ANS IG document core
0.1.0-snapshot - ci-build
ANS IG document core
0.1.0-snapshot - ci-build
ANS IG document core - version de développement local (intégration continue v0.1.0-snapshot) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées
| Official URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-cda-evaluation-composant-n2 | Version: 0.1.0-snapshot | |||
| Draft as of 2026-04-15 | Computable Name: FRCDAEvaluationComposantN2 | |||
Entrée FR-Evaluation-Composant-N2: Cette entrée permet de porter un résultat élémentaire (ex : score unitaire) répondant à une question faisant partie d’une évaluation.
Utilisations:
Vous pouvez également vérifier les usages dans le FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter:   |
|---|---|---|---|---|
  Observation |
1..1 | Observation | Espace de noms (namespace) XML: urn:hl7-org:v3 Base for all types and resources Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | |
  @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
 realmCode |
0..* | CS | ||
 typeId |
C | 0..1 | II | Constraints: II-1 |
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
 @extension |
1..1 | st | ||
| templateId |
1..1 | II | Conformité FR-Evaluation-Composant(CI-SIS) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
0..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.220 | |
| @extension |
0..1 | st | ||
| @classCode |
S | 1..1 | cs | Binding: CDAActClassObservation (required) Motif requis: OBS |
| @moodCode |
S | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Motif requis: EVN |
| @negationInd |
0..1 | bl | ||
| id |
1..1 | II | Identifiant de l'entrée | |
| sdtcCategory |
0..* | CD | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
| code |
S | 1..1 | CD | Code de l'évaluation : dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autre.Si le type d'évaluation n'est pas trouvé dans les terminologies proposées, utiliser le code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC' et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante. Binding: ObservationType (example) |
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Partie narrative |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
1..1 | TEL | ||
| thumbnail |
0..1 | ED | ||
| statusCode |
S | 1..1 | CS | Statut de l'entrée - Fixé à la valeur 'completed' Binding: ActStatus (required) |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | Motif requis: completed | |
| @sdtcValueSet |
0..1 | oid | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
S | 1..1 | IVL_TS | Horodatage de l'entrée |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Résultat de l'évaluation - Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | ||
| @codeSystem |
0..1 | oid, uuid, ruid | ||
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
S | 0..1 | ED | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
1..1 | TEL | ||
| thumbnail |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..* | CD | ||
| interpretationCode |
S | 0..* | CE | Interprétation Binding: CDAObservationInterpretation (required) |
| methodCode |
0..* | CE | Binding: ObservationMethod (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..* | EntryRelationship | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | FRCDACommentaireER | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | Observation | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| reference |
0..* | Reference | ||
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| referenceRange |
0..* | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAActRelationshipType (required) Valeur fixe: REFV | |
| observationRange |
1..1 | ObservationRange | ||
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation pour ce format | ||||
| Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source |
| Observation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.classCode | Base | required | CDAActClassObservation | 📦2.0.1-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 v7.1 |
| Observation.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-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 v7.1 |
| Observation.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.1 |
| Observation.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v7.1 |
| Observation.languageCode | Base | required | All Languages | 📦4.0.1 | Std. FHIR |
| Observation.value.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-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 v7.1 |
| Observation.value.originalText.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.methodCode | Base | example | ObservationMethod | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.referenceRange.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeCode | Base | required | CDAActRelationshipType | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Chemin(s) | Description | Expression |
| II-1 | error | Observation.typeId, Observation.entryRelationship.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
This structure is derived from Observation
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter: |
|---|---|---|---|---|
| Observation |
1..1 | Observation | Espace de noms (namespace) XML: urn:hl7-org:v3 Base for all types and resources Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | |
| templateId |
1..1 | II | Conformité FR-Evaluation-Composant(CI-SIS) | |
| @root |
0..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.220 | |
| @classCode |
S | 1..1 | cs | Motif requis: OBS |
| @moodCode |
S | 1..1 | cs | Motif requis: EVN |
| id |
1..1 | II | Identifiant de l'entrée | |
| code |
S | 1..1 | CD | Code de l'évaluation : dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autre.Si le type d'évaluation n'est pas trouvé dans les terminologies proposées, utiliser le code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC' et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante. |
| text |
S | 1..1 | ED | Partie narrative |
| reference |
1..1 | TEL | ||
| statusCode |
S | 1..1 | CS | Statut de l'entrée - Fixé à la valeur 'completed' |
| @code |
0..1 | cs | Motif requis: completed | |
| effectiveTime |
S | 1..1 | IVL_TS | Horodatage de l'entrée |
| value |
S | 1..1 | CD | Résultat de l'évaluation - Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). |
 originalText |
S | 0..1 | ED | |
 reference |
1..1 | TEL | ||
| interpretationCode |
S | 0..* | CE | Interprétation |
| entryRelationship |
S | 0..* | EntryRelationship | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| act |
0..1 | FRCDACommentaireER | ||
| Documentation pour ce format | ||||
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter: |
|---|---|---|---|---|
| Observation |
1..1 | Observation | Espace de noms (namespace) XML: urn:hl7-org:v3 Base for all types and resources Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
1..1 | II | Conformité FR-Evaluation-Composant(CI-SIS) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
0..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.220 | |
| @extension |
0..1 | st | ||
| @classCode |
S | 1..1 | cs | Binding: CDAActClassObservation (required) Motif requis: OBS |
| @moodCode |
S | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Motif requis: EVN |
| @negationInd |
0..1 | bl | ||
| id |
1..1 | II | Identifiant de l'entrée | |
| sdtcCategory |
0..* | CD | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
| code |
S | 1..1 | CD | Code de l'évaluation : dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autre.Si le type d'évaluation n'est pas trouvé dans les terminologies proposées, utiliser le code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC' et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante. Binding: ObservationType (example) |
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Partie narrative |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
1..1 | TEL | ||
| thumbnail |
0..1 | ED | ||
| statusCode |
S | 1..1 | CS | Statut de l'entrée - Fixé à la valeur 'completed' Binding: ActStatus (required) |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | Motif requis: completed | |
| @sdtcValueSet |
0..1 | oid | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
S | 1..1 | IVL_TS | Horodatage de l'entrée |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Résultat de l'évaluation - Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | ||
| @codeSystem |
0..1 | oid, uuid, ruid | ||
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
S | 0..1 | ED | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
1..1 | TEL | ||
| thumbnail |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..* | CD | ||
| interpretationCode |
S | 0..* | CE | Interprétation Binding: CDAObservationInterpretation (required) |
| methodCode |
0..* | CE | Binding: ObservationMethod (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..* | EntryRelationship | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | FRCDACommentaireER | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | Observation | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| reference |
0..* | Reference | ||
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| referenceRange |
0..* | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAActRelationshipType (required) Valeur fixe: REFV | |
| observationRange |
1..1 | ObservationRange | ||
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation pour ce format | ||||
| Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source |
| Observation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.classCode | Base | required | CDAActClassObservation | 📦2.0.1-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 v7.1 |
| Observation.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-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 v7.1 |
| Observation.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.1 |
| Observation.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v7.1 |
| Observation.languageCode | Base | required | All Languages | 📦4.0.1 | Std. FHIR |
| Observation.value.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-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 v7.1 |
| Observation.value.originalText.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.methodCode | Base | example | ObservationMethod | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.referenceRange.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeCode | Base | required | CDAActRelationshipType | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Chemin(s) | Description | Expression |
| II-1 | error | Observation.typeId, Observation.entryRelationship.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
This structure is derived from Observation
Key Elements View
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter: |
|---|---|---|---|---|
| Observation |
1..1 | Observation | Espace de noms (namespace) XML: urn:hl7-org:v3 Base for all types and resources Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
1..1 | II | Conformité FR-Evaluation-Composant(CI-SIS) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
0..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.220 | |
| @extension |
0..1 | st | ||
| @classCode |
S | 1..1 | cs | Binding: CDAActClassObservation (required) Motif requis: OBS |
| @moodCode |
S | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Motif requis: EVN |
| @negationInd |
0..1 | bl | ||
| id |
1..1 | II | Identifiant de l'entrée | |
| sdtcCategory |
0..* | CD | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
| code |
S | 1..1 | CD | Code de l'évaluation : dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autre.Si le type d'évaluation n'est pas trouvé dans les terminologies proposées, utiliser le code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC' et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante. Binding: ObservationType (example) |
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Partie narrative |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
1..1 | TEL | ||
| thumbnail |
0..1 | ED | ||
| statusCode |
S | 1..1 | CS | Statut de l'entrée - Fixé à la valeur 'completed' Binding: ActStatus (required) |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | Motif requis: completed | |
| @sdtcValueSet |
0..1 | oid | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
S | 1..1 | IVL_TS | Horodatage de l'entrée |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Résultat de l'évaluation - Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | ||
| @codeSystem |
0..1 | oid, uuid, ruid | ||
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
S | 0..1 | ED | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
1..1 | TEL | ||
| thumbnail |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..* | CD | ||
| interpretationCode |
S | 0..* | CE | Interprétation Binding: CDAObservationInterpretation (required) |
| methodCode |
0..* | CE | Binding: ObservationMethod (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..* | EntryRelationship | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | FRCDACommentaireER | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | Observation | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| reference |
0..* | Reference | ||
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| referenceRange |
0..* | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAActRelationshipType (required) Valeur fixe: REFV | |
| observationRange |
1..1 | ObservationRange | ||
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation pour ce format | ||||
| Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source |
| Observation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.classCode | Base | required | CDAActClassObservation | 📦2.0.1-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 v7.1 |
| Observation.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-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 v7.1 |
| Observation.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.1 |
| Observation.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v7.1 |
| Observation.languageCode | Base | required | All Languages | 📦4.0.1 | Std. FHIR |
| Observation.value.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-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 v7.1 |
| Observation.value.originalText.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.methodCode | Base | example | ObservationMethod | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.referenceRange.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeCode | Base | required | CDAActRelationshipType | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Chemin(s) | Description | Expression |
| II-1 | error | Observation.typeId, Observation.entryRelationship.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
Differential View
This structure is derived from Observation
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter: |
|---|---|---|---|---|
| Observation |
1..1 | Observation | Espace de noms (namespace) XML: urn:hl7-org:v3 Base for all types and resources Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | |
| templateId |
1..1 | II | Conformité FR-Evaluation-Composant(CI-SIS) | |
| @root |
0..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.220 | |
| @classCode |
S | 1..1 | cs | Motif requis: OBS |
| @moodCode |
S | 1..1 | cs | Motif requis: EVN |
| id |
1..1 | II | Identifiant de l'entrée | |
| code |
S | 1..1 | CD | Code de l'évaluation : dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autre.Si le type d'évaluation n'est pas trouvé dans les terminologies proposées, utiliser le code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC' et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante. |
| text |
S | 1..1 | ED | Partie narrative |
| reference |
1..1 | TEL | ||
| statusCode |
S | 1..1 | CS | Statut de l'entrée - Fixé à la valeur 'completed' |
| @code |
0..1 | cs | Motif requis: completed | |
| effectiveTime |
S | 1..1 | IVL_TS | Horodatage de l'entrée |
| value |
S | 1..1 | CD | Résultat de l'évaluation - Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). |
| originalText |
S | 0..1 | ED | |
| reference |
1..1 | TEL | ||
| interpretationCode |
S | 0..* | CE | Interprétation |
| entryRelationship |
S | 0..* | EntryRelationship | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| act |
0..1 | FRCDACommentaireER | ||
| Documentation pour ce format | ||||
Snapshot View
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter: |
|---|---|---|---|---|
| Observation |
1..1 | Observation | Espace de noms (namespace) XML: urn:hl7-org:v3 Base for all types and resources Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
1..1 | II | Conformité FR-Evaluation-Composant(CI-SIS) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
0..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.220 | |
| @extension |
0..1 | st | ||
| @classCode |
S | 1..1 | cs | Binding: CDAActClassObservation (required) Motif requis: OBS |
| @moodCode |
S | 1..1 | cs | Binding: XActMoodDocumentObservation (2.0.0) (required) Motif requis: EVN |
| @negationInd |
0..1 | bl | ||
| id |
1..1 | II | Identifiant de l'entrée | |
| sdtcCategory |
0..* | CD | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
| code |
S | 1..1 | CD | Code de l'évaluation : dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autre.Si le type d'évaluation n'est pas trouvé dans les terminologies proposées, utiliser le code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC' et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante. Binding: ObservationType (example) |
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Partie narrative |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
1..1 | TEL | ||
| thumbnail |
0..1 | ED | ||
| statusCode |
S | 1..1 | CS | Statut de l'entrée - Fixé à la valeur 'completed' Binding: ActStatus (required) |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | Motif requis: completed | |
| @sdtcValueSet |
0..1 | oid | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| effectiveTime |
S | 1..1 | IVL_TS | Horodatage de l'entrée |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Résultat de l'évaluation - Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @code |
0..1 | cs | ||
| @codeSystem |
0..1 | oid, uuid, ruid | ||
| @codeSystemName |
0..1 | st | ||
| @codeSystemVersion |
0..1 | st | ||
| @displayName |
0..1 | st | ||
| @sdtcValueSet |
0..1 | oid | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
| @sdtcValueSetVersion |
0..1 | st | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
| originalText |
S | 0..1 | ED | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @compression |
0..1 | cs | Binding: CDACompressionAlgorithm (required) | |
| @integrityCheck |
0..1 | bin | ||
| @integrityCheckAlgorithm |
0..1 | cs | Binding: IntegrityCheckAlgorithm (2.0.0) (required) | |
| @language |
0..1 | cs | ||
| @mediaType |
0..1 | cs | Binding: MediaType (example) | |
| @representation |
0..1 | cs | Binding: CDABinaryDataEncoding (required) | |
| xmlText |
0..1 | st | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |
| reference |
1..1 | TEL | ||
| thumbnail |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..* | CD | ||
| interpretationCode |
S | 0..* | CE | Interprétation Binding: CDAObservationInterpretation (required) |
| methodCode |
0..* | CE | Binding: ObservationMethod (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..* | EntryRelationship | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | FRCDACommentaireER | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | Observation | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| reference |
0..* | Reference | ||
| precondition |
0..* | Precondition | ||
| sdtcPrecondition2 |
0..* | Precondition2 | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
| referenceRange |
0..* | InfrastructureRoot | ||
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| realmCode |
0..* | CS | ||
| typeId |
C | 0..1 | II | Constraints: II-1 |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Valeur fixe: 2.16.840.1.113883.1.3 | |
| @extension |
1..1 | st | ||
| templateId |
0..* | II | ||
| @typeCode |
0..1 | cs | Binding: CDAActRelationshipType (required) Valeur fixe: REFV | |
| observationRange |
1..1 | ObservationRange | ||
| sdtcInFulfillmentOf1 |
0..* | InFulfillmentOf1 | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |
| Documentation pour ce format | ||||
| Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source |
| Observation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.classCode | Base | required | CDAActClassObservation | 📦2.0.1-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 v7.1 |
| Observation.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-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 v7.1 |
| Observation.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.statusCode | Base | required | ActStatus | 📦3.0.0 | THO v7.1 |
| Observation.statusCode.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.priorityCode | Base | example | ActPriority | 📦3.0.0 | THO v7.1 |
| Observation.languageCode | Base | required | All Languages | 📦4.0.1 | Std. FHIR |
| Observation.value.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.value.originalText.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-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 v7.1 |
| Observation.value.originalText.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.interpretationCode | Base | required | CDAObservationInterpretation | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.methodCode | Base | example | ObservationMethod | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.referenceRange.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.referenceRange.typeCode | Base | required | CDAActRelationshipType | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Id | Grade | Chemin(s) | Description | Expression |
| II-1 | error | Observation.typeId, Observation.entryRelationship.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
This structure is derived from Observation