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-probleme | Version: 0.1.0-snapshot | |||
| Draft as of 2026-04-15 | Computable Name: FRCDAProbleme | |||
Entrée FR-Probleme: IHE-PCC - Problem-Entry. Cette entrée permet de décrire un problème du patient (une pathologie par exemple) en précisant : Le type de problème observé : problème, plainte, symptôme, diagnostic, etc. Le problème observé (en général, la pathologie observée), La sévérité, Le statut du problème (sauf pour une réaction à une allergie/hypersensibilité), Le statut clinique du patient (sauf pour une réaction à une allergie/hypersensibilité), Un commentaire.
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 |
3..4 | II | Slice: Non ordonné, Ouvert par value:root | |
  templateId:iheProblemEntry |
1..1 | II | Conformité Problem Entry (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: 1.3.6.1.4.1.19376.1.5.3.1.4.5 | |
 @extension |
0..1 | st | ||
| templateId:ccdProblemObservation |
1..1 | II | Conformité Problem 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: 2.16.840.1.113883.10.20.1.28 | |
| @extension |
0..1 | st | ||
| templateId:ccdReactionObservation |
0..1 | II | Conformité Reaction observation (CCD) - Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.54 | |
| @extension |
0..1 | st | ||
 templateId:frProbleme |
1..1 | II | Conformité FR-Probleme (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: 1.2.250.1.213.1.1.3.37 | |
| @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 | Les attributs de cet élément prennent les valeurs suivantes : @classCode='OBS' (observation d’un problème) @moodCode='EVN' (observation ayant eu lieu) @negationInd=‘false’ signifie que l’élément observé a eu lieu @negationInd=‘true’ signifie que l’élément observé n’a pas eu lieu (donnant par exemple ‘absence de fièvre’ si l’élément observé est ‘fièvre’). @negationInd absent dans le cas où on ne sait pas. | |
| 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'observation Binding: JDV Code Probleme CISIS (required) |
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Description narrative du problème : cet élément permet de décrire le problème enregistré, les dates, commentaires, etc. |
| @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 |
S | 1..1 | TEL | |
| thumbnail |
0..1 | ED | ||
| statusCode |
S | 1..1 | CS | Statut de l’entrée 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 | Dates de début et de fin du problème |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Problème observé. La valeur de l'élément value peut être: CIM-10 pour les pathologie et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante ; Réaction allergique: CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité ; >Si pas de problème ou pas d'information </b>: JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662) |
| @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 |
S | 0..1 | TEL | |
| thumbnail |
0..1 | ED | ||
| qualifier |
S | 0..* | CR | |
| translation |
0..* | CD | ||
| interpretationCode |
0..* | CE | 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 | ||
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frSeverite |
0..1 | EntryRelationship | Sévérité | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDASeverite | ||
| 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:frStatutDuProbleme |
0..1 | EntryRelationship | Statut du problème | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatutDuProbleme | ||
| 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:frStatutCliniqueDuPatient |
0..1 | EntryRelationship | Statut clinique du patient | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatutCliniqueDuPatient | ||
| 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:frCertitude |
0..1 | EntryRelationship | certitude | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDACertitude | ||
| 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..1 | 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 | ||
| reference |
0..* | Reference | Document référencé | |
| @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_ActRelationshipExternalReference (required) Motif requis: REFR | |
| seperatableInd |
0..1 | BL | ||
| externalAct |
0..1 | ExternalAct | ||
| externalObservation |
0..1 | ExternalObservation | ||
| externalProcedure |
0..1 | ExternalProcedure | ||
 externalDocument |
1..1 | ExternalDocument | ||
| @nullFlavor |
0..1 | cs | 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 | ||
| @classCode |
0..1 | cs | Binding: ActClassDocument (required) Motif requis: DOC | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Valeur fixe: EVN | |
| id |
1..1 | II | Identifiant du document | |
| code |
0..1 | CD | Binding: FHIRDocumentTypeCodes (example) | |
| text |
1..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 |
0..1 | TEL | Cet élément contient l’URL du document. L’adresse du document est indiqué dans la partie narrative de la section par le biais d’un lien linkHtml | |
| thumbnail |
0..1 | ED | ||
| setId |
0..1 | II | ||
| versionNumber |
0..1 | INT | ||
| sdtcAuthor |
0..* | Author | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: author (urn:hl7-org:sdtc) | |
| 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:iheProblemEntry.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdProblemObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdReactionObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frProbleme.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 | required | JDV Code Probleme CISIS | 📦20260220142105 | Terminologies de Santé v1.7 |
| 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:frSeverite.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frSeverite.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frSeverite.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatutDuProbleme.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutDuProbleme.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutDuProbleme.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frCertitude.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCertitude.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCertitude.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.reference.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.typeCode | Base | required | x_ActRelationshipExternalReference | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.classCode | Base | required | ActClassDocument | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.code | Base | example | FHIR Document Type Codes | 📦4.0.1 | Std. FHIR |
| Observation.reference.externalDocument.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| Observation.reference.externalDocument.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| 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:frSeverite.typeId, Observation.entryRelationship:frStatutDuProbleme.typeId, Observation.entryRelationship:frStatutCliniqueDuPatient.typeId, Observation.entryRelationship:frCertitude.typeId, Observation.entryRelationship:frCommentaireER.typeId, Observation.reference.typeId, Observation.reference.externalDocument.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
This structure is derived from Observation
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter: |
|---|---|---|---|---|
| Observation |
Observation | Espace de noms (namespace) XML: urn:hl7-org:v3 Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | ||
| Slices pour templateId |
3..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheProblemEntry |
1..1 | II | Conformité Problem Entry (IHE PCC) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.5 | |
| templateId:ccdProblemObservation |
1..1 | II | Conformité Problem observation (CCD) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.28 | |
| templateId:ccdReactionObservation |
0..1 | II | Conformité Reaction observation (CCD) - Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée. | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.54 | |
| templateId:frProbleme |
1..1 | II | Conformité FR-Probleme (CI-SIS) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.37 | |
| @classCode |
S | 1..1 | cs | Motif requis: OBS |
| @moodCode |
S | 1..1 | cs | Motif requis: EVN |
| @negationInd |
0..1 | bl | Les attributs de cet élément prennent les valeurs suivantes : @classCode='OBS' (observation d’un problème) @moodCode='EVN' (observation ayant eu lieu) @negationInd=‘false’ signifie que l’élément observé a eu lieu @negationInd=‘true’ signifie que l’élément observé n’a pas eu lieu (donnant par exemple ‘absence de fièvre’ si l’élément observé est ‘fièvre’). @negationInd absent dans le cas où on ne sait pas. | |
| id |
1..1 | II | Identifiant de l'entrée | |
| code |
S | 1..1 | CD | Type d'observation Binding: JDV Code Probleme CISIS (required) |
| text |
S | 1..1 | ED | Description narrative du problème : cet élément permet de décrire le problème enregistré, les dates, commentaires, etc. |
| reference |
S | 1..1 | TEL | |
| statusCode |
S | 1..1 | CS | Statut de l’entrée |
| @code |
0..1 | cs | Motif requis: completed | |
| effectiveTime |
S | 1..1 | IVL_TS | Dates de début et de fin du problème |
| value |
S | 1..1 | CD | Problème observé. La valeur de l'élément value peut être: CIM-10 pour les pathologie et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante ; Réaction allergique: CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité ; >Si pas de problème ou pas d'information </b>: JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662) |
| originalText |
S | 0..1 | ED | |
| reference |
S | 0..1 | TEL | |
| qualifier |
S | 0..* | CR | |
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frSeverite |
0..1 | EntryRelationship | Sévérité | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| observation |
0..1 | FRCDASeverite | ||
| entryRelationship:frStatutDuProbleme |
0..1 | EntryRelationship | Statut du problème | |
| @typeCode |
1..1 | cs | Motif requis: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| observation |
0..1 | FRCDAStatutDuProbleme | ||
| entryRelationship:frStatutCliniqueDuPatient |
0..1 | EntryRelationship | Statut clinique du patient | |
| @typeCode |
1..1 | cs | Motif requis: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| observation |
0..1 | FRCDAStatutCliniqueDuPatient | ||
| entryRelationship:frCertitude |
0..1 | EntryRelationship | certitude | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| observation |
0..1 | FRCDACertitude | ||
| entryRelationship:frCommentaireER |
0..1 | EntryRelationship | Commentaire | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| act |
0..1 | FRCDACommentaireER | ||
| reference |
0..* | Reference | Document référencé | |
| @typeCode |
1..1 | cs | Motif requis: REFR | |
| externalDocument |
1..1 | ExternalDocument | ||
| @classCode |
0..1 | cs | Motif requis: DOC | |
| id |
1..1 | II | Identifiant du document | |
| text |
1..1 | ED | ||
| reference |
0..1 | TEL | Cet élément contient l’URL du document. L’adresse du document est indiqué dans la partie narrative de la section par le biais d’un lien linkHtml | |
| Documentation pour ce format | ||||
| Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source |
| Observation.code | Base | required | JDV Code Probleme CISIS | 📦20260220142105 | Terminologies de Santé v1.7 |
| 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 |
3..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheProblemEntry |
1..1 | II | Conformité Problem Entry (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: 1.3.6.1.4.1.19376.1.5.3.1.4.5 | |
| @extension |
0..1 | st | ||
| templateId:ccdProblemObservation |
1..1 | II | Conformité Problem 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: 2.16.840.1.113883.10.20.1.28 | |
| @extension |
0..1 | st | ||
| templateId:ccdReactionObservation |
0..1 | II | Conformité Reaction observation (CCD) - Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.54 | |
| @extension |
0..1 | st | ||
| templateId:frProbleme |
1..1 | II | Conformité FR-Probleme (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: 1.2.250.1.213.1.1.3.37 | |
| @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 | Les attributs de cet élément prennent les valeurs suivantes : @classCode='OBS' (observation d’un problème) @moodCode='EVN' (observation ayant eu lieu) @negationInd=‘false’ signifie que l’élément observé a eu lieu @negationInd=‘true’ signifie que l’élément observé n’a pas eu lieu (donnant par exemple ‘absence de fièvre’ si l’élément observé est ‘fièvre’). @negationInd absent dans le cas où on ne sait pas. | |
| 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'observation Binding: JDV Code Probleme CISIS (required) |
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Description narrative du problème : cet élément permet de décrire le problème enregistré, les dates, commentaires, etc. |
| @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 |
S | 1..1 | TEL | |
| thumbnail |
0..1 | ED | ||
| statusCode |
S | 1..1 | CS | Statut de l’entrée 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 | Dates de début et de fin du problème |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Problème observé. La valeur de l'élément value peut être: CIM-10 pour les pathologie et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante ; Réaction allergique: CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité ; >Si pas de problème ou pas d'information </b>: JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662) |
| @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 |
S | 0..1 | TEL | |
| thumbnail |
0..1 | ED | ||
| qualifier |
S | 0..* | CR | |
| translation |
0..* | CD | ||
| interpretationCode |
0..* | CE | 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 | ||
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frSeverite |
0..1 | EntryRelationship | Sévérité | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDASeverite | ||
| 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:frStatutDuProbleme |
0..1 | EntryRelationship | Statut du problème | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatutDuProbleme | ||
| 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:frStatutCliniqueDuPatient |
0..1 | EntryRelationship | Statut clinique du patient | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatutCliniqueDuPatient | ||
| 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:frCertitude |
0..1 | EntryRelationship | certitude | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDACertitude | ||
| 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..1 | 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 | ||
| reference |
0..* | Reference | Document référencé | |
| @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_ActRelationshipExternalReference (required) Motif requis: REFR | |
| seperatableInd |
0..1 | BL | ||
| externalAct |
0..1 | ExternalAct | ||
| externalObservation |
0..1 | ExternalObservation | ||
| externalProcedure |
0..1 | ExternalProcedure | ||
| externalDocument |
1..1 | ExternalDocument | ||
| @nullFlavor |
0..1 | cs | 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 | ||
| @classCode |
0..1 | cs | Binding: ActClassDocument (required) Motif requis: DOC | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Valeur fixe: EVN | |
| id |
1..1 | II | Identifiant du document | |
| code |
0..1 | CD | Binding: FHIRDocumentTypeCodes (example) | |
| text |
1..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 |
0..1 | TEL | Cet élément contient l’URL du document. L’adresse du document est indiqué dans la partie narrative de la section par le biais d’un lien linkHtml | |
| thumbnail |
0..1 | ED | ||
| setId |
0..1 | II | ||
| versionNumber |
0..1 | INT | ||
| sdtcAuthor |
0..* | Author | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: author (urn:hl7-org:sdtc) | |
| 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:iheProblemEntry.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdProblemObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdReactionObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frProbleme.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 | required | JDV Code Probleme CISIS | 📦20260220142105 | Terminologies de Santé v1.7 |
| 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:frSeverite.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frSeverite.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frSeverite.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatutDuProbleme.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutDuProbleme.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutDuProbleme.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frCertitude.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCertitude.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCertitude.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.reference.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.typeCode | Base | required | x_ActRelationshipExternalReference | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.classCode | Base | required | ActClassDocument | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.code | Base | example | FHIR Document Type Codes | 📦4.0.1 | Std. FHIR |
| Observation.reference.externalDocument.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| Observation.reference.externalDocument.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| 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:frSeverite.typeId, Observation.entryRelationship:frStatutDuProbleme.typeId, Observation.entryRelationship:frStatutCliniqueDuPatient.typeId, Observation.entryRelationship:frCertitude.typeId, Observation.entryRelationship:frCommentaireER.typeId, Observation.reference.typeId, Observation.reference.externalDocument.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
This structure is derived from Observation
Résumé
Obligatoire : 12 éléments(4 éléments obligatoire(s) imbriqué(s))
Must-Support : 12 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 |
3..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheProblemEntry |
1..1 | II | Conformité Problem Entry (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: 1.3.6.1.4.1.19376.1.5.3.1.4.5 | |
| @extension |
0..1 | st | ||
| templateId:ccdProblemObservation |
1..1 | II | Conformité Problem 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: 2.16.840.1.113883.10.20.1.28 | |
| @extension |
0..1 | st | ||
| templateId:ccdReactionObservation |
0..1 | II | Conformité Reaction observation (CCD) - Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.54 | |
| @extension |
0..1 | st | ||
| templateId:frProbleme |
1..1 | II | Conformité FR-Probleme (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: 1.2.250.1.213.1.1.3.37 | |
| @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 | Les attributs de cet élément prennent les valeurs suivantes : @classCode='OBS' (observation d’un problème) @moodCode='EVN' (observation ayant eu lieu) @negationInd=‘false’ signifie que l’élément observé a eu lieu @negationInd=‘true’ signifie que l’élément observé n’a pas eu lieu (donnant par exemple ‘absence de fièvre’ si l’élément observé est ‘fièvre’). @negationInd absent dans le cas où on ne sait pas. | |
| 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'observation Binding: JDV Code Probleme CISIS (required) |
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Description narrative du problème : cet élément permet de décrire le problème enregistré, les dates, commentaires, etc. |
| @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 |
S | 1..1 | TEL | |
| thumbnail |
0..1 | ED | ||
| statusCode |
S | 1..1 | CS | Statut de l’entrée 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 | Dates de début et de fin du problème |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Problème observé. La valeur de l'élément value peut être: CIM-10 pour les pathologie et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante ; Réaction allergique: CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité ; >Si pas de problème ou pas d'information </b>: JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662) |
| @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 |
S | 0..1 | TEL | |
| thumbnail |
0..1 | ED | ||
| qualifier |
S | 0..* | CR | |
| translation |
0..* | CD | ||
| interpretationCode |
0..* | CE | 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 | ||
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frSeverite |
0..1 | EntryRelationship | Sévérité | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDASeverite | ||
| 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:frStatutDuProbleme |
0..1 | EntryRelationship | Statut du problème | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatutDuProbleme | ||
| 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:frStatutCliniqueDuPatient |
0..1 | EntryRelationship | Statut clinique du patient | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatutCliniqueDuPatient | ||
| 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:frCertitude |
0..1 | EntryRelationship | certitude | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDACertitude | ||
| 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..1 | 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 | ||
| reference |
0..* | Reference | Document référencé | |
| @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_ActRelationshipExternalReference (required) Motif requis: REFR | |
| seperatableInd |
0..1 | BL | ||
| externalAct |
0..1 | ExternalAct | ||
| externalObservation |
0..1 | ExternalObservation | ||
| externalProcedure |
0..1 | ExternalProcedure | ||
| externalDocument |
1..1 | ExternalDocument | ||
| @nullFlavor |
0..1 | cs | 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 | ||
| @classCode |
0..1 | cs | Binding: ActClassDocument (required) Motif requis: DOC | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Valeur fixe: EVN | |
| id |
1..1 | II | Identifiant du document | |
| code |
0..1 | CD | Binding: FHIRDocumentTypeCodes (example) | |
| text |
1..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 |
0..1 | TEL | Cet élément contient l’URL du document. L’adresse du document est indiqué dans la partie narrative de la section par le biais d’un lien linkHtml | |
| thumbnail |
0..1 | ED | ||
| setId |
0..1 | II | ||
| versionNumber |
0..1 | INT | ||
| sdtcAuthor |
0..* | Author | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: author (urn:hl7-org:sdtc) | |
| 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:iheProblemEntry.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdProblemObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdReactionObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frProbleme.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 | required | JDV Code Probleme CISIS | 📦20260220142105 | Terminologies de Santé v1.7 |
| 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:frSeverite.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frSeverite.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frSeverite.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatutDuProbleme.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutDuProbleme.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutDuProbleme.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frCertitude.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCertitude.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCertitude.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.reference.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.typeCode | Base | required | x_ActRelationshipExternalReference | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.classCode | Base | required | ActClassDocument | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.code | Base | example | FHIR Document Type Codes | 📦4.0.1 | Std. FHIR |
| Observation.reference.externalDocument.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| Observation.reference.externalDocument.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| 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:frSeverite.typeId, Observation.entryRelationship:frStatutDuProbleme.typeId, Observation.entryRelationship:frStatutCliniqueDuPatient.typeId, Observation.entryRelationship:frCertitude.typeId, Observation.entryRelationship:frCommentaireER.typeId, Observation.reference.typeId, Observation.reference.externalDocument.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
Differential View
This structure is derived from Observation
| Nom | Drapeaux | Card. | Type | Description et contraintes Filter: |
|---|---|---|---|---|
| Observation |
Observation | Espace de noms (namespace) XML: urn:hl7-org:v3 Les instances de ce type sont validées par templateId Conteneur logique: ClinicalDocument (CDA Class) | ||
| Slices pour templateId |
3..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheProblemEntry |
1..1 | II | Conformité Problem Entry (IHE PCC) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.5 | |
| templateId:ccdProblemObservation |
1..1 | II | Conformité Problem observation (CCD) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.28 | |
| templateId:ccdReactionObservation |
0..1 | II | Conformité Reaction observation (CCD) - Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée. | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.54 | |
| templateId:frProbleme |
1..1 | II | Conformité FR-Probleme (CI-SIS) | |
| @root |
1..1 | oid, uuid, ruid | Motif requis: 1.2.250.1.213.1.1.3.37 | |
| @classCode |
S | 1..1 | cs | Motif requis: OBS |
| @moodCode |
S | 1..1 | cs | Motif requis: EVN |
| @negationInd |
0..1 | bl | Les attributs de cet élément prennent les valeurs suivantes : @classCode='OBS' (observation d’un problème) @moodCode='EVN' (observation ayant eu lieu) @negationInd=‘false’ signifie que l’élément observé a eu lieu @negationInd=‘true’ signifie que l’élément observé n’a pas eu lieu (donnant par exemple ‘absence de fièvre’ si l’élément observé est ‘fièvre’). @negationInd absent dans le cas où on ne sait pas. | |
| id |
1..1 | II | Identifiant de l'entrée | |
| code |
S | 1..1 | CD | Type d'observation Binding: JDV Code Probleme CISIS (required) |
| text |
S | 1..1 | ED | Description narrative du problème : cet élément permet de décrire le problème enregistré, les dates, commentaires, etc. |
| reference |
S | 1..1 | TEL | |
| statusCode |
S | 1..1 | CS | Statut de l’entrée |
| @code |
0..1 | cs | Motif requis: completed | |
| effectiveTime |
S | 1..1 | IVL_TS | Dates de début et de fin du problème |
| value |
S | 1..1 | CD | Problème observé. La valeur de l'élément value peut être: CIM-10 pour les pathologie et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante ; Réaction allergique: CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité ; >Si pas de problème ou pas d'information </b>: JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662) |
| originalText |
S | 0..1 | ED | |
| reference |
S | 0..1 | TEL | |
| qualifier |
S | 0..* | CR | |
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frSeverite |
0..1 | EntryRelationship | Sévérité | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| observation |
0..1 | FRCDASeverite | ||
| entryRelationship:frStatutDuProbleme |
0..1 | EntryRelationship | Statut du problème | |
| @typeCode |
1..1 | cs | Motif requis: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| observation |
0..1 | FRCDAStatutDuProbleme | ||
| entryRelationship:frStatutCliniqueDuPatient |
0..1 | EntryRelationship | Statut clinique du patient | |
| @typeCode |
1..1 | cs | Motif requis: REFR | |
| @inversionInd |
0..1 | bl | Motif requis: false | |
| observation |
0..1 | FRCDAStatutCliniqueDuPatient | ||
| entryRelationship:frCertitude |
0..1 | EntryRelationship | certitude | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| observation |
0..1 | FRCDACertitude | ||
| entryRelationship:frCommentaireER |
0..1 | EntryRelationship | Commentaire | |
| @typeCode |
1..1 | cs | Motif requis: SUBJ | |
| @inversionInd |
0..1 | bl | Motif requis: true | |
| act |
0..1 | FRCDACommentaireER | ||
| reference |
0..* | Reference | Document référencé | |
| @typeCode |
1..1 | cs | Motif requis: REFR | |
| externalDocument |
1..1 | ExternalDocument | ||
| @classCode |
0..1 | cs | Motif requis: DOC | |
| id |
1..1 | II | Identifiant du document | |
| text |
1..1 | ED | ||
| reference |
0..1 | TEL | Cet élément contient l’URL du document. L’adresse du document est indiqué dans la partie narrative de la section par le biais d’un lien linkHtml | |
| Documentation pour ce format | ||||
| Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source |
| Observation.code | Base | required | JDV Code Probleme CISIS | 📦20260220142105 | Terminologies de Santé v1.7 |
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 |
3..4 | II | Slice: Non ordonné, Ouvert par value:root | |
| templateId:iheProblemEntry |
1..1 | II | Conformité Problem Entry (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: 1.3.6.1.4.1.19376.1.5.3.1.4.5 | |
| @extension |
0..1 | st | ||
| templateId:ccdProblemObservation |
1..1 | II | Conformité Problem 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: 2.16.840.1.113883.10.20.1.28 | |
| @extension |
0..1 | st | ||
| templateId:ccdReactionObservation |
0..1 | II | Conformité Reaction observation (CCD) - Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée. | |
| @nullFlavor |
0..1 | cs | Binding: CDANullFlavor (required) | |
| @assigningAuthorityName |
0..1 | st | ||
| @displayable |
0..1 | bl | ||
| @root |
1..1 | oid, uuid, ruid | Motif requis: 2.16.840.1.113883.10.20.1.54 | |
| @extension |
0..1 | st | ||
| templateId:frProbleme |
1..1 | II | Conformité FR-Probleme (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: 1.2.250.1.213.1.1.3.37 | |
| @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 | Les attributs de cet élément prennent les valeurs suivantes : @classCode='OBS' (observation d’un problème) @moodCode='EVN' (observation ayant eu lieu) @negationInd=‘false’ signifie que l’élément observé a eu lieu @negationInd=‘true’ signifie que l’élément observé n’a pas eu lieu (donnant par exemple ‘absence de fièvre’ si l’élément observé est ‘fièvre’). @negationInd absent dans le cas où on ne sait pas. | |
| 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'observation Binding: JDV Code Probleme CISIS (required) |
| derivationExpr |
0..1 | ST | ||
| text |
S | 1..1 | ED | Description narrative du problème : cet élément permet de décrire le problème enregistré, les dates, commentaires, etc. |
| @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 |
S | 1..1 | TEL | |
| thumbnail |
0..1 | ED | ||
| statusCode |
S | 1..1 | CS | Statut de l’entrée 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 | Dates de début et de fin du problème |
| priorityCode |
0..1 | CE | Binding: ActPriority (example) | |
| repeatNumber |
0..1 | IVL_INT | ||
| languageCode |
0..1 | CS | Binding: AllLanguages (required) | |
| value |
S | 1..1 | CD | Problème observé. La valeur de l'élément value peut être: CIM-10 pour les pathologie et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante ; Réaction allergique: CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité ; >Si pas de problème ou pas d'information </b>: JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662) |
| @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 |
S | 0..1 | TEL | |
| thumbnail |
0..1 | ED | ||
| qualifier |
S | 0..* | CR | |
| translation |
0..* | CD | ||
| interpretationCode |
0..* | CE | 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 | ||
| Slices pour entryRelationship |
S | 0..* | EntryRelationship | Slice: Non ordonné, Ouvert par value:$this |
| entryRelationship:frSeverite |
0..1 | EntryRelationship | Sévérité | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDASeverite | ||
| 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:frStatutDuProbleme |
0..1 | EntryRelationship | Statut du problème | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatutDuProbleme | ||
| 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:frStatutCliniqueDuPatient |
0..1 | EntryRelationship | Statut clinique du patient | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDAStatutCliniqueDuPatient | ||
| 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:frCertitude |
0..1 | EntryRelationship | certitude | |
| @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 | Act | ||
| encounter |
0..1 | Encounter | ||
| observation |
0..1 | FRCDACertitude | ||
| 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..1 | 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 | ||
| reference |
0..* | Reference | Document référencé | |
| @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_ActRelationshipExternalReference (required) Motif requis: REFR | |
| seperatableInd |
0..1 | BL | ||
| externalAct |
0..1 | ExternalAct | ||
| externalObservation |
0..1 | ExternalObservation | ||
| externalProcedure |
0..1 | ExternalProcedure | ||
| externalDocument |
1..1 | ExternalDocument | ||
| @nullFlavor |
0..1 | cs | 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 | ||
| @classCode |
0..1 | cs | Binding: ActClassDocument (required) Motif requis: DOC | |
| @moodCode |
0..1 | cs | Binding: CDAActMood (required) Valeur fixe: EVN | |
| id |
1..1 | II | Identifiant du document | |
| code |
0..1 | CD | Binding: FHIRDocumentTypeCodes (example) | |
| text |
1..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 |
0..1 | TEL | Cet élément contient l’URL du document. L’adresse du document est indiqué dans la partie narrative de la section par le biais d’un lien linkHtml | |
| thumbnail |
0..1 | ED | ||
| setId |
0..1 | II | ||
| versionNumber |
0..1 | INT | ||
| sdtcAuthor |
0..* | Author | Espace de noms (namespace) XML: urn:hl7-org:sdtc XML: author (urn:hl7-org:sdtc) | |
| 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:iheProblemEntry.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdProblemObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:ccdReactionObservation.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.templateId:frProbleme.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 | required | JDV Code Probleme CISIS | 📦20260220142105 | Terminologies de Santé v1.7 |
| 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:frSeverite.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frSeverite.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frSeverite.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatutDuProbleme.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutDuProbleme.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutDuProbleme.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frStatutCliniqueDuPatient.typeCode | Base | required | x_ActRelationshipEntryRelationship | 📦3.0.0 | THO v7.1 |
| Observation.entryRelationship:frCertitude.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCertitude.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.entryRelationship:frCertitude.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.reference.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.typeCode | Base | required | x_ActRelationshipExternalReference | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.typeId.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.classCode | Base | required | ActClassDocument | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.moodCode | Base | required | CDAActMood | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.code | Base | example | FHIR Document Type Codes | 📦4.0.1 | Std. FHIR |
| Observation.reference.externalDocument.text.nullFlavor | Base | required | CDANullFlavor | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.text.compression | Base | required | CDACompressionAlgorithm | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| Observation.reference.externalDocument.text.integrityCheckAlgorithm | Base | required | IntegrityCheckAlgorithm | 📍2.0.0 | THO v5.2 |
| Observation.reference.externalDocument.text.mediaType | Base | example | MediaType | 📦3.0.0 | THO v7.1 |
| Observation.reference.externalDocument.text.representation | Base | required | CDABinaryDataEncoding | 📦2.0.1-sd | Clinical Document Architecture v2.0 |
| 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:frSeverite.typeId, Observation.entryRelationship:frStatutDuProbleme.typeId, Observation.entryRelationship:frStatutCliniqueDuPatient.typeId, Observation.entryRelationship:frCertitude.typeId, Observation.entryRelationship:frCommentaireER.typeId, Observation.reference.typeId, Observation.reference.externalDocument.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. |
root.exists() or nullFlavor.exists()
|
This structure is derived from Observation
Résumé
Obligatoire : 12 éléments(4 éléments obligatoire(s) imbriqué(s))
Must-Support : 12 éléments
Structures
Cette structure fait référence à ces autres structures:
Slices
Cette structure définit les slices suivantes: