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 | Version: 0.1.0-snapshot | |||
| Draft as of 2026-04-15 | Computable Name: FRCDAEvaluation | |||
Entrée FR-Evaluation: IHE-PCC - Survey Observation - L’entrée Evaluation permet de rapporter un résultat (score) répondant à une question faisant partie d’une évaluation (questionnaire d’enquête par exemple).Cette entrée est basée sur l’entrée FR-Simple-Observation (1.3.6.1.4.1.19376.1.5.3.1.4.13) qu’elle spécialise.
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 | ||
 Slices pour templateId |
4..4 | II | Slice: Non ordonné, Ouvert par value:root | |
  templateId:iheSurveyObservation |
1..1 | II | Conformité Survey Observation (IHE PCC) | |
  @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6 | |
 @extension |
0..1 | st | ||
| templateId:iheSimpleObservation |
1..1 | II | Conformité Simple Observation (IHE PCC) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13 | |
| @extension |
0..1 | st | ||
| templateId:ccdResultObservation |
1..1 | II | Conformité Simple Observation (CCD) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.31 | |
| @extension |
0..1 | st | ||
 templateId:frEvaluation |
1..1 | II | Conformité FR-Evaluation (CI-SIS) | |
 @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.25 | |
| @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 | Type d'évaluation :LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autreSi 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) |
| @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 |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..1 | CD | ||
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Description 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 | Référence vers la partie narrative de la section | |
| 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 | Date |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Valeur de l'évaluation : Le type (code) et la valeur de la mesure (réponse) dépendent du volet utilisant cette entrée et sont spécifiquement précisés dans les volets de contenus. |
| interpretationCode |
S | 0..1 | CE | Interprétation - Un code d’interprétation de la valeur pourra être utilisé pour donner une évaluation de la réponse. Binding: CDAObservationInterpretation (required) |
| methodCode |
0..* | CE | Binding: ObservationMethod (example) | |
| targetSiteCode |
0..* | CD | ||
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..1 | FRCDAPerformerCorps | Evaluateur | |
| author |
0..1 | FRCDAAuthor | Auteur de l'évaluation - @typeCode ='RESP' | |
| informant |
0..* | Informant | ||
| participant |
0..1 | FRCDAParticipantCorps | Responsable de l'évaluation | |
| @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 | ||
| Slices pour templateId |
0..* | II | templateId est optionnel. S'il est présent, son root peut être 1.2.250.1.213.1.1.3.109 et/ou une autre OID valide Slice: Non ordonné, Ouvert par value:root | |
| templateId:templateId |
0..1 | II | TemplateId avec root égal à 1.2.250.1.213.1.1.3.109 | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.109 | |
| @extension |
0..1 | st | ||
 templateId:templateId-other |
0..* | II | Autre TemplateId | |
| @typeCode |
S | 1..1 | cs | Binding: CDAParticipationType (required) Motif requis: RESP |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Valeur fixe: OP | |
| sdtcFunctionCode |
0..1 | CE | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
S | 0..1 | IVL_TS | Date et heure de la participation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | Format de date : YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
S | 0..1 | IVXB_TS | |
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
S | 0..1 | IVXB_TS | |
| awarenessCode |
0..1 | CE | ||
| participantRole |
S | 1..1 | FRCDAParticipantRole | Rôle du participant dans l'acte |
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frEvaluationComposant |
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: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAEvaluationComposant | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:frStatut |
0..1 | EntryRelationship | Statut de l’évaluation | |
| @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: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatut | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:frCommentaireER |
0..* | EntryRelationship | Commentaire | |
| @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 | ||
| entryRelationship:frReferenceInterne |
0..* | EntryRelationship | référence interne | |
| @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: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | FRCDAReferenceInterne | ||
| 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:iheSurveyObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:iheSimpleObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdResultObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frEvaluation.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.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| 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.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.participant.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.templateId:templateId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.typeCode | Base | required | CDAParticipationType | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.contextControlCode | Base | required | CDAContextControl | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.time.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.time.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatut.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatut.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatut.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frCommentaireER.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCommentaireER.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCommentaireER.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frReferenceInterne.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frReferenceInterne.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frReferenceInterne.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.participant.typeId, Observation.entryRelationship:frEvaluationComposant.typeId, Observation.entryRelationship:frStatut.typeId, Observation.entryRelationship:frCommentaireER.typeId, Observation.entryRelationship:frReferenceInterne.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) | |
| Slices pour templateId |
4..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheSurveyObservation |
1..1 | II | Conformité Survey Observation (IHE PCC) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6 | |
| templateId:iheSimpleObservation |
1..1 | II | Conformité Simple Observation (IHE PCC) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13 | |
| templateId:ccdResultObservation |
1..1 | II | Conformité Simple Observation (CCD) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.31 | |
| templateId:frEvaluation |
1..1 | II | Conformité FR-Evaluation (CI-SIS) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.25 | |
| @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 | Type d'évaluation :LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autreSi 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. |
| translation |
0..1 | CD | ||
| text |
S | 1..1 | ED | Description narrative |
| reference |
1..1 | TEL | Référence vers la partie narrative de la section | |
| 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 | Date |
| value |
S | 1..1 | CD | Valeur de l'évaluation : Le type (code) et la valeur de la mesure (réponse) dépendent du volet utilisant cette entrée et sont spécifiquement précisés dans les volets de contenus. |
| interpretationCode |
S | 0..1 | CE | Interprétation - Un code d’interprétation de la valeur pourra être utilisé pour donner une évaluation de la réponse. |
| performer |
0..1 | FRCDAPerformerCorps | Evaluateur | |
| author |
0..1 | FRCDAAuthor | Auteur de l'évaluation - @typeCode ='RESP' | |
| participant |
0..1 | FRCDAParticipantCorps | Responsable de l'évaluation | |
| @typeCode |
1..1 | cs | Motif requis: RESP | |
 Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frEvaluationComposant |
0..* | EntryRelationship | ||
| @typeCode |
1..1 | cs | Motif requis: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| observation |
0..1 | FRCDAEvaluationComposant | ||
| entryRelationship:frStatut |
0..1 | EntryRelationship | Statut de l’évaluation | |
| @typeCode |
1..1 | cs | Motif requis: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| observation |
0..1 | FRCDAStatut | ||
| entryRelationship:frCommentaireER |
0..* | EntryRelationship | Commentaire | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| act |
0..1 | FRCDACommentaireER | ||
| entryRelationship:frReferenceInterne |
0..* | EntryRelationship | référence interne | |
| @typeCode |
1..1 | cs | Motif requis: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| act |
0..1 | FRCDAReferenceInterne | ||
| 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 | ||
| Slices pour templateId |
4..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheSurveyObservation |
1..1 | II | Conformité Survey Observation (IHE PCC) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6 | |
| @extension |
0..1 | st | ||
| templateId:iheSimpleObservation |
1..1 | II | Conformité Simple Observation (IHE PCC) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13 | |
| @extension |
0..1 | st | ||
| templateId:ccdResultObservation |
1..1 | II | Conformité Simple Observation (CCD) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.31 | |
| @extension |
0..1 | st | ||
| templateId:frEvaluation |
1..1 | II | Conformité FR-Evaluation (CI-SIS) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.25 | |
| @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 | Type d'évaluation :LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autreSi 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) |
| @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 |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..1 | CD | ||
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Description 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 | Référence vers la partie narrative de la section | |
| 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 | Date |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Valeur de l'évaluation : Le type (code) et la valeur de la mesure (réponse) dépendent du volet utilisant cette entrée et sont spécifiquement précisés dans les volets de contenus. |
| interpretationCode |
S | 0..1 | CE | Interprétation - Un code d’interprétation de la valeur pourra être utilisé pour donner une évaluation de la réponse. Binding: CDAObservationInterpretation (required) |
| methodCode |
0..* | CE | Binding: ObservationMethod (example) | |
| targetSiteCode |
0..* | CD | ||
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..1 | FRCDAPerformerCorps | Evaluateur | |
| author |
0..1 | FRCDAAuthor | Auteur de l'évaluation - @typeCode ='RESP' | |
| informant |
0..* | Informant | ||
| participant |
0..1 | FRCDAParticipantCorps | Responsable de l'évaluation | |
| @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 | ||
| Slices pour templateId |
0..* | II | templateId est optionnel. S'il est présent, son root peut être 1.2.250.1.213.1.1.3.109 et/ou une autre OID valide Slice: Non ordonné, Ouvert par value:root | |
| templateId:templateId |
0..1 | II | TemplateId avec root égal à 1.2.250.1.213.1.1.3.109 | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.109 | |
| @extension |
0..1 | st | ||
| templateId:templateId-other |
0..* | II | Autre TemplateId | |
| @typeCode |
S | 1..1 | cs | Binding: CDAParticipationType (required) Motif requis: RESP |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Valeur fixe: OP | |
| sdtcFunctionCode |
0..1 | CE | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
S | 0..1 | IVL_TS | Date et heure de la participation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | Format de date : YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
S | 0..1 | IVXB_TS | |
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
S | 0..1 | IVXB_TS | |
| awarenessCode |
0..1 | CE | ||
| participantRole |
S | 1..1 | FRCDAParticipantRole | Rôle du participant dans l'acte |
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frEvaluationComposant |
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: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAEvaluationComposant | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:frStatut |
0..1 | EntryRelationship | Statut de l’évaluation | |
| @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: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatut | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:frCommentaireER |
0..* | EntryRelationship | Commentaire | |
| @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 | ||
| entryRelationship:frReferenceInterne |
0..* | EntryRelationship | référence interne | |
| @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: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | FRCDAReferenceInterne | ||
| 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:iheSurveyObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:iheSimpleObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdResultObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frEvaluation.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.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| 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.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.participant.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.templateId:templateId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.typeCode | Base | required | CDAParticipationType | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.contextControlCode | Base | required | CDAContextControl | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.time.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.time.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatut.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatut.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatut.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frCommentaireER.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCommentaireER.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCommentaireER.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frReferenceInterne.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frReferenceInterne.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frReferenceInterne.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.participant.typeId, Observation.entryRelationship:frEvaluationComposant.typeId, Observation.entryRelationship:frStatut.typeId, Observation.entryRelationship:frCommentaireER.typeId, Observation.entryRelationship:frReferenceInterne.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
Résumé
Obligatoire : 14 éléments
Must-Support : 9 éléments
Structures
Cette structure fait référence à ces autres structures:
Slices
Cette structure définit les slices suivantes:
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 | ||
| Slices pour templateId |
4..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheSurveyObservation |
1..1 | II | Conformité Survey Observation (IHE PCC) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6 | |
| @extension |
0..1 | st | ||
| templateId:iheSimpleObservation |
1..1 | II | Conformité Simple Observation (IHE PCC) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13 | |
| @extension |
0..1 | st | ||
| templateId:ccdResultObservation |
1..1 | II | Conformité Simple Observation (CCD) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.31 | |
| @extension |
0..1 | st | ||
| templateId:frEvaluation |
1..1 | II | Conformité FR-Evaluation (CI-SIS) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.25 | |
| @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 | Type d'évaluation :LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autreSi 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) |
| @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 |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..1 | CD | ||
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Description 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 | Référence vers la partie narrative de la section | |
| 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 | Date |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Valeur de l'évaluation : Le type (code) et la valeur de la mesure (réponse) dépendent du volet utilisant cette entrée et sont spécifiquement précisés dans les volets de contenus. |
| interpretationCode |
S | 0..1 | CE | Interprétation - Un code d’interprétation de la valeur pourra être utilisé pour donner une évaluation de la réponse. Binding: CDAObservationInterpretation (required) |
| methodCode |
0..* | CE | Binding: ObservationMethod (example) | |
| targetSiteCode |
0..* | CD | ||
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..1 | FRCDAPerformerCorps | Evaluateur | |
| author |
0..1 | FRCDAAuthor | Auteur de l'évaluation - @typeCode ='RESP' | |
| informant |
0..* | Informant | ||
| participant |
0..1 | FRCDAParticipantCorps | Responsable de l'évaluation | |
| @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 | ||
| Slices pour templateId |
0..* | II | templateId est optionnel. S'il est présent, son root peut être 1.2.250.1.213.1.1.3.109 et/ou une autre OID valide Slice: Non ordonné, Ouvert par value:root | |
| templateId:templateId |
0..1 | II | TemplateId avec root égal à 1.2.250.1.213.1.1.3.109 | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.109 | |
| @extension |
0..1 | st | ||
| templateId:templateId-other |
0..* | II | Autre TemplateId | |
| @typeCode |
S | 1..1 | cs | Binding: CDAParticipationType (required) Motif requis: RESP |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Valeur fixe: OP | |
| sdtcFunctionCode |
0..1 | CE | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
S | 0..1 | IVL_TS | Date et heure de la participation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | Format de date : YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
S | 0..1 | IVXB_TS | |
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
S | 0..1 | IVXB_TS | |
| awarenessCode |
0..1 | CE | ||
| participantRole |
S | 1..1 | FRCDAParticipantRole | Rôle du participant dans l'acte |
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frEvaluationComposant |
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: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAEvaluationComposant | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:frStatut |
0..1 | EntryRelationship | Statut de l’évaluation | |
| @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: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatut | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:frCommentaireER |
0..* | EntryRelationship | Commentaire | |
| @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 | ||
| entryRelationship:frReferenceInterne |
0..* | EntryRelationship | référence interne | |
| @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: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | FRCDAReferenceInterne | ||
| 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:iheSurveyObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:iheSimpleObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdResultObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frEvaluation.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.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| 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.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.participant.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.templateId:templateId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.typeCode | Base | required | CDAParticipationType | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.contextControlCode | Base | required | CDAContextControl | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.time.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.time.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatut.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatut.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatut.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frCommentaireER.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCommentaireER.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCommentaireER.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frReferenceInterne.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frReferenceInterne.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frReferenceInterne.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.participant.typeId, Observation.entryRelationship:frEvaluationComposant.typeId, Observation.entryRelationship:frStatut.typeId, Observation.entryRelationship:frCommentaireER.typeId, Observation.entryRelationship:frReferenceInterne.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) | |
| Slices pour templateId |
4..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheSurveyObservation |
1..1 | II | Conformité Survey Observation (IHE PCC) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6 | |
| templateId:iheSimpleObservation |
1..1 | II | Conformité Simple Observation (IHE PCC) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13 | |
| templateId:ccdResultObservation |
1..1 | II | Conformité Simple Observation (CCD) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.31 | |
| templateId:frEvaluation |
1..1 | II | Conformité FR-Evaluation (CI-SIS) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.25 | |
| @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 | Type d'évaluation :LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autreSi 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. |
| translation |
0..1 | CD | ||
| text |
S | 1..1 | ED | Description narrative |
| reference |
1..1 | TEL | Référence vers la partie narrative de la section | |
| 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 | Date |
| value |
S | 1..1 | CD | Valeur de l'évaluation : Le type (code) et la valeur de la mesure (réponse) dépendent du volet utilisant cette entrée et sont spécifiquement précisés dans les volets de contenus. |
| interpretationCode |
S | 0..1 | CE | Interprétation - Un code d’interprétation de la valeur pourra être utilisé pour donner une évaluation de la réponse. |
| performer |
0..1 | FRCDAPerformerCorps | Evaluateur | |
| author |
0..1 | FRCDAAuthor | Auteur de l'évaluation - @typeCode ='RESP' | |
| participant |
0..1 | FRCDAParticipantCorps | Responsable de l'évaluation | |
| @typeCode |
1..1 | cs | Motif requis: RESP | |
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frEvaluationComposant |
0..* | EntryRelationship | ||
| @typeCode |
1..1 | cs | Motif requis: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| observation |
0..1 | FRCDAEvaluationComposant | ||
| entryRelationship:frStatut |
0..1 | EntryRelationship | Statut de l’évaluation | |
| @typeCode |
1..1 | cs | Motif requis: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| observation |
0..1 | FRCDAStatut | ||
| entryRelationship:frCommentaireER |
0..* | EntryRelationship | Commentaire | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| act |
0..1 | FRCDACommentaireER | ||
| entryRelationship:frReferenceInterne |
0..* | EntryRelationship | référence interne | |
| @typeCode |
1..1 | cs | Motif requis: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| act |
0..1 | FRCDAReferenceInterne | ||
| 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 | ||
| Slices pour templateId |
4..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheSurveyObservation |
1..1 | II | Conformité Survey Observation (IHE PCC) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6 | |
| @extension |
0..1 | st | ||
| templateId:iheSimpleObservation |
1..1 | II | Conformité Simple Observation (IHE PCC) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13 | |
| @extension |
0..1 | st | ||
| templateId:ccdResultObservation |
1..1 | II | Conformité Simple Observation (CCD) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.31 | |
| @extension |
0..1 | st | ||
| templateId:frEvaluation |
1..1 | II | Conformité FR-Evaluation (CI-SIS) | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.25 | |
| @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 | Type d'évaluation :LOINC (2.16.840.1.113883.6.1) ou ICF (2.16.840.1.113883.6.254) ou autreSi 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) |
| @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 |
0..1 | ED | ||
| qualifier |
0..* | CR | ||
| translation |
0..1 | CD | ||
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Description 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 | Référence vers la partie narrative de la section | |
| 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 | Date |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Valeur de l'évaluation : Le type (code) et la valeur de la mesure (réponse) dépendent du volet utilisant cette entrée et sont spécifiquement précisés dans les volets de contenus. |
| interpretationCode |
S | 0..1 | CE | Interprétation - Un code d’interprétation de la valeur pourra être utilisé pour donner une évaluation de la réponse. Binding: CDAObservationInterpretation (required) |
| methodCode |
0..* | CE | Binding: ObservationMethod (example) | |
| targetSiteCode |
0..* | CD | ||
| subject |
0..1 | Subject | ||
| specimen |
0..* | Specimen | ||
| performer |
0..1 | FRCDAPerformerCorps | Evaluateur | |
| author |
0..1 | FRCDAAuthor | Auteur de l'évaluation - @typeCode ='RESP' | |
| informant |
0..* | Informant | ||
| participant |
0..1 | FRCDAParticipantCorps | Responsable de l'évaluation | |
| @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 | ||
| Slices pour templateId |
0..* | II | templateId est optionnel. S'il est présent, son root peut être 1.2.250.1.213.1.1.3.109 et/ou une autre OID valide Slice: Non ordonné, Ouvert par value:root | |
| templateId:templateId |
0..1 | II | TemplateId avec root égal à 1.2.250.1.213.1.1.3.109 | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.109 | |
| @extension |
0..1 | st | ||
| templateId:templateId-other |
0..* | II | Autre TemplateId | |
| @typeCode |
S | 1..1 | cs | Binding: CDAParticipationType (required) Motif requis: RESP |
| @contextControlCode |
0..1 | cs | Binding: CDAContextControl (required) Valeur fixe: OP | |
| sdtcFunctionCode |
0..1 | CE | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: functionCode (urn:hl7-org:sdtc) | |
| time |
S | 0..1 | IVL_TS | Date et heure de la participation |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @value |
0..1 | ts | Format de date : YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
| @operator |
0..1 | cs | Binding: CDASetOperator (required) | |
| low |
S | 0..1 | IVXB_TS | |
| center |
0..1 | TS | ||
| width |
0..1 | PQ | ||
| high |
S | 0..1 | IVXB_TS | |
| awarenessCode |
0..1 | CE | ||
| participantRole |
S | 1..1 | FRCDAParticipantRole | Rôle du participant dans l'acte |
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frEvaluationComposant |
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: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAEvaluationComposant | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:frStatut |
0..1 | EntryRelationship | Statut de l’évaluation | |
| @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: COMP | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatut | ||
| observationMedia |
0..1 | ObservationMedia | ||
| organizer |
0..1 | Organizer | ||
| procedure |
0..1 | Procedure | ||
| regionOfInterest |
0..1 | RegionOfInterest | ||
| substanceAdministration |
0..1 | SubstanceAdministration | ||
| supply |
0..1 | Supply | ||
| entryRelationship:frCommentaireER |
0..* | EntryRelationship | Commentaire | |
| @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 | ||
| entryRelationship:frReferenceInterne |
0..* | EntryRelationship | référence interne | |
| @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: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| @contextConductionInd |
0..1 | bl | ||
| @negationInd |
0..1 | bl | ||
| sequenceNumber |
0..1 | INT | ||
| seperatableInd |
0..1 | BL | ||
| act |
0..1 | FRCDAReferenceInterne | ||
| 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:iheSurveyObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:iheSimpleObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdResultObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frEvaluation.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.code.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| 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.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.participant.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.templateId:templateId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.typeCode | Base | required | CDAParticipationType | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.contextControlCode | Base | required | CDAContextControl | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.time.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.participant.time.operator | Base | required | CDASetOperator | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frEvaluationComposant.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatut.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatut.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatut.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frCommentaireER.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCommentaireER.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCommentaireER.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frReferenceInterne.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frReferenceInterne.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frReferenceInterne.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.participant.typeId, Observation.entryRelationship:frEvaluationComposant.typeId, Observation.entryRelationship:frStatut.typeId, Observation.entryRelationship:frCommentaireER.typeId, Observation.entryRelationship:frReferenceInterne.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
Résumé
Obligatoire : 14 éléments
Must-Support : 9 éléments
Structures
Cette structure fait référence à ces autres structures:
Slices
Cette structure définit les slices suivantes: