FR Document Core (CDA)
0.1.0 - ci-build
FR Document Core (CDA)
0.1.0 - ci-build
FR Document Core (CDA) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://interop.esante.gouv.fr/ig/cda/document-core/StructureDefinition/fr-cda-dicom-observation | Version: 0.1.0 | ||||
| Draft as of 2026-08-28 | Computable Name: FRCDADICOMObservation | ||||
Entrée FR-DICOM-Observation: DICOM Part 20 - Coded Observation. Cette entrée permet d’enregistrer une observation avec une valeur codée ou textuelle.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Observation |
Observation(2.0.3-sd) | XML Namespace: urn:hl7-org:v3 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | ||
  Slices for templateId |
2..2 | II | Slice: Unordered, Open by value:root | |
   templateId:frDicomObservation |
1..1 | II | Conformité FR-DICOM-Observation (CI-SIS) | |
  @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 1.2.250.1.213.1.1.3.150 | |
 templateId:dicomCodedObservation |
1..1 | II | Conformité Coded Observation (DICOM Part 20) | |
 @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 2.16.840.1.113883.10.20.6.2.13 | |
 @classCode |
S | 1..1 | cs(2.0.3-sd) | Required Pattern: OBS |
| @moodCode |
S | 1..1 | cs(2.0.3-sd) | |
| @negationInd |
S | 0..1 | bl(2.0.3-sd) | Required Pattern: true |
| id |
S | 1..1 | II | Identifiant de l'entrée |
| code |
S | 1..1 | CD | Code de l'observation |
| @code |
S | 1..1 | cs(2.0.3-sd) | |
| @codeSystem |
S | 1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | |
 @displayName |
S | 0..1 | st(2.0.3-sd) | |
| text |
S | 0..1 | ED | Partie narrative de l'observation |
| reference |
S | 1..1 | TEL | |
| statusCode |
S | 1..1 | CS | status de l'observation Binding: ActStatus (20260716085852) (required) |
| effectiveTime |
S | 0..1 | IVL_TS | Date de l'observation |
 value |
S | 1..1 | CD | |
 originalText |
S | 0..1 | ED | |
| reference |
S | 0..1 | TEL | |
| interpretationCode |
S | 0..1 | CE | non utilisé |
| methodCode |
S | 0..1 | CE | non utilisé |
| targetSiteCode |
1..1 | CD | Localisation anatomique SNOMED CT (2.16.840.1.113883.6.96) | |
| qualifier |
S | 0..1 | CR | Précision topographique |
| name |
S | 1..1 | CV | |
| @code |
0..1 | cs(2.0.3-sd) | Required Pattern: 106233006 | |
| @codeSystem |
0..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 2.16.840.1.113883.6.96 | |
| @codeSystemName |
0..1 | st(2.0.3-sd) | Required Pattern: SNOMED-CT | |
| @displayName |
0..1 | st(2.0.3-sd) | Required Pattern: modificateur topographique | |
| value |
S | 1..1 | CD | Valeur de la topographie Binding: JdvModificateurTopographiqueCisis (20260716085851) (required) |
| Slices for entryRelationship |
S | 0..* | EntryRelationship | Slice: Unordered, Open by value:$this |
| entryRelationship:frDicomSOPInstanceObservation |
0..* | EntryRelationship | ||
 @typeCode |
1..1 | cs(2.0.3-sd) | Required Pattern: SPRT | |
| observation |
0..1 | FRCDADICOMSOPInstanceObservation(0.1.0) | ||
| entryRelationship:frDicomQuantite |
0..* | EntryRelationship | ||
| @typeCode |
1..1 | cs(2.0.3-sd) | Required Pattern: SPRT | |
| observation |
0..1 | FRCDADICOMQuantite(0.1.0) | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.statusCode | Base | required | ActStatus | 📍20260716085852 | Terminologies de Santé v1.12 |
| Observation.targetSiteCode.qualifier.value | Base | required | JDV Modificateur Topographique CISIS | 📍20260716085851 | Terminologies de Santé v1.12 |
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frDicomObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:dicomCodedObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.classCode | Base | required | CDAActClassObservation | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.moodCode | Base | required | x_ActMoodDocumentObservation | 📍2.0.0 | THO v5.2 |
| Observation.code | Base | example | ObservationType | 📍3.0.0 | THO v7.3 |
| Observation.code.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.text.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.text.compression | Base | required | CDACompressionAlgorithm | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| Observation.text.mediaType | Base | example | MediaType | 📍3.0.0 | THO v7.3 |
| Observation.text.representation | Base | required | CDABinaryDataEncoding | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.statusCode | Base | required | ActStatus | 📍20260716085852 | Terminologies de Santé v1.12 |
| Observation.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.3 |
| Observation.languageCode | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Observation.value.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.compression | Base | required | CDACompressionAlgorithm | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| Observation.value.originalText.mediaType | Base | example | MediaType | 📍3.0.0 | THO v7.3 |
| Observation.value.originalText.representation | Base | required | CDABinaryDataEncoding | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.methodCode | Base | example | ObservationMethod | 📍3.0.0 | THO v7.3 |
| Observation.targetSiteCode.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.targetSiteCode.qualifier.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.targetSiteCode.qualifier.name.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.targetSiteCode.qualifier.value | Base | required | JDV Modificateur Topographique CISIS | 📍20260716085851 | Terminologies de Santé v1.12 |
| Observation.entryRelationship:frDicomSOPInstanceObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frDicomSOPInstanceObservation.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frDicomSOPInstanceObservation.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.3 |
| Observation.entryRelationship:frDicomQuantite.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frDicomQuantite.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frDicomQuantite.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.3 |
| Observation.referenceRange.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeCode | Base | required | CDAActRelationshipType | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| ED-1 | error | Observation.text.thumbnail, Observation.value.originalText.thumbnail | Thumbnails cannot contain their own thumbnails |
thumbnail.empty()
|
| II-1 | error | Observation.typeId, Observation.entryRelationship:frDicomSOPInstanceObservation.typeId, Observation.entryRelationship:frDicomQuantite.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
Summary
Mandatory: 10 elements(3 nested mandatory elements)
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
Observation(2.0.3-sd) | XML Namespace: urn:hl7-org:v3 Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) | ||
| Slices for templateId |
2..2 | II | Slice: Unordered, Open by value:root | |
| templateId:frDicomObservation |
1..1 | II | Conformité FR-DICOM-Observation (CI-SIS) | |
| @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 1.2.250.1.213.1.1.3.150 | |
| templateId:dicomCodedObservation |
1..1 | II | Conformité Coded Observation (DICOM Part 20) | |
| @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 2.16.840.1.113883.10.20.6.2.13 | |
| @classCode |
S | 1..1 | cs(2.0.3-sd) | Required Pattern: OBS |
| @moodCode |
S | 1..1 | cs(2.0.3-sd) | |
| @negationInd |
S | 0..1 | bl(2.0.3-sd) | Required Pattern: true |
| id |
S | 1..1 | II | Identifiant de l'entrée |
| code |
S | 1..1 | CD | Code de l'observation |
| @code |
S | 1..1 | cs(2.0.3-sd) | |
| @codeSystem |
S | 1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | |
| @displayName |
S | 0..1 | st(2.0.3-sd) | |
| text |
S | 0..1 | ED | Partie narrative de l'observation |
| reference |
S | 1..1 | TEL | |
| statusCode |
S | 1..1 | CS | status de l'observation Binding: ActStatus (20260716085852) (required) |
| effectiveTime |
S | 0..1 | IVL_TS | Date de l'observation |
| value |
S | 1..1 | CD | |
| originalText |
S | 0..1 | ED | |
| reference |
S | 0..1 | TEL | |
| interpretationCode |
S | 0..1 | CE | non utilisé |
| methodCode |
S | 0..1 | CE | non utilisé |
| targetSiteCode |
1..1 | CD | Localisation anatomique SNOMED CT (2.16.840.1.113883.6.96) | |
| qualifier |
S | 0..1 | CR | Précision topographique |
| name |
S | 1..1 | CV | |
| @code |
0..1 | cs(2.0.3-sd) | Required Pattern: 106233006 | |
| @codeSystem |
0..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 2.16.840.1.113883.6.96 | |
| @codeSystemName |
0..1 | st(2.0.3-sd) | Required Pattern: SNOMED-CT | |
| @displayName |
0..1 | st(2.0.3-sd) | Required Pattern: modificateur topographique | |
| value |
S | 1..1 | CD | Valeur de la topographie Binding: JdvModificateurTopographiqueCisis (20260716085851) (required) |
| Slices for entryRelationship |
S | 0..* | EntryRelationship | Slice: Unordered, Open by value:$this |
| entryRelationship:frDicomSOPInstanceObservation |
0..* | EntryRelationship | ||
| @typeCode |
1..1 | cs(2.0.3-sd) | Required Pattern: SPRT | |
| observation |
0..1 | FRCDADICOMSOPInstanceObservation(0.1.0) | ||
| entryRelationship:frDicomQuantite |
0..* | EntryRelationship | ||
| @typeCode |
1..1 | cs(2.0.3-sd) | Required Pattern: SPRT | |
| observation |
0..1 | FRCDADICOMQuantite(0.1.0) | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.statusCode | Base | required | ActStatus | 📍20260716085852 | Terminologies de Santé v1.12 |
| Observation.targetSiteCode.qualifier.value | Base | required | JDV Modificateur Topographique CISIS | 📍20260716085851 | Terminologies de Santé v1.12 |
Snapshot ViewView
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frDicomObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:dicomCodedObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.classCode | Base | required | CDAActClassObservation | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.moodCode | Base | required | x_ActMoodDocumentObservation | 📍2.0.0 | THO v5.2 |
| Observation.code | Base | example | ObservationType | 📍3.0.0 | THO v7.3 |
| Observation.code.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.text.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.text.compression | Base | required | CDACompressionAlgorithm | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| Observation.text.mediaType | Base | example | MediaType | 📍3.0.0 | THO v7.3 |
| Observation.text.representation | Base | required | CDABinaryDataEncoding | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.statusCode | Base | required | ActStatus | 📍20260716085852 | Terminologies de Santé v1.12 |
| Observation.priorityCode | Base | example | ActPriority | 📍3.0.0 | THO v7.3 |
| Observation.languageCode | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Observation.value.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.compression | Base | required | CDACompressionAlgorithm | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| Observation.value.originalText.mediaType | Base | example | MediaType | 📍3.0.0 | THO v7.3 |
| Observation.value.originalText.representation | Base | required | CDABinaryDataEncoding | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.methodCode | Base | example | ObservationMethod | 📍3.0.0 | THO v7.3 |
| Observation.targetSiteCode.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.targetSiteCode.qualifier.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.targetSiteCode.qualifier.name.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.targetSiteCode.qualifier.value | Base | required | JDV Modificateur Topographique CISIS | 📍20260716085851 | Terminologies de Santé v1.12 |
| Observation.entryRelationship:frDicomSOPInstanceObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frDicomSOPInstanceObservation.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frDicomSOPInstanceObservation.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.3 |
| Observation.entryRelationship:frDicomQuantite.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frDicomQuantite.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frDicomQuantite.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📍3.0.0 | THO v7.3 |
| Observation.referenceRange.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeCode | Base | required | CDAActRelationshipType | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| ED-1 | error | Observation.text.thumbnail, Observation.value.originalText.thumbnail | Thumbnails cannot contain their own thumbnails |
thumbnail.empty()
|
| II-1 | error | Observation.typeId, Observation.entryRelationship:frDicomSOPInstanceObservation.typeId, Observation.entryRelationship:frDicomQuantite.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
Summary
Mandatory: 10 elements(3 nested mandatory elements)
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
