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FR Document Core (CDA)
0.1.0 - ci-build France (la) flag

FR Document Core (CDA) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: CDA - FR Acte substitution

Official URL: https://interop.esante.gouv.fr/ig/cda/document-core/StructureDefinition/fr-cda-acte-substitution Version: 0.1.0
Draft as of 2026-08-28 Computable Name: FRCDAActeSubstitution

Entrée FR-Acte-substitution: IHE PHARM DIS - Substitution actCette observation permet d'indiquer si le traitement a été substitué.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Act 1..1 Act(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 2..2 II Slice: Unordered, Open by value:root
.... templateId:frActeSubstitution 1..1 II Conformité FR-Acte-substitution (CI-SIS)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.206
.... templateId:iheSubstitutionAct 1..1 II Conformité Substitution act (IHE PHARM DIS)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.9.1.3.9.2
... @classCode S 1..1 cs(2.0.3-sd) Required Pattern: ACT
... @moodCode S 1..1 cs(2.0.3-sd) Required Pattern: EVN
.... @code S 1..1 cs(2.0.3-sd) Required Pattern: G
.... @codeSystem S 0..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.5.1070
.... @codeSystemName 0..1 st(2.0.3-sd) Required Pattern: HL7_SubstanceAdminSubstitution
.... @displayName 0..1 st(2.0.3-sd) Required Pattern: Substitution autorisée par un produit générique
... statusCode S 1..1 CS Statut de l’entrée - Fixé à la valeur 'completed'
.... @code 0..1 cs(2.0.3-sd) Required Pattern: completed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Act 1..1 Act(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @assigningAuthorityName 0..1 st(2.0.3-sd)
.... @displayable 0..1 bl(2.0.3-sd)
.... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st(2.0.3-sd)
.... templateId:frActeSubstitution 1..1 II Conformité FR-Acte-substitution (CI-SIS)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.206
..... @extension 0..1 st(2.0.3-sd)
.... templateId:iheSubstitutionAct 1..1 II Conformité Substitution act (IHE PHARM DIS)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.9.1.3.9.2
..... @extension 0..1 st(2.0.3-sd)
... @classCode S 1..1 cs(2.0.3-sd) Binding: XActClassDocumentEntryAct (2.0.0) (required)
Required Pattern: ACT
... @moodCode S 1..1 cs(2.0.3-sd) Binding: XDocumentActMood (2.0.0) (required)
Required Pattern: EVN
... @negationInd 0..1 bl(2.0.3-sd)
... id 0..* II
... code S 1..1 CD Code de l'entrée
Binding: ActCode (3.0.0) (example)
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @code S 1..1 cs(2.0.3-sd) Required Pattern: G
.... @codeSystem S 0..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.5.1070
.... @codeSystemName 0..1 st(2.0.3-sd) Required Pattern: HL7_SubstanceAdminSubstitution
.... @codeSystemVersion 0..1 st(2.0.3-sd)
.... @displayName 0..1 st(2.0.3-sd) Required Pattern: Substitution autorisée par un produit générique
.... @sdtcValueSet 0..1 oid(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... text 0..1 ED
... statusCode S 1..1 CS Statut de l’entrée - Fixé à la valeur 'completed'
Binding: ActStatus (3.0.0) (required)
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @code 0..1 cs(2.0.3-sd) Required Pattern: completed
.... @sdtcValueSet 0..1 oid(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1 IVL_TS
... priorityCode 0..1 CE Binding: ActPriority (3.0.0) (example)
... languageCode 0..1 CS Binding: AllLanguages (required)
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... entryRelationship 0..* EntryRelationship
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Act.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.templateId:frActeSubstitution.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.templateId:iheSubstitutionAct.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.classCode Base required x_ActClassDocumentEntryAct 📍2.0.0 THO v5.2
Act.moodCode Base required x_DocumentActMood 📍2.0.0 THO v5.2
Act.code Base example v3 Code System ActCode 📍3.0.0 THO v7.3
Act.code.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.statusCode Base required ActStatus 📍3.0.0 THO v7.3
Act.statusCode.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.priorityCode Base example ActPriority 📍3.0.0 THO v7.3
Act.languageCode Base required All Languages 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error Act.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

Summary

Mandatory: 6 elements
Must-Support: 6 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Act.templateId

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Act 1..1 Act(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 2..2 II Slice: Unordered, Open by value:root
.... templateId:frActeSubstitution 1..1 II Conformité FR-Acte-substitution (CI-SIS)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.206
.... templateId:iheSubstitutionAct 1..1 II Conformité Substitution act (IHE PHARM DIS)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.9.1.3.9.2
... @classCode S 1..1 cs(2.0.3-sd) Required Pattern: ACT
... @moodCode S 1..1 cs(2.0.3-sd) Required Pattern: EVN
.... @code S 1..1 cs(2.0.3-sd) Required Pattern: G
.... @codeSystem S 0..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.5.1070
.... @codeSystemName 0..1 st(2.0.3-sd) Required Pattern: HL7_SubstanceAdminSubstitution
.... @displayName 0..1 st(2.0.3-sd) Required Pattern: Substitution autorisée par un produit générique
... statusCode S 1..1 CS Statut de l’entrée - Fixé à la valeur 'completed'
.... @code 0..1 cs(2.0.3-sd) Required Pattern: completed

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Act 1..1 Act(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @assigningAuthorityName 0..1 st(2.0.3-sd)
.... @displayable 0..1 bl(2.0.3-sd)
.... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st(2.0.3-sd)
.... templateId:frActeSubstitution 1..1 II Conformité FR-Acte-substitution (CI-SIS)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.206
..... @extension 0..1 st(2.0.3-sd)
.... templateId:iheSubstitutionAct 1..1 II Conformité Substitution act (IHE PHARM DIS)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.9.1.3.9.2
..... @extension 0..1 st(2.0.3-sd)
... @classCode S 1..1 cs(2.0.3-sd) Binding: XActClassDocumentEntryAct (2.0.0) (required)
Required Pattern: ACT
... @moodCode S 1..1 cs(2.0.3-sd) Binding: XDocumentActMood (2.0.0) (required)
Required Pattern: EVN
... @negationInd 0..1 bl(2.0.3-sd)
... id 0..* II
... code S 1..1 CD Code de l'entrée
Binding: ActCode (3.0.0) (example)
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @code S 1..1 cs(2.0.3-sd) Required Pattern: G
.... @codeSystem S 0..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.5.1070
.... @codeSystemName 0..1 st(2.0.3-sd) Required Pattern: HL7_SubstanceAdminSubstitution
.... @codeSystemVersion 0..1 st(2.0.3-sd)
.... @displayName 0..1 st(2.0.3-sd) Required Pattern: Substitution autorisée par un produit générique
.... @sdtcValueSet 0..1 oid(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... text 0..1 ED
... statusCode S 1..1 CS Statut de l’entrée - Fixé à la valeur 'completed'
Binding: ActStatus (3.0.0) (required)
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @code 0..1 cs(2.0.3-sd) Required Pattern: completed
.... @sdtcValueSet 0..1 oid(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 0..1 IVL_TS
... priorityCode 0..1 CE Binding: ActPriority (3.0.0) (example)
... languageCode 0..1 CS Binding: AllLanguages (required)
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... entryRelationship 0..* EntryRelationship
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Act.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.templateId:frActeSubstitution.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.templateId:iheSubstitutionAct.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.classCode Base required x_ActClassDocumentEntryAct 📍2.0.0 THO v5.2
Act.moodCode Base required x_DocumentActMood 📍2.0.0 THO v5.2
Act.code Base example v3 Code System ActCode 📍3.0.0 THO v7.3
Act.code.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.statusCode Base required ActStatus 📍3.0.0 THO v7.3
Act.statusCode.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Act.priorityCode Base example ActPriority 📍3.0.0 THO v7.3
Act.languageCode Base required All Languages 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
II-1 error Act.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

Summary

Mandatory: 6 elements
Must-Support: 6 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Act.templateId

 

Other representations of profile: CSV, Excel