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-synthese-medicale-sejour | Version: 0.1.0 | ||||
| Draft as of 2026-08-28 | Computable Name: FRCDASyntheseMedicaleSejour | ||||
Entrée FR-Synthese-medicale-sejour: Cette entrée permet de fournir, sous forme textuelle, une synthèse médicale du séjour.
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 |
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 |
3..3 | II | Slice: Unordered, Open by value:root | |
   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:frSimpleObservation |
1..1 | II | Conformité FR-Simple-Observation (CI-SIS) | |
| @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 1.2.250.1.213.1.1.3.48 | |
 templateId:frSyntheseMedicaleSejour |
1..1 | II | Conformité FR-Synthese-medicale-sejour (CI-SIS) | |
 @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 1.2.250.1.213.1.1.3.48.9 | |
 @classCode |
S | 1..1 | cs(2.0.3-sd) | Required Pattern: OBS |
| @moodCode |
S | 1..1 | cs(2.0.3-sd) | Required Pattern: EVN |
| 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) | Required Pattern: MED-142 |
| @codeSystem |
S | 1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 1.2.250.1.213.1.1.4.322 |
| @codeSystemName |
0..1 | st(2.0.3-sd) | Required Pattern: TerminologieCISIS | |
 @displayName |
S | 0..1 | st(2.0.3-sd) | Required Pattern: Synthèse médicale |
| text |
S | 1..1 | ED | Partie narrative de l'observation |
| reference |
S | 1..1 | TEL | |
| statusCode |
S | 1..1 | CS | Statut de l’entréeFixé à la valeur 'completed' |
| @code |
0..1 | cs(2.0.3-sd) | Required Pattern: completed | |
| effectiveTime |
S | 1..1 | IVL_TS | Date de la synthèse médicale du séjour |
 value |
S | 1..1 | ST | Synthèse médicale du séjour (sous forme textuelle) |
| author |
0..* | FRCDAAuthor(0.1.0) | ||
| Documentation for this format | ||||
| 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:iheSimpleObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frSimpleObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frSyntheseMedicaleSejour.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 | 📍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.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 | Thumbnails cannot contain their own thumbnails |
thumbnail.empty()
|
| II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
Summary
Mandatory: 14 elements
Must-Support: 12 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 |
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 |
3..3 | II | Slice: Unordered, Open by value:root | |
| 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:frSimpleObservation |
1..1 | II | Conformité FR-Simple-Observation (CI-SIS) | |
| @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 1.2.250.1.213.1.1.3.48 | |
| templateId:frSyntheseMedicaleSejour |
1..1 | II | Conformité FR-Synthese-medicale-sejour (CI-SIS) | |
| @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 1.2.250.1.213.1.1.3.48.9 | |
| @classCode |
S | 1..1 | cs(2.0.3-sd) | Required Pattern: OBS |
| @moodCode |
S | 1..1 | cs(2.0.3-sd) | Required Pattern: EVN |
| 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) | Required Pattern: MED-142 |
| @codeSystem |
S | 1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Required Pattern: 1.2.250.1.213.1.1.4.322 |
| @codeSystemName |
0..1 | st(2.0.3-sd) | Required Pattern: TerminologieCISIS | |
| @displayName |
S | 0..1 | st(2.0.3-sd) | Required Pattern: Synthèse médicale |
| text |
S | 1..1 | ED | Partie narrative de l'observation |
| reference |
S | 1..1 | TEL | |
| statusCode |
S | 1..1 | CS | Statut de l’entréeFixé à la valeur 'completed' |
| @code |
0..1 | cs(2.0.3-sd) | Required Pattern: completed | |
| effectiveTime |
S | 1..1 | IVL_TS | Date de la synthèse médicale du séjour |
| value |
S | 1..1 | ST | Synthèse médicale du séjour (sous forme textuelle) |
| author |
0..* | FRCDAAuthor(0.1.0) | ||
| Documentation for this format | ||||
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:iheSimpleObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frSimpleObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frSyntheseMedicaleSejour.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 | 📍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.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 | Thumbnails cannot contain their own thumbnails |
thumbnail.empty()
|
| II-1 | error | Observation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
Summary
Mandatory: 14 elements
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
