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FR Document Core (CDA)
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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 DICOM Objectifs de référence

Official URL: https://interop.esante.gouv.fr/ig/cda/document-core/StructureDefinition/fr-cda-dicom-objectifs-de-reference Version: 0.1.0
Draft as of 2026-08-28 Computable Name: FRCDADICOMObjectifsDeReference

Entrée FR-DICOM-Objectifs-de-reference: DICOM Part 20. Cette entrée permet d’enregistrer les objectifs de référence d’imagerie.

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
.. Observation Observation(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..1 II Slice: Unordered, Open by value:root
.... templateId:frDicomObjectifsDeReference 1..1 II Conformité FR-DICOM-Objectifs-de-reference (CI-SIS)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.163
... @classCode S 1..1 cs(2.0.3-sd) Fixé à OBS
Required Pattern: OBS
... @moodCode S 1..1 cs(2.0.3-sd) Binding: XActMoodDocumentObservation (20260716085852) (required)
.... @code S 1..1 cs(2.0.3-sd) Required Pattern: ASSERTION
.... @codeSystem S 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.5.4
.... @codeSystemName 0..1 st(2.0.3-sd) Required Pattern: actCode
.... @displayName S 0..1 st(2.0.3-sd) Required Pattern: Assertion
... value S 1..1 CD, PQ, ST, AD, BL, CE, CO, CS, CV, ED, EN, II, INT, INT_POS, MO, ON, PN, REAL, SC, TEL, TN, TS, IVL_INT, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ Valeur de l'entrée
Binding: JdvImagerieObjectifReferenceCisis (20260716085852) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.moodCode Base required x_ActMoodDocumentObservation 📍20260716085852 Terminologies de Santé v1.12
Observation.value Base required JDV Imagerie Objectif Reference CISIS 📍20260716085852 Terminologies de Santé v1.12
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 1..1 Observation(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)
... Slices for templateId 1..1 II Slice: Unordered, Open by value:root
.... templateId:frDicomObjectifsDeReference 1..1 II Conformité FR-DICOM-Objectifs-de-reference (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: 1.2.250.1.213.1.1.3.163
..... @extension 0..1 st(2.0.3-sd)
... @classCode S 1..1 cs(2.0.3-sd) Fixé à OBS
Binding: CDAActClassObservation (2.0.3-sd) (required)
Required Pattern: OBS
... @moodCode S 1..1 cs(2.0.3-sd) Binding: XActMoodDocumentObservation (20260716085852) (required)
... @negationInd 0..1 bl(2.0.3-sd)
... id 0..* II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code S 1..1 CD Code de l'entrée
Binding: ObservationType (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: ASSERTION
.... @codeSystem S 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.5.4
.... @codeSystemName 0..1 st(2.0.3-sd) Required Pattern: actCode
.... @codeSystemVersion 0..1 st(2.0.3-sd)
.... @displayName S 0..1 st(2.0.3-sd) Required Pattern: Assertion
.... @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
... derivationExpr 0..1 ST
... text 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (3.0.0) (required)
... effectiveTime 0..1 IVL_TS
... priorityCode 0..1 CE Binding: ActPriority (3.0.0) (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 Valeur de l'entrée
Binding: JdvImagerieObjectifReferenceCisis (20260716085852) (required)
.... value CD
.... value PQ
.... value ST
.... value AD
.... value BL
.... value CE
.... value CO
.... value CS
.... value CV
.... value ED
.... value EN
.... value II
.... value INT
.... value INT_POS
.... value MO
.... value ON
.... value PN
.... value REAL
.... value SC
.... value TEL
.... value TN
.... value TS
.... value IVL_INT
.... value IVL_PQ
.... value IVL_TS
.... value PIVL_TS
.... value EIVL_TS
.... value SXPR_TS
.... value RTO_PQ_PQ
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (2.0.3-sd) (required)
... methodCode 0..* CE Binding: ObservationMethod (3.0.0) (example)
... targetSiteCode 0..* CD
... 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)
... referenceRange 0..* InfrastructureRoot
.... @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 0..* II
.... @typeCode 0..1 cs(2.0.3-sd) Binding: CDAActRelationshipType (2.0.3-sd) (required)
Fixed Value: REFV
.... observationRange 1..1 ObservationRange
... 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
Observation.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:frDicomObjectifsDeReference.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍20260716085852 Terminologies de Santé v1.12
Observation.code Base example ObservationType 📍3.0.0 THO v7.3
Observation.code.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.statusCode Base required ActStatus 📍3.0.0 THO v7.3
Observation.priorityCode Base example ActPriority 📍3.0.0 THO v7.3
Observation.languageCode Base required All Languages 📍5.0.0 FHIR Std.
Observation.value Base required JDV Imagerie Objectif Reference CISIS 📍20260716085852 Terminologies de Santé v1.12
Observation.interpretationCode Base required CDAObservationInterpretation 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.methodCode Base example ObservationMethod 📍3.0.0 THO v7.3
Observation.referenceRange.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​typeCode Base required CDAActRelationshipType 📍2.0.3-sd Clinical Document Architecture v2.0

Constraints

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

Summary

Mandatory: 6 elements
Must-Support: 7 elements

Slices

This structure defines the following Slices:

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

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation Observation(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..1 II Slice: Unordered, Open by value:root
.... templateId:frDicomObjectifsDeReference 1..1 II Conformité FR-DICOM-Objectifs-de-reference (CI-SIS)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.163
... @classCode S 1..1 cs(2.0.3-sd) Fixé à OBS
Required Pattern: OBS
... @moodCode S 1..1 cs(2.0.3-sd) Binding: XActMoodDocumentObservation (20260716085852) (required)
.... @code S 1..1 cs(2.0.3-sd) Required Pattern: ASSERTION
.... @codeSystem S 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.5.4
.... @codeSystemName 0..1 st(2.0.3-sd) Required Pattern: actCode
.... @displayName S 0..1 st(2.0.3-sd) Required Pattern: Assertion
... value S 1..1 CD, PQ, ST, AD, BL, CE, CO, CS, CV, ED, EN, II, INT, INT_POS, MO, ON, PN, REAL, SC, TEL, TN, TS, IVL_INT, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ Valeur de l'entrée
Binding: JdvImagerieObjectifReferenceCisis (20260716085852) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.moodCode Base required x_ActMoodDocumentObservation 📍20260716085852 Terminologies de Santé v1.12
Observation.value Base required JDV Imagerie Objectif Reference CISIS 📍20260716085852 Terminologies de Santé v1.12

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 1..1 Observation(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)
... Slices for templateId 1..1 II Slice: Unordered, Open by value:root
.... templateId:frDicomObjectifsDeReference 1..1 II Conformité FR-DICOM-Objectifs-de-reference (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: 1.2.250.1.213.1.1.3.163
..... @extension 0..1 st(2.0.3-sd)
... @classCode S 1..1 cs(2.0.3-sd) Fixé à OBS
Binding: CDAActClassObservation (2.0.3-sd) (required)
Required Pattern: OBS
... @moodCode S 1..1 cs(2.0.3-sd) Binding: XActMoodDocumentObservation (20260716085852) (required)
... @negationInd 0..1 bl(2.0.3-sd)
... id 0..* II
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code S 1..1 CD Code de l'entrée
Binding: ObservationType (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: ASSERTION
.... @codeSystem S 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.5.4
.... @codeSystemName 0..1 st(2.0.3-sd) Required Pattern: actCode
.... @codeSystemVersion 0..1 st(2.0.3-sd)
.... @displayName S 0..1 st(2.0.3-sd) Required Pattern: Assertion
.... @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
... derivationExpr 0..1 ST
... text 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (3.0.0) (required)
... effectiveTime 0..1 IVL_TS
... priorityCode 0..1 CE Binding: ActPriority (3.0.0) (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 Valeur de l'entrée
Binding: JdvImagerieObjectifReferenceCisis (20260716085852) (required)
.... value CD
.... value PQ
.... value ST
.... value AD
.... value BL
.... value CE
.... value CO
.... value CS
.... value CV
.... value ED
.... value EN
.... value II
.... value INT
.... value INT_POS
.... value MO
.... value ON
.... value PN
.... value REAL
.... value SC
.... value TEL
.... value TN
.... value TS
.... value IVL_INT
.... value IVL_PQ
.... value IVL_TS
.... value PIVL_TS
.... value EIVL_TS
.... value SXPR_TS
.... value RTO_PQ_PQ
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (2.0.3-sd) (required)
... methodCode 0..* CE Binding: ObservationMethod (3.0.0) (example)
... targetSiteCode 0..* CD
... 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)
... referenceRange 0..* InfrastructureRoot
.... @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 0..* II
.... @typeCode 0..1 cs(2.0.3-sd) Binding: CDAActRelationshipType (2.0.3-sd) (required)
Fixed Value: REFV
.... observationRange 1..1 ObservationRange
... 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
Observation.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:frDicomObjectifsDeReference.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍20260716085852 Terminologies de Santé v1.12
Observation.code Base example ObservationType 📍3.0.0 THO v7.3
Observation.code.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.statusCode Base required ActStatus 📍3.0.0 THO v7.3
Observation.priorityCode Base example ActPriority 📍3.0.0 THO v7.3
Observation.languageCode Base required All Languages 📍5.0.0 FHIR Std.
Observation.value Base required JDV Imagerie Objectif Reference CISIS 📍20260716085852 Terminologies de Santé v1.12
Observation.interpretationCode Base required CDAObservationInterpretation 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.methodCode Base example ObservationMethod 📍3.0.0 THO v7.3
Observation.referenceRange.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​typeCode Base required CDAActRelationshipType 📍2.0.3-sd Clinical Document Architecture v2.0

Constraints

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

Summary

Mandatory: 6 elements
Must-Support: 7 elements

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel