
      "sliceName": "CISIS_metaSourceName",
      "definition": "Nom du système tiers ayant envoyé la ressource."
    }, {
      "id": "Observation.meta.profile",
      "max": "1",
      "min": 1,
      "path": "Observation.meta.profile",
      "fixedCanonical": "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_ObservationGlucose"
    }, {
      "id": "Observation.extension",
      "min": 0,
      "path": "Observation.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.extension:supportingInfo",
      "max": "1",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo" ]
      } ],
      "sliceName": "supportingInfo"
    }, {
      "id": "Observation.extension:ENS_ReasonForMeasurement",
      "max": "1",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_ReasonForMeasurement" ]
      } ],
      "short": "Motif de la mesure",
      "sliceName": "ENS_ReasonForMeasurement",
      "definition": "Motif de la mesure\r\nTexte libre (ex. diabète, surpoids, maladie du cœur et des vaisseaux, cholestérol…)"
    }, {
      "id": "Observation.extension:ENS_MomentOfMeasurement",
      "max": "1",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_MomentOfMeasurement" ]
      } ],
      "short": "Moment de la mesure",
      "sliceName": "ENS_MomentOfMeasurement",
      "definition": "Moment de la mesure"
    }, {
      "id": "Observation.extension:ENS_MomentOfMeasurement.value[x].coding",
      "path": "Observation.extension.value[x].coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS",
        "description": "JDV-J157-MomentGlucose-ENS"
      }
    }, {
      "id": "Observation.extension:ENS_NumberOfDays",
      "max": "1",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_NumberOfDays" ]
      } ],
      "short": "Nombre de jours",
      "sliceName": "ENS_NumberOfDays",
      "definition": "Nombre de jours. \r\nUtilisé pour les mesures du taux de glucose interstitiel et l’index de gestion de glycémie."
    }, {
      "id": "Observation.extension:ENS_NumberOfDays.value[x]",
      "min": 1,
      "path": "Observation.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J164-GlucoseNumberOfDays-ENS/FHIR/JDV-J164-GlucoseNumberOfDays-ENS",
        "description": "JDV_J164-GlucoseNumberOfDays-ENS"
      }
    }, {
      "id": "Observation.extension:ENS_DiabetisType",
      "max": "1",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://esante.gouv.fr/ci-sis/fhir/StructureDefinition/ENS_DiabetisType" ]
      } ],
      "sliceName": "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": "Code de l'observation",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS",
        "description": "Glucose sanguin ou intersticiel"
      }
    }, {
      "id": "Observation.code.coding.system",
      "min": 1,
      "path": "Observation.code.coding.system"
    }, {
      "id": "Observation.code.coding.code",
      "min": 1,
      "path": "Observation.code.coding.code"
    }, {
      "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",
      "min": 1,
      "path": "Observation.value[x].system",
      "fixedUri": "http://unitsofmeasure.org"
    }, {
      "id": "Observation.value[x].code",
      "min": 1,
      "path": "Observation.value[x].code",
      "binding": {
        "strength": "required",
        "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS",
        "description": "JDV-J163-GlucoseUnits-ENS"
      }
    }, {
      "id": "Observation.dataAbsentReason.coding.system",
      "min": 1,
      "path": "Observation.dataAbsentReason.coding.system"
    }, {
      "id": "Observation.dataAbsentReason.coding.code",
      "min": 1,
      "path": "Observation.dataAbsentReason.coding.code"
    }, {
      "id": "Observation.method",
      "path": "Observation.method",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "coding.system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.method.coding",
      "path": "Observation.method.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.method:GlucoseSanguin",
      "path": "Observation.method",
      "short": "JDV pour la glycémie sanguine",
      "binding": {
        "strength": "required",
        "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J155-MethodGlucoseSanguin-ENS/FHIR/JDV-J155-MethodGlucoseSanguin-ENS",
        "description": "JDV_J155-MethodGlucoseSanguin-ENS"
      },
      "sliceName": "GlucoseSanguin"
    }, {
      "id": "Observation.method:GlucoseSanguin.coding.system",
      "min": 1,
      "path": "Observation.method.coding.system"
    }, {
      "id": "Observation.method:GlucoseSanguin.coding.code",
      "min": 1,
      "path": "Observation.method.coding.code"
    }, {
      "id": "Observation.method:GlucoseInterstitiel",
      "path": "Observation.method",
      "short": "JDV pour la glycémie interstitielle",
      "binding": {
        "strength": "required",
        "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J156-MethodGlucoseInterstitiel-ENS/FHIR/JDV-J156-MethodGlucoseInterstitiel-ENS",
        "description": "JDV_J156-MethodGlucoseInterstitiel-ENS"
      },
      "sliceName": "GlucoseInterstitiel"
    }, {
      "id": "Observation.method:GlucoseInterstitiel.coding.system",
      "min": 1,
      "path": "Observation.method.coding.system"
    }, {
      "id": "Observation.method:GlucoseInterstitiel.coding.code",
      "min": 1,
      "path": "Observation.method.coding.code"
    }, {
      "id": "Observation.device",
      "path": "Observation.device",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice" ]
      } ],
      "definition": "Dispositif utilisé pour l'observation\r\nSi la mesure a été faite par un objet connecté (Profil PhdDevice) =>cette référence est obligatoire"
    }, {
      "id": "Observation.referenceRange.appliesTo",
      "path": "Observation.referenceRange.appliesTo",
      "binding": {
        "strength": "required",
        "valueSet": "https://mos.esante.gouv.fr/NOS/JDV_J148-ReferenceRangeAppliesTo-CISIS/FHIR/JDV-J148-ReferenceRangeAppliesTo-CISIS",
        "description": "JDV_J148-ReferenceRangeAppliesTo-CISIS"
      }
    }, {
      "id": "Observation.referenceRange.appliesTo.coding.system",
      "min": 1,
      "path": "Observation.referenceRange.appliesTo.coding.system"
    }, {
      "id": "Observation.referenceRange.appliesTo.coding.code",
      "min": 1,
      "path": "Observation.referenceRange.appliesTo.coding.code"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/vitalsigns"
}