FR Document Core (CDA)
0.1.0 - ci-build
FR Document Core (CDA)
0.1.0 - ci-build
FR Document Core (CDA) - version de développement local (intégration continue v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées
| URL officielle: https://interop.esante.gouv.fr/ig/cda/document-core/StructureDefinition/fr-cda-statut-clinique-du-patient | Version: 0.1.0 | ||||
| Draft à partir de 2026-08-28 | Nom computable: FRCDAStatutCliniqueDuPatient | ||||
Entrée FR-Statut-clinique-du-patient: IHE-PCC - Health-Status-Observation. L'entrée Statut clinique du patient permet de donner une évaluation de l'état clinique du patient. L'entrée Statut clinique du patient est un élément observation qui est inséré dans un autre élément à l'aide d'un lien entryRelationship.
Utilisations:
Vous pouvez également vérifier les usages dans le FHIR IG Statistics
Description des profils, des différentiels, des instantanés et de leurs représentations.
Cette structure est dérivée de Observation
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter:   |
|---|---|---|---|---|
  Observation |
Observation(2.0.3-sd) | Espace de noms (namespace) XML: urn:hl7-org:v3 Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | ||
  Slices pour templateId |
3..3 | II | Slice: Non ordonné, Ouvert par value:root | |
   templateId:ccdProblemHealthStatusObservation |
1..1 | II | Conformité Problem healthstatus observation (CCD) | |
  @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Motif requis: 2.16.840.1.113883.10.20.1.51 | |
| templateId:iheHealthStatusObservation |
1..1 | II | Conformité Health Status Observation (IHE PCC) | |
| @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.1.2 | |
 templateId:frStatutCliniqueDuPatient |
1..1 | II | Conformité FR-Statut-clinique-du-patient (CI-SIS) | |
 @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Motif requis: 1.2.250.1.213.1.1.3.31 | |
 @classCode |
S | 1..1 | cs(2.0.3-sd) | Motif requis: OBS |
| @moodCode |
S | 1..1 | cs(2.0.3-sd) | Motif requis: EVN |
| code |
S | 1..1 | CD | Code de l’entrée |
| @code |
S | 1..1 | cs(2.0.3-sd) | Motif requis: 11323-3 |
| @codeSystem |
S | 1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Motif requis: 2.16.840.1.113883.6.1 |
| @codeSystemName |
0..1 | st(2.0.3-sd) | Motif requis: LOINC | |
 @displayName |
S | 0..1 | st(2.0.3-sd) | Motif requis: Statut clinique du patient |
| text |
S | 1..1 | ED | Description narrative |
| reference |
S | 1..1 | TEL | |
| statusCode |
S | 1..1 | CS | Statut de l’entrée |
| @code |
0..1 | cs(2.0.3-sd) | Motif requis: completed | |
 value |
S | 1..1 | CE | Statut clinique du patient Binding: JdvHealthStatusCodeCisis (20260716085852) (required) |
| Documentation pour ce format | ||||
| Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source |
| Observation.value | Base | required | JDV Health Status Code CISIS | 📍20260716085852 | Terminologies de Santé v1.12 |
| Chemin | Statut | Usage | Jeu de valeurs (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:ccdProblemHealthStatusObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:iheHealthStatusObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frStatutCliniqueDuPatient.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 | Std. FHIR |
| Observation.value | Base | required | JDV Health Status Code CISIS | 📍20260716085852 | Terminologies de Santé v1.12 |
| Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.methodCode | Base | example | ObservationMethod | 📍3.0.0 | THO v7.3 |
| Observation.referenceRange.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeCode | Base | required | CDAActRelationshipType | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Chemin(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()
|
Cette structure est dérivée de Observation
Résumé
Obligatoire : 12 éléments
Must-Support : 10 éléments
Slices
Cette structure définit les slices suivantes:
Vue différentielle
Cette structure est dérivée de Observation
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter: |
|---|---|---|---|---|
| Observation |
Observation(2.0.3-sd) | Espace de noms (namespace) XML: urn:hl7-org:v3 Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | ||
| Slices pour templateId |
3..3 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:ccdProblemHealthStatusObservation |
1..1 | II | Conformité Problem healthstatus observation (CCD) | |
| @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Motif requis: 2.16.840.1.113883.10.20.1.51 | |
| templateId:iheHealthStatusObservation |
1..1 | II | Conformité Health Status Observation (IHE PCC) | |
| @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.1.2 | |
| templateId:frStatutCliniqueDuPatient |
1..1 | II | Conformité FR-Statut-clinique-du-patient (CI-SIS) | |
| @root |
1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Motif requis: 1.2.250.1.213.1.1.3.31 | |
| @classCode |
S | 1..1 | cs(2.0.3-sd) | Motif requis: OBS |
| @moodCode |
S | 1..1 | cs(2.0.3-sd) | Motif requis: EVN |
| code |
S | 1..1 | CD | Code de l’entrée |
| @code |
S | 1..1 | cs(2.0.3-sd) | Motif requis: 11323-3 |
| @codeSystem |
S | 1..1 | oid(2.0.3-sd), uuid(2.0.3-sd), ruid(2.0.3-sd) | Motif requis: 2.16.840.1.113883.6.1 |
| @codeSystemName |
0..1 | st(2.0.3-sd) | Motif requis: LOINC | |
| @displayName |
S | 0..1 | st(2.0.3-sd) | Motif requis: Statut clinique du patient |
| text |
S | 1..1 | ED | Description narrative |
| reference |
S | 1..1 | TEL | |
| statusCode |
S | 1..1 | CS | Statut de l’entrée |
| @code |
0..1 | cs(2.0.3-sd) | Motif requis: completed | |
| value |
S | 1..1 | CE | Statut clinique du patient Binding: JdvHealthStatusCodeCisis (20260716085852) (required) |
| Documentation pour ce format | ||||
| Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source |
| Observation.value | Base | required | JDV Health Status Code CISIS | 📍20260716085852 | Terminologies de Santé v1.12 |
Vue d'ensembleView
| Chemin | Statut | Usage | Jeu de valeurs (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:ccdProblemHealthStatusObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:iheHealthStatusObservation.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frStatutCliniqueDuPatient.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 | Std. FHIR |
| Observation.value | Base | required | JDV Health Status Code CISIS | 📍20260716085852 | Terminologies de Santé v1.12 |
| Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.methodCode | Base | example | ObservationMethod | 📍3.0.0 | THO v7.3 |
| Observation.referenceRange.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeId.nullFlavor | Base | required | CDANullFlavor | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeCode | Base | required | CDAActRelationshipType | 📍2.0.3-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Chemin(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()
|
Cette structure est dérivée de Observation
Résumé
Obligatoire : 12 éléments
Must-Support : 10 éléments
Slices
Cette structure définit les slices suivantes:
