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

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

Logical Model: CDA - FR Directive anticipee

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

Entrée FR-Directive-anticipee: IHE-PCC - Advance-Directive-Observation. Cette entrée permet d’indiquer si les directives anticipées du patient. Article L1111-11 du Code de la Santé Publique : « Toute personne majeure peut rédiger des directives anticipées pour le cas où elle serait un jour hors d'état d'exprimer sa volonté. Ces directives anticipées expriment la volonté de la personne relative à sa fin de vie en ce qui concerne les conditions de la poursuite, de la limitation, de l'arrêt ou du refus de traitement ou d'acte médicaux.».

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 1..1 Observation(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 4..4 II Slice: Unordered, Open by value:root
.... templateId:iheAdvancedDirectiveObservation 1..1 II Conformité Advanced Directive Observation (IHE PCC)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.13.7
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.13
.... templateId:ccdAdvancedDirectiveObservation 1..1 II Conformité Advanced Directive Observation (CCD)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.10.20.1.17
.... templateId:frDirectiveAnticipee 1..1 II Conformité FR-Directive-Anticipée (CI-SIS)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.54
... @classCode S 1..1 cs(2.0.3-sd) Required Pattern: OBS
... @moodCode S 1..1 cs(2.0.3-sd) Required Pattern: EVN
... code S 1..1 CD Type de la directive anticipée - La valeur est issue du jeu de valeurs JDV_TypeDirectiveAnticipee_CISIS (1.2.250.1.213.1.1.5.136).
Binding: JdvTypeDirectiveAnticipeeCisis (20260716085853) (required)
.... @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 1..1 ED Partie narrative de l'observation
.... reference 1..1 TEL Partie narrative de l'observation
... statusCode S 1..1 CS Statut de l'observation - Fixé à la valeur 'completed'
.... @code 0..1 cs(2.0.3-sd) Required Pattern: completed
... effectiveTime S 1..1 IVL_TS Date de la directive anticipée
... value S 0..1 BL Procédure autorisée ou pas - La valeur de la directive identifiée est un élément booléen (xsi:type='BL') qui permet d’indiquer l’autorisation ou la non autorisation, sauf :- si l’élément 'code' est 'Autre directive' : dans ce cas, l'élément 'value' n'est pas présent et la précision est fournie dans la partie narrative (via l'élément: text/reference), - si l’élément 'code' est 'Directives anticipées' : dans ce cas, l'élément 'value' n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'component/observationMedia'.
... entryRelationship S 0..1 EntryRelationship
.... @typeCode 1..1 cs(2.0.3-sd) Required Pattern: COMP
.... observationMedia 1..1 ObservationMedia observationMedia
..... id 0..1 II Identifiant observationMedia
..... value S 1..1 ED Document encapsulé encodée en Base64
...... @mediaType 0..1 cs(2.0.3-sd) Binding: MediaType (20251216141839) (required)
...... @representation 1..1 cs(2.0.3-sd) Fixed: B64
... reference 0..1 Reference Référence à un document externe - Un lien vers un document externe contenant la directive concernée peut être fourni dans l’élément 'externalDocument' avec l’élément 'id' portant l’identifiant du document de manière univoque et l’élément 'text' contenant le lien URL pour accéder à ce document.'
.... templateId 1..1 II
..... @root 0..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.10.20.1.36
.... @typeCode 1..1 cs(2.0.3-sd) Required Pattern: REFR
.... externalDocument 1..1 ExternalDocument
..... @classCode 0..1 cs(2.0.3-sd) Required Pattern: DOC
..... id 1..1 II Identifiant du document externe
..... text 0..1 ED Lien vers le document externe
...... reference 1..1 TEL

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required JDV Type Directive Anticipee CISIS 📍20260716085853 Terminologies de Santé v1.12
Observation.entryRelationship.​observationMedia.value.​mediaType Base required MediaType 📍20251216141839 Terminologies de Santé v1.12
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 1..1 Observation(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @assigningAuthorityName 0..1 st(2.0.3-sd)
.... @displayable 0..1 bl(2.0.3-sd)
.... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st(2.0.3-sd)
... Slices for templateId 4..4 II Slice: Unordered, Open by value:root
.... templateId:iheAdvancedDirectiveObservation 1..1 II Conformité Advanced Directive Observation (IHE PCC)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.13.7
..... @extension 0..1 st(2.0.3-sd)
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.13
..... @extension 0..1 st(2.0.3-sd)
.... templateId:ccdAdvancedDirectiveObservation 1..1 II Conformité Advanced Directive Observation (CCD)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.10.20.1.17
..... @extension 0..1 st(2.0.3-sd)
.... templateId:frDirectiveAnticipee 1..1 II Conformité FR-Directive-Anticipée (CI-SIS)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.54
..... @extension 0..1 st(2.0.3-sd)
... @classCode S 1..1 cs(2.0.3-sd) Binding: CDAActClassObservation (2.0.3-sd) (required)
Required Pattern: OBS
... @moodCode S 1..1 cs(2.0.3-sd) Binding: XActMoodDocumentObservation (2.0.0) (required)
Required Pattern: EVN
... @negationInd 0..1 bl(2.0.3-sd)
... id S 1..1 II Identifiant de l'entrée
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code S 1..1 CD Type de la directive anticipée - La valeur est issue du jeu de valeurs JDV_TypeDirectiveAnticipee_CISIS (1.2.250.1.213.1.1.5.136).
Binding: JdvTypeDirectiveAnticipeeCisis (20260716085853) (required)
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @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)
.... @codeSystemName 0..1 st(2.0.3-sd)
.... @codeSystemVersion 0..1 st(2.0.3-sd)
.... @displayName S 0..1 st(2.0.3-sd)
.... @sdtcValueSet 0..1 oid(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... derivationExpr 0..1 ST
... text S 1..1 ED Partie narrative de l'observation
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @compression 0..1 cs(2.0.3-sd) Binding: CDACompressionAlgorithm (2.0.3-sd) (required)
.... @integrityCheck 0..1 bin(2.0.3-sd)
.... @integrityCheckAlgorithm 0..1 cs(2.0.3-sd) Binding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1 cs(2.0.3-sd)
.... @mediaType 0..1 cs(2.0.3-sd) Binding: MediaType (3.0.0) (example)
.... @representation 0..1 cs(2.0.3-sd) Binding: BinaryDataEncoding (2.0.3-sd) (required)
.... xmlText 0..1 st(2.0.3-sd) Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference 1..1 TEL Partie narrative de l'observation
.... thumbnail C 0..1 ED Constraints: ED-1
... statusCode S 1..1 CS Statut de l'observation - Fixé à la valeur 'completed'
Binding: ActStatus (3.0.0) (required)
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @code 0..1 cs(2.0.3-sd) Required Pattern: completed
.... @sdtcValueSet 0..1 oid(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime S 1..1 IVL_TS Date de la directive anticipée
... priorityCode 0..1 CE Binding: ActPriority (3.0.0) (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 0..1 BL Procédure autorisée ou pas - La valeur de la directive identifiée est un élément booléen (xsi:type='BL') qui permet d’indiquer l’autorisation ou la non autorisation, sauf :- si l’élément 'code' est 'Autre directive' : dans ce cas, l'élément 'value' n'est pas présent et la précision est fournie dans la partie narrative (via l'élément: text/reference), - si l’élément 'code' est 'Directives anticipées' : dans ce cas, l'élément 'value' n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'component/observationMedia'.
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (2.0.3-sd) (required)
... methodCode 0..* CE Binding: ObservationMethod (3.0.0) (example)
... targetSiteCode 0..* CD
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... entryRelationship S 0..1 EntryRelationship
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1 st(2.0.3-sd)
.... templateId 0..* II
.... @typeCode 1..1 cs(2.0.3-sd) Binding: XActRelationshipEntryRelationship (3.0.0) (required)
Required Pattern: COMP
.... @inversionInd 0..1 bl(2.0.3-sd)
.... @contextConductionInd 0..1 bl(2.0.3-sd)
.... @negationInd 0..1 bl(2.0.3-sd)
.... sequenceNumber 0..1 INT
.... seperatableInd 0..1 BL
.... act 0..1 Act
.... encounter 0..1 Encounter
.... observation 0..1 Observation
.... observationMedia 1..1 ObservationMedia observationMedia
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
...... @assigningAuthorityName 0..1 st(2.0.3-sd)
...... @displayable 0..1 bl(2.0.3-sd)
...... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st(2.0.3-sd)
..... templateId 0..* II
..... @ID 0..1 xs:ID(2.0.3-sd)
..... @classCode 1..1 cs(2.0.3-sd) Binding: CDAActClassObservation (2.0.3-sd) (required)
Fixed Value: OBS
..... @moodCode 1..1 cs(2.0.3-sd) Binding: CDAActMood (2.0.3-sd) (required)
Fixed Value: EVN
..... id 0..1 II Identifiant observationMedia
..... languageCode 0..1 CS Binding: AllLanguages (required)
..... value S 1..1 ED Document encapsulé encodée en Base64
...... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
...... @compression 0..1 cs(2.0.3-sd) Binding: CDACompressionAlgorithm (2.0.3-sd) (required)
...... @integrityCheck 0..1 bin(2.0.3-sd)
...... @integrityCheckAlgorithm 0..1 cs(2.0.3-sd) Binding: IntegrityCheckAlgorithm (2.0.0) (required)
...... @language 0..1 cs(2.0.3-sd)
...... @mediaType 0..1 cs(2.0.3-sd) Binding: MediaType (20251216141839) (required)
...... @representation 1..1 cs(2.0.3-sd) Fixed: B64
Binding: BinaryDataEncoding (2.0.3-sd) (required)
...... xmlText 0..1 st(2.0.3-sd) Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
...... reference 0..1 TEL
...... thumbnail C 0..1 ED Constraints: ED-1
..... subject 0..1 Subject
..... specimen 0..* Specimen
..... performer 0..* Performer2
..... author 0..* Author
..... informant 0..* Informant
..... participant 0..* Participant2
..... entryRelationship 0..* EntryRelationship
..... reference 0..* Reference
..... precondition 0..* Precondition
..... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
.... organizer 0..1 Organizer
.... procedure 0..1 Procedure
.... regionOfInterest 0..1 RegionOfInterest
.... substanceAdministration 0..1 SubstanceAdministration
.... supply 0..1 Supply
... reference 0..1 Reference Référence à un document externe - Un lien vers un document externe contenant la directive concernée peut être fourni dans l’élément 'externalDocument' avec l’élément 'id' portant l’identifiant du document de manière univoque et l’élément 'text' contenant le lien URL pour accéder à ce document.'
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1 st(2.0.3-sd)
.... templateId 1..1 II
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 0..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.10.20.1.36
..... @extension 0..1 st(2.0.3-sd)
.... @typeCode 1..1 cs(2.0.3-sd) Binding: XActRelationshipExternalReference (3.0.0) (required)
Required Pattern: REFR
.... seperatableInd 0..1 BL
.... externalAct 0..1 ExternalAct
.... externalObservation 0..1 ExternalObservation
.... externalProcedure 0..1 ExternalProcedure
.... externalDocument 1..1 ExternalDocument
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
...... @assigningAuthorityName 0..1 st(2.0.3-sd)
...... @displayable 0..1 bl(2.0.3-sd)
...... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st(2.0.3-sd)
..... templateId 0..* II
..... @classCode 0..1 cs(2.0.3-sd) Binding: ActClassDocument (3.0.0) (required)
Required Pattern: DOC
..... @moodCode 0..1 cs(2.0.3-sd) Binding: CDAActMood (2.0.3-sd) (required)
Fixed Value: EVN
..... id 1..1 II Identifiant du document externe
..... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
..... text 0..1 ED Lien vers le document externe
...... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
...... @compression 0..1 cs(2.0.3-sd) Binding: CDACompressionAlgorithm (2.0.3-sd) (required)
...... @integrityCheck 0..1 bin(2.0.3-sd)
...... @integrityCheckAlgorithm 0..1 cs(2.0.3-sd) Binding: IntegrityCheckAlgorithm (2.0.0) (required)
...... @language 0..1 cs(2.0.3-sd)
...... @mediaType 0..1 cs(2.0.3-sd) Binding: MediaType (3.0.0) (example)
...... @representation 0..1 cs(2.0.3-sd) Binding: BinaryDataEncoding (2.0.3-sd) (required)
...... xmlText 0..1 st(2.0.3-sd) Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
...... reference 1..1 TEL
...... thumbnail C 0..1 ED Constraints: ED-1
..... setId 0..1 II
..... versionNumber 0..1 INT
..... sdtcAuthor 0..* Author XML Namespace: urn:hl7-org:sdtc
XML: author (urn:hl7-org:sdtc)
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..* InfrastructureRoot
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1 st(2.0.3-sd)
.... templateId 0..* II
.... @typeCode 0..1 cs(2.0.3-sd) Binding: CDAActRelationshipType (2.0.3-sd) (required)
Fixed Value: REFV
.... observationRange 1..1 ObservationRange
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:iheAdvancedDirectiveObservation.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:ccdAdvancedDirectiveObservation.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:frDirectiveAnticipee.​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 required JDV Type Directive Anticipee CISIS 📍20260716085853 Terminologies de Santé v1.12
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 📍3.0.0 THO v7.3
Observation.statusCode.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.priorityCode Base example ActPriority 📍3.0.0 THO v7.3
Observation.languageCode Base required All Languages 📍5.0.0 FHIR Std.
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.entryRelationship.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​typeCode Base required x_ActRelationshipEntryRelationship 📍3.0.0 THO v7.3
Observation.entryRelationship.​observationMedia.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.typeId.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.classCode Base required CDAActClassObservation 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.moodCode Base required CDAActMood 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.languageCode Base required All Languages 📍5.0.0 FHIR Std.
Observation.entryRelationship.​observationMedia.value.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.value.​compression Base required CDACompressionAlgorithm 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.value.​integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Observation.entryRelationship.​observationMedia.value.​mediaType Base required MediaType 📍20251216141839 Terminologies de Santé v1.12
Observation.entryRelationship.​observationMedia.value.​representation Base required CDABinaryDataEncoding 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​templateId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​typeCode Base required x_ActRelationshipExternalReference 📍3.0.0 THO v7.3
Observation.reference.​externalDocument.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.typeId.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.classCode Base required ActClassDocument 📍3.0.0 THO v7.3
Observation.reference.​externalDocument.moodCode Base required CDAActMood 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.code Base example FHIR Document Type Codes 📍5.0.0 FHIR Std.
Observation.reference.​externalDocument.text.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.text.​compression Base required CDACompressionAlgorithm 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.text.​integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Observation.reference.​externalDocument.text.​mediaType Base example MediaType 📍3.0.0 THO v7.3
Observation.reference.​externalDocument.text.​representation Base required CDABinaryDataEncoding 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​typeCode Base required CDAActRelationshipType 📍2.0.3-sd Clinical Document Architecture v2.0

Constraints

Id Grade Path(s) Description Expression
ED-1 error Observation.text.thumbnail, Observation.entryRelationship.observationMedia.value.thumbnail, Observation.reference.externalDocument.text.thumbnail Thumbnails cannot contain their own thumbnails thumbnail.empty()
II-1 error Observation.typeId, Observation.entryRelationship.typeId, Observation.entryRelationship.observationMedia.typeId, Observation.reference.typeId, Observation.reference.externalDocument.typeId, Observation.referenceRange.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

Summary

Mandatory: 15 elements(6 nested mandatory elements)
Must-Support: 13 elements

Slices

This structure defines the following Slices:

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

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 1..1 Observation(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 4..4 II Slice: Unordered, Open by value:root
.... templateId:iheAdvancedDirectiveObservation 1..1 II Conformité Advanced Directive Observation (IHE PCC)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.13.7
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.13
.... templateId:ccdAdvancedDirectiveObservation 1..1 II Conformité Advanced Directive Observation (CCD)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.10.20.1.17
.... templateId:frDirectiveAnticipee 1..1 II Conformité FR-Directive-Anticipée (CI-SIS)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.54
... @classCode S 1..1 cs(2.0.3-sd) Required Pattern: OBS
... @moodCode S 1..1 cs(2.0.3-sd) Required Pattern: EVN
... code S 1..1 CD Type de la directive anticipée - La valeur est issue du jeu de valeurs JDV_TypeDirectiveAnticipee_CISIS (1.2.250.1.213.1.1.5.136).
Binding: JdvTypeDirectiveAnticipeeCisis (20260716085853) (required)
.... @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 1..1 ED Partie narrative de l'observation
.... reference 1..1 TEL Partie narrative de l'observation
... statusCode S 1..1 CS Statut de l'observation - Fixé à la valeur 'completed'
.... @code 0..1 cs(2.0.3-sd) Required Pattern: completed
... effectiveTime S 1..1 IVL_TS Date de la directive anticipée
... value S 0..1 BL Procédure autorisée ou pas - La valeur de la directive identifiée est un élément booléen (xsi:type='BL') qui permet d’indiquer l’autorisation ou la non autorisation, sauf :- si l’élément 'code' est 'Autre directive' : dans ce cas, l'élément 'value' n'est pas présent et la précision est fournie dans la partie narrative (via l'élément: text/reference), - si l’élément 'code' est 'Directives anticipées' : dans ce cas, l'élément 'value' n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'component/observationMedia'.
... entryRelationship S 0..1 EntryRelationship
.... @typeCode 1..1 cs(2.0.3-sd) Required Pattern: COMP
.... observationMedia 1..1 ObservationMedia observationMedia
..... id 0..1 II Identifiant observationMedia
..... value S 1..1 ED Document encapsulé encodée en Base64
...... @mediaType 0..1 cs(2.0.3-sd) Binding: MediaType (20251216141839) (required)
...... @representation 1..1 cs(2.0.3-sd) Fixed: B64
... reference 0..1 Reference Référence à un document externe - Un lien vers un document externe contenant la directive concernée peut être fourni dans l’élément 'externalDocument' avec l’élément 'id' portant l’identifiant du document de manière univoque et l’élément 'text' contenant le lien URL pour accéder à ce document.'
.... templateId 1..1 II
..... @root 0..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.10.20.1.36
.... @typeCode 1..1 cs(2.0.3-sd) Required Pattern: REFR
.... externalDocument 1..1 ExternalDocument
..... @classCode 0..1 cs(2.0.3-sd) Required Pattern: DOC
..... id 1..1 II Identifiant du document externe
..... text 0..1 ED Lien vers le document externe
...... reference 1..1 TEL

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base required JDV Type Directive Anticipee CISIS 📍20260716085853 Terminologies de Santé v1.12
Observation.entryRelationship.​observationMedia.value.​mediaType Base required MediaType 📍20251216141839 Terminologies de Santé v1.12

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 1..1 Observation(2.0.3-sd) XML Namespace: urn:hl7-org:v3
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @assigningAuthorityName 0..1 st(2.0.3-sd)
.... @displayable 0..1 bl(2.0.3-sd)
.... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st(2.0.3-sd)
... Slices for templateId 4..4 II Slice: Unordered, Open by value:root
.... templateId:iheAdvancedDirectiveObservation 1..1 II Conformité Advanced Directive Observation (IHE PCC)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.13.7
..... @extension 0..1 st(2.0.3-sd)
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.3.6.1.4.1.19376.1.5.3.1.4.13
..... @extension 0..1 st(2.0.3-sd)
.... templateId:ccdAdvancedDirectiveObservation 1..1 II Conformité Advanced Directive Observation (CCD)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.10.20.1.17
..... @extension 0..1 st(2.0.3-sd)
.... templateId:frDirectiveAnticipee 1..1 II Conformité FR-Directive-Anticipée (CI-SIS)
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 1.2.250.1.213.1.1.3.54
..... @extension 0..1 st(2.0.3-sd)
... @classCode S 1..1 cs(2.0.3-sd) Binding: CDAActClassObservation (2.0.3-sd) (required)
Required Pattern: OBS
... @moodCode S 1..1 cs(2.0.3-sd) Binding: XActMoodDocumentObservation (2.0.0) (required)
Required Pattern: EVN
... @negationInd 0..1 bl(2.0.3-sd)
... id S 1..1 II Identifiant de l'entrée
... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code S 1..1 CD Type de la directive anticipée - La valeur est issue du jeu de valeurs JDV_TypeDirectiveAnticipee_CISIS (1.2.250.1.213.1.1.5.136).
Binding: JdvTypeDirectiveAnticipeeCisis (20260716085853) (required)
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @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)
.... @codeSystemName 0..1 st(2.0.3-sd)
.... @codeSystemVersion 0..1 st(2.0.3-sd)
.... @displayName S 0..1 st(2.0.3-sd)
.... @sdtcValueSet 0..1 oid(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... derivationExpr 0..1 ST
... text S 1..1 ED Partie narrative de l'observation
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @compression 0..1 cs(2.0.3-sd) Binding: CDACompressionAlgorithm (2.0.3-sd) (required)
.... @integrityCheck 0..1 bin(2.0.3-sd)
.... @integrityCheckAlgorithm 0..1 cs(2.0.3-sd) Binding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1 cs(2.0.3-sd)
.... @mediaType 0..1 cs(2.0.3-sd) Binding: MediaType (3.0.0) (example)
.... @representation 0..1 cs(2.0.3-sd) Binding: BinaryDataEncoding (2.0.3-sd) (required)
.... xmlText 0..1 st(2.0.3-sd) Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference 1..1 TEL Partie narrative de l'observation
.... thumbnail C 0..1 ED Constraints: ED-1
... statusCode S 1..1 CS Statut de l'observation - Fixé à la valeur 'completed'
Binding: ActStatus (3.0.0) (required)
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... @code 0..1 cs(2.0.3-sd) Required Pattern: completed
.... @sdtcValueSet 0..1 oid(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st(2.0.3-sd) XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime S 1..1 IVL_TS Date de la directive anticipée
... priorityCode 0..1 CE Binding: ActPriority (3.0.0) (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 0..1 BL Procédure autorisée ou pas - La valeur de la directive identifiée est un élément booléen (xsi:type='BL') qui permet d’indiquer l’autorisation ou la non autorisation, sauf :- si l’élément 'code' est 'Autre directive' : dans ce cas, l'élément 'value' n'est pas présent et la précision est fournie dans la partie narrative (via l'élément: text/reference), - si l’élément 'code' est 'Directives anticipées' : dans ce cas, l'élément 'value' n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'component/observationMedia'.
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (2.0.3-sd) (required)
... methodCode 0..* CE Binding: ObservationMethod (3.0.0) (example)
... targetSiteCode 0..* CD
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... entryRelationship S 0..1 EntryRelationship
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1 st(2.0.3-sd)
.... templateId 0..* II
.... @typeCode 1..1 cs(2.0.3-sd) Binding: XActRelationshipEntryRelationship (3.0.0) (required)
Required Pattern: COMP
.... @inversionInd 0..1 bl(2.0.3-sd)
.... @contextConductionInd 0..1 bl(2.0.3-sd)
.... @negationInd 0..1 bl(2.0.3-sd)
.... sequenceNumber 0..1 INT
.... seperatableInd 0..1 BL
.... act 0..1 Act
.... encounter 0..1 Encounter
.... observation 0..1 Observation
.... observationMedia 1..1 ObservationMedia observationMedia
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
...... @assigningAuthorityName 0..1 st(2.0.3-sd)
...... @displayable 0..1 bl(2.0.3-sd)
...... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st(2.0.3-sd)
..... templateId 0..* II
..... @ID 0..1 xs:ID(2.0.3-sd)
..... @classCode 1..1 cs(2.0.3-sd) Binding: CDAActClassObservation (2.0.3-sd) (required)
Fixed Value: OBS
..... @moodCode 1..1 cs(2.0.3-sd) Binding: CDAActMood (2.0.3-sd) (required)
Fixed Value: EVN
..... id 0..1 II Identifiant observationMedia
..... languageCode 0..1 CS Binding: AllLanguages (required)
..... value S 1..1 ED Document encapsulé encodée en Base64
...... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
...... @compression 0..1 cs(2.0.3-sd) Binding: CDACompressionAlgorithm (2.0.3-sd) (required)
...... @integrityCheck 0..1 bin(2.0.3-sd)
...... @integrityCheckAlgorithm 0..1 cs(2.0.3-sd) Binding: IntegrityCheckAlgorithm (2.0.0) (required)
...... @language 0..1 cs(2.0.3-sd)
...... @mediaType 0..1 cs(2.0.3-sd) Binding: MediaType (20251216141839) (required)
...... @representation 1..1 cs(2.0.3-sd) Fixed: B64
Binding: BinaryDataEncoding (2.0.3-sd) (required)
...... xmlText 0..1 st(2.0.3-sd) Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
...... reference 0..1 TEL
...... thumbnail C 0..1 ED Constraints: ED-1
..... subject 0..1 Subject
..... specimen 0..* Specimen
..... performer 0..* Performer2
..... author 0..* Author
..... informant 0..* Informant
..... participant 0..* Participant2
..... entryRelationship 0..* EntryRelationship
..... reference 0..* Reference
..... precondition 0..* Precondition
..... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
.... organizer 0..1 Organizer
.... procedure 0..1 Procedure
.... regionOfInterest 0..1 RegionOfInterest
.... substanceAdministration 0..1 SubstanceAdministration
.... supply 0..1 Supply
... reference 0..1 Reference Référence à un document externe - Un lien vers un document externe contenant la directive concernée peut être fourni dans l’élément 'externalDocument' avec l’élément 'id' portant l’identifiant du document de manière univoque et l’élément 'text' contenant le lien URL pour accéder à ce document.'
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1 st(2.0.3-sd)
.... templateId 1..1 II
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 0..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Required Pattern: 2.16.840.1.113883.10.20.1.36
..... @extension 0..1 st(2.0.3-sd)
.... @typeCode 1..1 cs(2.0.3-sd) Binding: XActRelationshipExternalReference (3.0.0) (required)
Required Pattern: REFR
.... seperatableInd 0..1 BL
.... externalAct 0..1 ExternalAct
.... externalObservation 0..1 ExternalObservation
.... externalProcedure 0..1 ExternalProcedure
.... externalDocument 1..1 ExternalDocument
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
...... @assigningAuthorityName 0..1 st(2.0.3-sd)
...... @displayable 0..1 bl(2.0.3-sd)
...... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st(2.0.3-sd)
..... templateId 0..* II
..... @classCode 0..1 cs(2.0.3-sd) Binding: ActClassDocument (3.0.0) (required)
Required Pattern: DOC
..... @moodCode 0..1 cs(2.0.3-sd) Binding: CDAActMood (2.0.3-sd) (required)
Fixed Value: EVN
..... id 1..1 II Identifiant du document externe
..... code 0..1 CD Binding: FHIRDocumentTypeCodes (example)
..... text 0..1 ED Lien vers le document externe
...... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
...... @compression 0..1 cs(2.0.3-sd) Binding: CDACompressionAlgorithm (2.0.3-sd) (required)
...... @integrityCheck 0..1 bin(2.0.3-sd)
...... @integrityCheckAlgorithm 0..1 cs(2.0.3-sd) Binding: IntegrityCheckAlgorithm (2.0.0) (required)
...... @language 0..1 cs(2.0.3-sd)
...... @mediaType 0..1 cs(2.0.3-sd) Binding: MediaType (3.0.0) (example)
...... @representation 0..1 cs(2.0.3-sd) Binding: BinaryDataEncoding (2.0.3-sd) (required)
...... xmlText 0..1 st(2.0.3-sd) Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
...... reference 1..1 TEL
...... thumbnail C 0..1 ED Constraints: ED-1
..... setId 0..1 II
..... versionNumber 0..1 INT
..... sdtcAuthor 0..* Author XML Namespace: urn:hl7-org:sdtc
XML: author (urn:hl7-org:sdtc)
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..* InfrastructureRoot
.... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs(2.0.3-sd) Binding: CDANullFlavor (2.0.3-sd) (required)
..... @assigningAuthorityName 0..1 st(2.0.3-sd)
..... @displayable 0..1 bl(2.0.3-sd)
..... @root 1..1 oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) Fixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1 st(2.0.3-sd)
.... templateId 0..* II
.... @typeCode 0..1 cs(2.0.3-sd) Binding: CDAActRelationshipType (2.0.3-sd) (required)
Fixed Value: REFV
.... observationRange 1..1 ObservationRange
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:iheAdvancedDirectiveObservation.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:ccdAdvancedDirectiveObservation.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.templateId:frDirectiveAnticipee.​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 required JDV Type Directive Anticipee CISIS 📍20260716085853 Terminologies de Santé v1.12
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 📍3.0.0 THO v7.3
Observation.statusCode.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.priorityCode Base example ActPriority 📍3.0.0 THO v7.3
Observation.languageCode Base required All Languages 📍5.0.0 FHIR Std.
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.entryRelationship.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​typeCode Base required x_ActRelationshipEntryRelationship 📍3.0.0 THO v7.3
Observation.entryRelationship.​observationMedia.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.typeId.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.classCode Base required CDAActClassObservation 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.moodCode Base required CDAActMood 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.languageCode Base required All Languages 📍5.0.0 FHIR Std.
Observation.entryRelationship.​observationMedia.value.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.value.​compression Base required CDACompressionAlgorithm 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.entryRelationship.​observationMedia.value.​integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Observation.entryRelationship.​observationMedia.value.​mediaType Base required MediaType 📍20251216141839 Terminologies de Santé v1.12
Observation.entryRelationship.​observationMedia.value.​representation Base required CDABinaryDataEncoding 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​templateId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​typeCode Base required x_ActRelationshipExternalReference 📍3.0.0 THO v7.3
Observation.reference.​externalDocument.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.typeId.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.classCode Base required ActClassDocument 📍3.0.0 THO v7.3
Observation.reference.​externalDocument.moodCode Base required CDAActMood 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.code Base example FHIR Document Type Codes 📍5.0.0 FHIR Std.
Observation.reference.​externalDocument.text.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.text.​compression Base required CDACompressionAlgorithm 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.reference.​externalDocument.text.​integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Observation.reference.​externalDocument.text.​mediaType Base example MediaType 📍3.0.0 THO v7.3
Observation.reference.​externalDocument.text.​representation Base required CDABinaryDataEncoding 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​typeId.nullFlavor Base required CDANullFlavor 📍2.0.3-sd Clinical Document Architecture v2.0
Observation.referenceRange.​typeCode Base required CDAActRelationshipType 📍2.0.3-sd Clinical Document Architecture v2.0

Constraints

Id Grade Path(s) Description Expression
ED-1 error Observation.text.thumbnail, Observation.entryRelationship.observationMedia.value.thumbnail, Observation.reference.externalDocument.text.thumbnail Thumbnails cannot contain their own thumbnails thumbnail.empty()
II-1 error Observation.typeId, Observation.entryRelationship.typeId, Observation.entryRelationship.observationMedia.typeId, Observation.reference.typeId, Observation.reference.externalDocument.typeId, Observation.referenceRange.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

Summary

Mandatory: 15 elements(6 nested mandatory elements)
Must-Support: 13 elements

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel