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Logical Model: CDA - FR DICOM Observation subordonnee - Detailed Descriptions

Draft as of 2026-08-28

Definitions for the fr-cda-dicom-observation-subordonnee logical model

Guidance on how to interpret the contents of this table can be foundhere

0. Observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.


Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Observation.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
(required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
4. Observation.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
6. Observation.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
8. Observation.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
(required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
10. Observation.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
12. Observation.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
14. Observation.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
16. Observation.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
18. Observation.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control2..2
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • 20. Observation.templateId:dicomCodedObservation
    Slice NamedicomCodedObservation
    Definition

    Conformité Coded Observation (DICOM Part 20)

    ShortConformité Coded Observation (DICOM Part 20)
    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    22. Observation.templateId:dicomCodedObservation.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    24. Observation.templateId:dicomCodedObservation.assigningAuthorityName
    Definition

    A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelAssigning Authority Name
    26. Observation.templateId:dicomCodedObservation.displayable
    Definition

    Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

    Control0..1
    Typeboolean(bl: Boolean)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplayable
    28. Observation.templateId:dicomCodedObservation.root
    Definition

    A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelRoot
    Pattern Value2.16.840.1.113883.10.20.6.2.13
    30. Observation.templateId:dicomCodedObservation.extension
    Definition

    A character string as a unique identifier within the scope of the identifier root.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExtension
    32. Observation.templateId:frDicomObservationSubordonnee
    Slice NamefrDicomObservationSubordonnee
    Definition

    Conformité FR-DICOM-Observation-subordonnee (CI-SIS)

    ShortConformité FR-DICOM-Observation-subordonnee (CI-SIS)
    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    34. Observation.templateId:frDicomObservationSubordonnee.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    36. Observation.templateId:frDicomObservationSubordonnee.assigningAuthorityName
    Definition

    A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelAssigning Authority Name
    38. Observation.templateId:frDicomObservationSubordonnee.displayable
    Definition

    Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

    Control0..1
    Typeboolean(bl: Boolean)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplayable
    40. Observation.templateId:frDicomObservationSubordonnee.root
    Definition

    A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelRoot
    Pattern Value1.2.250.1.213.1.1.3.167
    42. Observation.templateId:frDicomObservationSubordonnee.extension
    Definition

    A character string as a unique identifier within the scope of the identifier root.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExtension
    44. Observation.classCode
    Control1..1
    BindingThe codes SHALL be taken from CDAActClassObservation (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    XML FormatIn the XML format, this property is represented as an attribute.
    Pattern ValueOBS
    46. Observation.moodCode
    Control1..1
    BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
    (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    XML FormatIn the XML format, this property is represented as an attribute.
    48. Observation.negationInd
    Control0..1
    Typeboolean(bl: Boolean)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    50. Observation.id
    Definition

    Identifiant de l'entrée


    The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

    ShortIdentifiant de l'entréeLogical id of this artifact
    Comments

    Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

    Control10..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
    Is Modifierfalse
    Must Supporttrue
    52. Observation.sdtcCategory
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
    54. Observation.code
    Definition

    Code de l'observation


    Describes what was observed. Sometimes this is called the observation "name".

    ShortCode de l'observationType of observation (code / type)
    Comments

    All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

    Control1..1
    This element is affected by the following invariants: obs-7
    BindingFor example codes, see ObservationType (3.0.0)http://hl7.org/fhir/ValueSet/observation-codes|5.0.0
    (example to http://terminology.hl7.org/ValueSet/v3-ObservationType|3.0.0)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    Requirements

    Knowing what kind of observation is being made is essential to understanding the observation.

    Alternate NamesName
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. Observation.code.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    58. Observation.code.code
    Definition

    The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

    Control1..1
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode
    60. Observation.code.codeSystem
    Definition

    Specifies the code system that defines the code.

    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System
    62. Observation.code.codeSystemName
    Definition

    The common name of the coding system.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Name
    64. Observation.code.codeSystemVersion
    Definition

    If applicable, a version descriptor defined specifically for the given code system.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Version
    66. Observation.code.displayName
    Definition

    A name or title for the code, under which the sending system shows the code value to its users.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplay Name
    68. Observation.code.sdtcValueSet
    Definition

    The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

    Control0..1
    Typestring(oid: ISO Object Identifier)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
    70. Observation.code.sdtcValueSetVersion
    Definition

    The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
    72. Observation.code.originalText
    Definition

    The text or phrase used as the basis for the coding.

    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
    LabelOriginal Text
    74. Observation.code.qualifier
    Definition

    Specifies additional codes that increase the specificity of the the primary code.

    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
    LabelQualifier
    76. Observation.code.translation
    Definition

    A set of other concept descriptors that translate this concept descriptor into other code systems.

    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    LabelTranslation
    78. Observation.derivationExpr
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
    80. Observation.text
    Definition

    Partie narrative de l'observation


    A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

    ShortPartie narrative de l'observationText summary of the resource, for human interpretation
    Comments

    Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

    Control0..1
    This element is affected by the following invariants: dom-6
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/EDNarrative
    Is Modifierfalse
    Must Supporttrue
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    Alternate Namesnarrative, html, xhtml, display
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    82. Observation.text.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    84. Observation.text.compression
    Definition

    Indicates whether the raw byte data is compressed, and what compression algorithm was used.

    Control0..1
    BindingThe codes SHALL be taken from CDACompressionAlgorithm (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCompression
    86. Observation.text.integrityCheck
    Definition

    The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

    Control0..1
    Typebase64Binary(bin: Binary Data)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelIntegrity Check
    88. Observation.text.integrityCheckAlgorithm
    Definition

    Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

    Control0..1
    BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
    (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelIntegrity Check Algorithm
    90. Observation.text.language
    Definition

    For character based information the language property specifies the human language of the text.

    Control0..1
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelLanguage
    92. Observation.text.mediaType
    Definition

    Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

    Control0..1
    BindingFor example codes, see MediaType (3.0.0)
    (example to http://terminology.hl7.org/ValueSet/v3-MediaType|3.0.0)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelMedia Type
    94. Observation.text.representation
    Control0..1
    BindingThe codes SHALL be taken from BinaryDataEncoding (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    96. Observation.text.xmlText
    Definition

    Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

    ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    Comments

    This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as unadorned text.
    98. Observation.text.reference
    Definition

    A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
    Must Supporttrue
    LabelReference
    100. Observation.text.thumbnail
    Definition

    An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
    LabelThumbnail
    InvariantsED-1: Thumbnails cannot contain their own thumbnails (thumbnail.empty())
    102. Observation.statusCode
    Definition

    status de l'observation

    Shortstatus de l'observation
    Control1..1
    BindingThe codes SHALL be taken from ActStatus (20260716085852)
    (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-hl7-v3-ActStatus-cisis|20260716085852)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
    Must Supporttrue
    104. Observation.effectiveTime
    Definition

    Date de l'observation

    ShortDate de l'observation
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
    Must Supporttrue
    106. Observation.priorityCode
    Control0..1
    BindingFor example codes, see ActPriority (3.0.0)
    (example to http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
    108. Observation.repeatNumber
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
    110. Observation.languageCode
    Control0..1
    BindingThe codes SHALL be taken from AllLanguages
    (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
    112. Observation.value
    Control1..1
    TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/CS, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/INT-POS, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/ON, http://hl7.org/cda/stds/core/StructureDefinition/PN, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/TN, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    114. Observation.interpretationCode
    Definition

    Interprétation code de l'observation

    ShortInterprétation code de l'observation
    Control0..1
    BindingThe codes SHALL be taken from ObservationInterpretation (20260716085852)
    (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-hl7-v3-ObservationInterpretation-cisis|20260716085852)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
    Must Supporttrue
    116. Observation.methodCode
    Definition

    Méthode code de l'observation

    ShortMéthode code de l'observation
    Control0..1
    BindingThe codes SHALL be taken from ObservationMethod (20260716085851)
    (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-hl7-v3-ObservationMethod-cisis|20260716085851)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
    Must Supporttrue
    118. Observation.targetSiteCode
    Definition

    Latéralité et topographie

    ShortLatéralité et topographie
    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    120. Observation.targetSiteCode.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    122. Observation.targetSiteCode.code
    Definition

    The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

    Control0..1
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode
    124. Observation.targetSiteCode.codeSystem
    Definition

    Specifies the code system that defines the code.

    Control0..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System
    126. Observation.targetSiteCode.codeSystemName
    Definition

    The common name of the coding system.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Name
    128. Observation.targetSiteCode.codeSystemVersion
    Definition

    If applicable, a version descriptor defined specifically for the given code system.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Version
    130. Observation.targetSiteCode.displayName
    Definition

    A name or title for the code, under which the sending system shows the code value to its users.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplay Name
    132. Observation.targetSiteCode.sdtcValueSet
    Definition

    The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

    Control0..1
    Typestring(oid: ISO Object Identifier)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
    134. Observation.targetSiteCode.sdtcValueSetVersion
    Definition

    The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
    136. Observation.targetSiteCode.originalText
    Definition

    The text or phrase used as the basis for the coding.

    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
    LabelOriginal Text
    138. Observation.targetSiteCode.qualifier
    Definition

    Topographie

    ShortTopographie
    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
    Must Supporttrue
    LabelQualifier
    140. Observation.targetSiteCode.qualifier.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    142. Observation.targetSiteCode.qualifier.inverted
    Definition

    Indicates if the sense of the role name is inverted. This can be used in cases where the underlying code system defines inversion but does not provide reciprocal pairs of role names. By default, inverted is false.

    Control0..1
    Typeboolean(bn: BooleanNonNull)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelInversion Indicator
    144. Observation.targetSiteCode.qualifier.name
    Definition

    Specifies the manner in which the concept role value contributes to the meaning of a code phrase. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows to add the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". In this example "has-laterality" is the CR.name.

    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CV
    Must Supporttrue
    LabelName
    146. Observation.targetSiteCode.qualifier.name.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    148. Observation.targetSiteCode.qualifier.name.code
    Definition

    The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

    Control0..1
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode
    Pattern Value106233006
    150. Observation.targetSiteCode.qualifier.name.codeSystem
    Definition

    Specifies the code system that defines the code.

    Control0..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System
    Pattern Value2.16.840.1.113883.6.96
    152. Observation.targetSiteCode.qualifier.name.codeSystemName
    Definition

    The common name of the coding system.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Name
    Pattern ValueSNOMED-CT
    154. Observation.targetSiteCode.qualifier.name.codeSystemVersion
    Definition

    If applicable, a version descriptor defined specifically for the given code system.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Version
    156. Observation.targetSiteCode.qualifier.name.displayName
    Definition

    A name or title for the code, under which the sending system shows the code value to its users.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplay Name
    Pattern Valuemodificateur topographique
    158. Observation.targetSiteCode.qualifier.name.sdtcValueSet
    Definition

    The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

    Control0..1
    Typestring(oid: ISO Object Identifier)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
    160. Observation.targetSiteCode.qualifier.name.sdtcValueSetVersion
    Definition

    The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
    162. Observation.targetSiteCode.qualifier.name.originalText
    Definition

    The text or phrase used as the basis for the coding.

    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
    LabelOriginal Text
    164. Observation.targetSiteCode.qualifier.name.qualifier
    Definition

    Specifies additional codes that increase the specificity of the the primary code.

    Control0..0
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
    LabelQualifier
    166. Observation.targetSiteCode.qualifier.name.translation
    Definition

    A set of other concept descriptors that translate this concept descriptor into other code systems.

    Control0..0
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    LabelTranslation
    168. Observation.targetSiteCode.qualifier.value
    Definition

    Valeur de la topographie

    ShortValeur de la topographie
    Control1..1
    BindingThe codes SHALL be taken from JdvModificateurTopographiqueCisis (20260716085851)
    (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-modificateur-topographique-cisis|20260716085851)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    Must Supporttrue
    LabelValue
    170. Observation.targetSiteCode.translation
    Definition

    A set of other concept descriptors that translate this concept descriptor into other code systems.

    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    LabelTranslation
    172. Observation.subject
    Definition

    The patient, or group of patients, location, device, organization, procedure or practitioner this observation is about and into whose or what record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the focus element or the code itself specifies the actual focus of the observation.

    ShortWho and/or what the observation is about
    Comments

    One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. The subject of an Observation may in some cases be a procedure. This supports the regulatory inspection use case where observations are captured during inspections of a procedure that is being performed (independent of any particular patient or whether patient related at all).

    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubjectReference(Patient, Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct)
    Is Modifierfalse
    Requirements

    Observations have no value if you don't know who or what they're about.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    174. Observation.specimen
    Definition

    The specimen that was used when this observation was made.

    ShortSpecimen used for this observation
    Comments

    Should only be used if not implicit in code found in Observation.code. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).

    Control0..*1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SpecimenReference(Specimen, Group)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    obs-9: If Observation.specimen is a reference to Group, the group can only have specimens ((reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen))
    176. Observation.performer
    Definition

    Who was responsible for asserting the observed value as "true".

    ShortWho is responsible for the observation
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2Reference(Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
    Is Modifierfalse
    Requirements

    May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    178. Observation.author
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
    180. Observation.informant
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
    182. Observation.participant
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
    184. Observation.entryRelationship
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
    186. Observation.reference
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
    188. Observation.precondition
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
    190. Observation.sdtcPrecondition2
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
    192. Observation.referenceRange
    Definition

    Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.


    Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two referenceRange elements would be used.

    ShortProvides guide for interpretation
    Comments

    Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.

    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRootBackboneElement
    Is Modifierfalse
    Requirements

    Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    obs-3: Must have at least a low or a high or text (low.exists() or high.exists() or text.exists())
    194. Observation.referenceRange.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    196. Observation.referenceRange.realmCode
    Definition

    When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
    198. Observation.referenceRange.typeId
    Definition

    When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
    200. Observation.referenceRange.typeId.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    202. Observation.referenceRange.typeId.assigningAuthorityName
    Definition

    A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelAssigning Authority Name
    204. Observation.referenceRange.typeId.displayable
    Definition

    Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

    Control0..1
    Typeboolean(bl: Boolean)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplayable
    206. Observation.referenceRange.typeId.root
    Definition

    Identifies the type as an HL7 Registered model

    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelRoot
    Fixed Value2.16.840.1.113883.1.3
    208. Observation.referenceRange.typeId.extension
    Definition

    A character string as a unique identifier within the scope of the identifier root.

    Control1..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExtension
    210. Observation.referenceRange.templateId
    Definition

    When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    212. Observation.referenceRange.typeCode
    Control0..1
    BindingThe codes SHALL be taken from CDAActRelationshipType (2.0.3-sd)
    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType|2.0.3-sd)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueREFV
    214. Observation.referenceRange.observationRange
    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
    216. Observation.sdtcInFulfillmentOf1
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.

    Guidance on how to interpret the contents of this table can be foundhere

    0. Observation
    Logical ContainerClinicalDocument (CDA Class)
    ValidationInstance of this type are validated by templateId
    XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
    2. Observation.templateId
    Control2..2
    SlicingThis element introduces a set of slices on Observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ root
    • 4. Observation.templateId:dicomCodedObservation
      Slice NamedicomCodedObservation
      Definition

      Conformité Coded Observation (DICOM Part 20)

      ShortConformité Coded Observation (DICOM Part 20)
      Control1..1
      6. Observation.templateId:dicomCodedObservation.root
      Control1..?
      Pattern Value2.16.840.1.113883.10.20.6.2.13
      8. Observation.templateId:frDicomObservationSubordonnee
      Slice NamefrDicomObservationSubordonnee
      Definition

      Conformité FR-DICOM-Observation-subordonnee (CI-SIS)

      ShortConformité FR-DICOM-Observation-subordonnee (CI-SIS)
      Control1..1
      10. Observation.templateId:frDicomObservationSubordonnee.root
      Control1..?
      Pattern Value1.2.250.1.213.1.1.3.167
      12. Observation.classCode
      Must Supporttrue
      Pattern ValueOBS
      14. Observation.moodCode
      Must Supporttrue
      16. Observation.id
      Definition

      Identifiant de l'entrée

      ShortIdentifiant de l'entrée
      Control1..1
      Must Supporttrue
      18. Observation.code
      Definition

      Code de l'observation

      ShortCode de l'observation
      Must Supporttrue
      20. Observation.code.code
      Control1..?
      Must Supporttrue
      22. Observation.code.codeSystem
      Control1..?
      Must Supporttrue
      24. Observation.code.displayName
      Must Supporttrue
      26. Observation.text
      Definition

      Partie narrative de l'observation

      ShortPartie narrative de l'observation
      Must Supporttrue
      28. Observation.text.reference
      Control1..?
      Must Supporttrue
      30. Observation.statusCode
      Definition

      status de l'observation

      Shortstatus de l'observation
      Control1..?
      BindingThe codes SHALL be taken from ActStatus (20260716085852)
      (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-hl7-v3-ActStatus-cisis|20260716085852)
      Must Supporttrue
      32. Observation.effectiveTime
      Definition

      Date de l'observation

      ShortDate de l'observation
      Must Supporttrue
      34. Observation.value
      Control1..1
      Must Supporttrue
      36. Observation.interpretationCode
      Definition

      Interprétation code de l'observation

      ShortInterprétation code de l'observation
      Control0..1
      BindingThe codes SHALL be taken from ObservationInterpretation (20260716085852)
      (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-hl7-v3-ObservationInterpretation-cisis|20260716085852)
      Must Supporttrue
      38. Observation.methodCode
      Definition

      Méthode code de l'observation

      ShortMéthode code de l'observation
      Control0..1
      BindingThe codes SHALL be taken from ObservationMethod (20260716085851)
      (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-hl7-v3-ObservationMethod-cisis|20260716085851)
      Must Supporttrue
      40. Observation.targetSiteCode
      Definition

      Latéralité et topographie

      ShortLatéralité et topographie
      Control1..1
      42. Observation.targetSiteCode.qualifier
      Definition

      Topographie

      ShortTopographie
      Control0..1
      Must Supporttrue
      44. Observation.targetSiteCode.qualifier.name
      Control1..?
      Must Supporttrue
      46. Observation.targetSiteCode.qualifier.name.code
      Pattern Value106233006
      48. Observation.targetSiteCode.qualifier.name.codeSystem
      Pattern Value2.16.840.1.113883.6.96
      50. Observation.targetSiteCode.qualifier.name.codeSystemName
      Pattern ValueSNOMED-CT
      52. Observation.targetSiteCode.qualifier.name.displayName
      Pattern Valuemodificateur topographique
      54. Observation.targetSiteCode.qualifier.value
      Definition

      Valeur de la topographie

      ShortValeur de la topographie
      Control1..?
      BindingThe codes SHALL be taken from JdvModificateurTopographiqueCisis (20260716085851)
      (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-modificateur-topographique-cisis|20260716085851)
      Must Supporttrue

      Guidance on how to interpret the contents of this table can be foundhere

      0. Observation
      Definition

      Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

      ShortBase for all types and resources
      Control1..1
      Is Modifierfalse
      Logical ContainerClinicalDocument (CDA Class)
      ValidationInstance of this type are validated by templateId
      XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
      2. Observation.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      4. Observation.realmCode
      Definition

      When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
      6. Observation.typeId
      Definition

      When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
      InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
      8. Observation.typeId.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      10. Observation.typeId.assigningAuthorityName
      Definition

      A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelAssigning Authority Name
      12. Observation.typeId.displayable
      Definition

      Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

      Control0..1
      Typeboolean(bl: Boolean)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelDisplayable
      14. Observation.typeId.root
      Definition

      Identifies the type as an HL7 Registered model

      Control1..1
      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelRoot
      Fixed Value2.16.840.1.113883.1.3
      16. Observation.typeId.extension
      Definition

      A character string as a unique identifier within the scope of the identifier root.

      Control1..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExtension
      18. Observation.templateId
      Definition

      When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

      Control2..2
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
      SlicingThis element introduces a set of slices on Observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ root
      • 20. Observation.templateId:dicomCodedObservation
        Slice NamedicomCodedObservation
        Definition

        Conformité Coded Observation (DICOM Part 20)

        ShortConformité Coded Observation (DICOM Part 20)
        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        22. Observation.templateId:dicomCodedObservation.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        24. Observation.templateId:dicomCodedObservation.assigningAuthorityName
        Definition

        A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelAssigning Authority Name
        26. Observation.templateId:dicomCodedObservation.displayable
        Definition

        Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

        Control0..1
        Typeboolean(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplayable
        28. Observation.templateId:dicomCodedObservation.root
        Definition

        A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

        Control1..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelRoot
        Pattern Value2.16.840.1.113883.10.20.6.2.13
        30. Observation.templateId:dicomCodedObservation.extension
        Definition

        A character string as a unique identifier within the scope of the identifier root.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExtension
        32. Observation.templateId:frDicomObservationSubordonnee
        Slice NamefrDicomObservationSubordonnee
        Definition

        Conformité FR-DICOM-Observation-subordonnee (CI-SIS)

        ShortConformité FR-DICOM-Observation-subordonnee (CI-SIS)
        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        34. Observation.templateId:frDicomObservationSubordonnee.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        36. Observation.templateId:frDicomObservationSubordonnee.assigningAuthorityName
        Definition

        A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelAssigning Authority Name
        38. Observation.templateId:frDicomObservationSubordonnee.displayable
        Definition

        Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

        Control0..1
        Typeboolean(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplayable
        40. Observation.templateId:frDicomObservationSubordonnee.root
        Definition

        A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

        Control1..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelRoot
        Pattern Value1.2.250.1.213.1.1.3.167
        42. Observation.templateId:frDicomObservationSubordonnee.extension
        Definition

        A character string as a unique identifier within the scope of the identifier root.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExtension
        44. Observation.classCode
        Control1..1
        BindingThe codes SHALL be taken from CDAActClassObservation (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        XML FormatIn the XML format, this property is represented as an attribute.
        Pattern ValueOBS
        46. Observation.moodCode
        Control1..1
        BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
        (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        XML FormatIn the XML format, this property is represented as an attribute.
        48. Observation.negationInd
        Control0..1
        Typeboolean(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        50. Observation.id
        Definition

        Identifiant de l'entrée

        ShortIdentifiant de l'entrée
        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        Must Supporttrue
        52. Observation.sdtcCategory
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
        54. Observation.code
        Definition

        Code de l'observation

        ShortCode de l'observation
        Control1..1
        BindingFor example codes, see ObservationType (3.0.0)
        (example to http://terminology.hl7.org/ValueSet/v3-ObservationType|3.0.0)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        Must Supporttrue
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        56. Observation.code.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        58. Observation.code.code
        Definition

        The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

        Control1..1
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode
        60. Observation.code.codeSystem
        Definition

        Specifies the code system that defines the code.

        Control1..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System
        62. Observation.code.codeSystemName
        Definition

        The common name of the coding system.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Name
        64. Observation.code.codeSystemVersion
        Definition

        If applicable, a version descriptor defined specifically for the given code system.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Version
        66. Observation.code.displayName
        Definition

        A name or title for the code, under which the sending system shows the code value to its users.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplay Name
        68. Observation.code.sdtcValueSet
        Definition

        The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

        Control0..1
        Typestring(oid: ISO Object Identifier)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
        70. Observation.code.sdtcValueSetVersion
        Definition

        The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
        72. Observation.code.originalText
        Definition

        The text or phrase used as the basis for the coding.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        LabelOriginal Text
        74. Observation.code.qualifier
        Definition

        Specifies additional codes that increase the specificity of the the primary code.

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
        LabelQualifier
        76. Observation.code.translation
        Definition

        A set of other concept descriptors that translate this concept descriptor into other code systems.

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        LabelTranslation
        78. Observation.derivationExpr
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
        80. Observation.text
        Definition

        Partie narrative de l'observation

        ShortPartie narrative de l'observation
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        Must Supporttrue
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        82. Observation.text.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        84. Observation.text.compression
        Definition

        Indicates whether the raw byte data is compressed, and what compression algorithm was used.

        Control0..1
        BindingThe codes SHALL be taken from CDACompressionAlgorithm (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCompression
        86. Observation.text.integrityCheck
        Definition

        The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

        Control0..1
        Typebase64Binary(bin: Binary Data)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelIntegrity Check
        88. Observation.text.integrityCheckAlgorithm
        Definition

        Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

        Control0..1
        BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
        (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelIntegrity Check Algorithm
        90. Observation.text.language
        Definition

        For character based information the language property specifies the human language of the text.

        Control0..1
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelLanguage
        92. Observation.text.mediaType
        Definition

        Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

        Control0..1
        BindingFor example codes, see MediaType (3.0.0)
        (example to http://terminology.hl7.org/ValueSet/v3-MediaType|3.0.0)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelMedia Type
        94. Observation.text.representation
        Control0..1
        BindingThe codes SHALL be taken from BinaryDataEncoding (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        96. Observation.text.xmlText
        Definition

        Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

        ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
        Comments

        This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as unadorned text.
        98. Observation.text.reference
        Definition

        A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
        Must Supporttrue
        LabelReference
        100. Observation.text.thumbnail
        Definition

        An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        LabelThumbnail
        InvariantsED-1: Thumbnails cannot contain their own thumbnails (thumbnail.empty())
        102. Observation.statusCode
        Definition

        status de l'observation

        Shortstatus de l'observation
        Control1..1
        BindingThe codes SHALL be taken from ActStatus (20260716085852)
        (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-hl7-v3-ActStatus-cisis|20260716085852)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
        Must Supporttrue
        104. Observation.effectiveTime
        Definition

        Date de l'observation

        ShortDate de l'observation
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
        Must Supporttrue
        106. Observation.priorityCode
        Control0..1
        BindingFor example codes, see ActPriority (3.0.0)
        (example to http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        108. Observation.repeatNumber
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
        110. Observation.languageCode
        Control0..1
        BindingThe codes SHALL be taken from AllLanguages
        (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
        112. Observation.value
        Control1..1
        TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/CS, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/INT-POS, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/ON, http://hl7.org/cda/stds/core/StructureDefinition/PN, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/TN, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        114. Observation.interpretationCode
        Definition

        Interprétation code de l'observation

        ShortInterprétation code de l'observation
        Control0..1
        BindingThe codes SHALL be taken from ObservationInterpretation (20260716085852)
        (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-hl7-v3-ObservationInterpretation-cisis|20260716085852)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        Must Supporttrue
        116. Observation.methodCode
        Definition

        Méthode code de l'observation

        ShortMéthode code de l'observation
        Control0..1
        BindingThe codes SHALL be taken from ObservationMethod (20260716085851)
        (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-hl7-v3-ObservationMethod-cisis|20260716085851)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        Must Supporttrue
        118. Observation.targetSiteCode
        Definition

        Latéralité et topographie

        ShortLatéralité et topographie
        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        120. Observation.targetSiteCode.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        122. Observation.targetSiteCode.code
        Definition

        The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

        Control0..1
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode
        124. Observation.targetSiteCode.codeSystem
        Definition

        Specifies the code system that defines the code.

        Control0..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System
        126. Observation.targetSiteCode.codeSystemName
        Definition

        The common name of the coding system.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Name
        128. Observation.targetSiteCode.codeSystemVersion
        Definition

        If applicable, a version descriptor defined specifically for the given code system.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Version
        130. Observation.targetSiteCode.displayName
        Definition

        A name or title for the code, under which the sending system shows the code value to its users.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplay Name
        132. Observation.targetSiteCode.sdtcValueSet
        Definition

        The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

        Control0..1
        Typestring(oid: ISO Object Identifier)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
        134. Observation.targetSiteCode.sdtcValueSetVersion
        Definition

        The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
        136. Observation.targetSiteCode.originalText
        Definition

        The text or phrase used as the basis for the coding.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        LabelOriginal Text
        138. Observation.targetSiteCode.qualifier
        Definition

        Topographie

        ShortTopographie
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
        Must Supporttrue
        LabelQualifier
        140. Observation.targetSiteCode.qualifier.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        142. Observation.targetSiteCode.qualifier.inverted
        Definition

        Indicates if the sense of the role name is inverted. This can be used in cases where the underlying code system defines inversion but does not provide reciprocal pairs of role names. By default, inverted is false.

        Control0..1
        Typeboolean(bn: BooleanNonNull)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelInversion Indicator
        144. Observation.targetSiteCode.qualifier.name
        Definition

        Specifies the manner in which the concept role value contributes to the meaning of a code phrase. For example, if SNOMED RT defines a concept "leg", a role relation "has-laterality", and another concept "left", the concept role relation allows to add the qualifier "has-laterality: left" to a primary code "leg" to construct the meaning "left leg". In this example "has-laterality" is the CR.name.

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CV
        Must Supporttrue
        LabelName
        146. Observation.targetSiteCode.qualifier.name.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        148. Observation.targetSiteCode.qualifier.name.code
        Definition

        The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

        Control0..1
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode
        Pattern Value106233006
        150. Observation.targetSiteCode.qualifier.name.codeSystem
        Definition

        Specifies the code system that defines the code.

        Control0..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System
        Pattern Value2.16.840.1.113883.6.96
        152. Observation.targetSiteCode.qualifier.name.codeSystemName
        Definition

        The common name of the coding system.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Name
        Pattern ValueSNOMED-CT
        154. Observation.targetSiteCode.qualifier.name.codeSystemVersion
        Definition

        If applicable, a version descriptor defined specifically for the given code system.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode System Version
        156. Observation.targetSiteCode.qualifier.name.displayName
        Definition

        A name or title for the code, under which the sending system shows the code value to its users.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplay Name
        Pattern Valuemodificateur topographique
        158. Observation.targetSiteCode.qualifier.name.sdtcValueSet
        Definition

        The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

        Control0..1
        Typestring(oid: ISO Object Identifier)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
        160. Observation.targetSiteCode.qualifier.name.sdtcValueSetVersion
        Definition

        The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
        162. Observation.targetSiteCode.qualifier.name.originalText
        Definition

        The text or phrase used as the basis for the coding.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
        LabelOriginal Text
        164. Observation.targetSiteCode.qualifier.name.qualifier
        Definition

        Specifies additional codes that increase the specificity of the the primary code.

        Control0..0
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
        LabelQualifier
        166. Observation.targetSiteCode.qualifier.name.translation
        Definition

        A set of other concept descriptors that translate this concept descriptor into other code systems.

        Control0..0
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        LabelTranslation
        168. Observation.targetSiteCode.qualifier.value
        Definition

        Valeur de la topographie

        ShortValeur de la topographie
        Control1..1
        BindingThe codes SHALL be taken from JdvModificateurTopographiqueCisis (20260716085851)
        (required to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-modificateur-topographique-cisis|20260716085851)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        Must Supporttrue
        LabelValue
        170. Observation.targetSiteCode.translation
        Definition

        A set of other concept descriptors that translate this concept descriptor into other code systems.

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        LabelTranslation
        172. Observation.subject
        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
        174. Observation.specimen
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
        176. Observation.performer
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
        178. Observation.author
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
        180. Observation.informant
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
        182. Observation.participant
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
        184. Observation.entryRelationship
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
        186. Observation.reference
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
        188. Observation.precondition
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
        190. Observation.sdtcPrecondition2
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
        192. Observation.referenceRange
        Definition

        Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
        194. Observation.referenceRange.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        196. Observation.referenceRange.realmCode
        Definition

        When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
        198. Observation.referenceRange.typeId
        Definition

        When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        200. Observation.referenceRange.typeId.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        202. Observation.referenceRange.typeId.assigningAuthorityName
        Definition

        A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelAssigning Authority Name
        204. Observation.referenceRange.typeId.displayable
        Definition

        Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

        Control0..1
        Typeboolean(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplayable
        206. Observation.referenceRange.typeId.root
        Definition

        Identifies the type as an HL7 Registered model

        Control1..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelRoot
        Fixed Value2.16.840.1.113883.1.3
        208. Observation.referenceRange.typeId.extension
        Definition

        A character string as a unique identifier within the scope of the identifier root.

        Control1..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExtension
        210. Observation.referenceRange.templateId
        Definition

        When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        212. Observation.referenceRange.typeCode
        Control0..1
        BindingThe codes SHALL be taken from CDAActRelationshipType (2.0.3-sd)
        (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType|2.0.3-sd)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueREFV
        214. Observation.referenceRange.observationRange
        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
        216. Observation.sdtcInFulfillmentOf1
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.