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ANS IG document core
0.1.0 - ci-build France flag

ANS IG document core - version de développement local (intégration continue v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

Logical Model: CDA - FR Autorisation Substitution

Official URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-cda-autorisation-substitution Version: 0.1.0
Draft as of 2026-02-26 Computable Name: FRCDAAutorisationSubstitution

Entrée FR-Autorisation-Substitution: <p>IHE-PRE - Substitution-Permission</p>

  • Cette observation permet d'indiquer si le traitement auquel elle est associée peut être substitué.

Utilisations:

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Act 1..1 Act Espace de noms (namespace) XML: urn:hl7-org:v3
Base for all types and resources
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
.... @extension 1..1 st
.... templateId:iheSubstitutionPermission 1..1 II Conformité Substitution-Permission (IHE PHARM)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.9.1.3.9.1
..... @extension 0..1 st
.... templateId:frAutorisationSubstitution 1..1 II Conformité FR-Autorisation-Substitution (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: 1.2.250.1.213.1.1.3.87
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: XActClassDocumentEntryAct (2.0.0) (required)
Motif requis: ACT
... @moodCode S 1..1 cs Binding: XDocumentActMood (2.0.0) (required)
Motif requis: DEF
... @negationInd 0..1 bl
... id 0..* II
... code 1..1 CD <b>Type de substitution autorisé</b> entre le traitement prescrit et le traitement dispensé. <br clear='none'/>
Binding: ActSubstanceAdminSubstitutionCode (required)
... text 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code S 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 0..1 IVL_TS
... priorityCode 0..1 CE Binding: ActPriority (example)
... languageCode 0..1 CS Binding: AllLanguages (required)
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... entryRelationship 0..* EntryRelationship
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Act.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:iheSubstitutionPermission.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:frAutorisationSubstitution.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.classCode Base required x_ActClassDocumentEntryAct 📍2.0.0 THO v5.2
Act.moodCode Base required x_DocumentActMood 📍2.0.0 THO v5.2
Act.code Base required ActSubstanceAdminSubstitutionCode 📦20251028115833 Terminologies de Santé v1.4
Act.statusCode Base required ActStatus 📦3.0.0 THO v7.0
Act.statusCode.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
Act.languageCode Base required All Languages 📦4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Act.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from Act

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Act 1..1 Act Espace de noms (namespace) XML: urn:hl7-org:v3
Base for all types and resources
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... Slices pour templateId 2..2 II Slice: Non ordonné, Ouvert par value:root
.... templateId:iheSubstitutionPermission 1..1 II Conformité Substitution-Permission (IHE PHARM)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.9.1.3.9.1
.... templateId:frAutorisationSubstitution 1..1 II Conformité FR-Autorisation-Substitution (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.87
... @classCode S 1..1 cs Motif requis: ACT
... @moodCode S 1..1 cs Motif requis: DEF
... statusCode
.... @code S 0..1 cs Motif requis: completed

doco Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Act.code Base required ActSubstanceAdminSubstitutionCode 📦20251028115833 Terminologies de Santé v1.4
NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Act 1..1 Act Espace de noms (namespace) XML: urn:hl7-org:v3
Base for all types and resources
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
.... @extension 1..1 st
.... templateId:iheSubstitutionPermission 1..1 II Conformité Substitution-Permission (IHE PHARM)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.9.1.3.9.1
..... @extension 0..1 st
.... templateId:frAutorisationSubstitution 1..1 II Conformité FR-Autorisation-Substitution (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: 1.2.250.1.213.1.1.3.87
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: XActClassDocumentEntryAct (2.0.0) (required)
Motif requis: ACT
... @moodCode S 1..1 cs Binding: XDocumentActMood (2.0.0) (required)
Motif requis: DEF
... @negationInd 0..1 bl
... id 0..* II
... code 1..1 CD <b>Type de substitution autorisé</b> entre le traitement prescrit et le traitement dispensé. <br clear='none'/>
Binding: ActSubstanceAdminSubstitutionCode (required)
... text 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code S 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 0..1 IVL_TS
... priorityCode 0..1 CE Binding: ActPriority (example)
... languageCode 0..1 CS Binding: AllLanguages (required)
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... entryRelationship 0..* EntryRelationship
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Act.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:iheSubstitutionPermission.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:frAutorisationSubstitution.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.classCode Base required x_ActClassDocumentEntryAct 📍2.0.0 THO v5.2
Act.moodCode Base required x_DocumentActMood 📍2.0.0 THO v5.2
Act.code Base required ActSubstanceAdminSubstitutionCode 📦20251028115833 Terminologies de Santé v1.4
Act.statusCode Base required ActStatus 📦3.0.0 THO v7.0
Act.statusCode.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
Act.languageCode Base required All Languages 📦4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Act.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from Act

Résumé

Obligatoire : 4 éléments
Must-Support : 3 éléments

Slices

Cette structure définit les slices suivantes:

  • The element 1 is sliced based on the value of Act.templateId

Key Elements View

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Act 1..1 Act Espace de noms (namespace) XML: urn:hl7-org:v3
Base for all types and resources
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
.... @extension 1..1 st
.... templateId:iheSubstitutionPermission 1..1 II Conformité Substitution-Permission (IHE PHARM)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.9.1.3.9.1
..... @extension 0..1 st
.... templateId:frAutorisationSubstitution 1..1 II Conformité FR-Autorisation-Substitution (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: 1.2.250.1.213.1.1.3.87
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: XActClassDocumentEntryAct (2.0.0) (required)
Motif requis: ACT
... @moodCode S 1..1 cs Binding: XDocumentActMood (2.0.0) (required)
Motif requis: DEF
... @negationInd 0..1 bl
... id 0..* II
... code 1..1 CD <b>Type de substitution autorisé</b> entre le traitement prescrit et le traitement dispensé. <br clear='none'/>
Binding: ActSubstanceAdminSubstitutionCode (required)
... text 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code S 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 0..1 IVL_TS
... priorityCode 0..1 CE Binding: ActPriority (example)
... languageCode 0..1 CS Binding: AllLanguages (required)
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... entryRelationship 0..* EntryRelationship
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Act.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:iheSubstitutionPermission.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:frAutorisationSubstitution.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.classCode Base required x_ActClassDocumentEntryAct 📍2.0.0 THO v5.2
Act.moodCode Base required x_DocumentActMood 📍2.0.0 THO v5.2
Act.code Base required ActSubstanceAdminSubstitutionCode 📦20251028115833 Terminologies de Santé v1.4
Act.statusCode Base required ActStatus 📦3.0.0 THO v7.0
Act.statusCode.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
Act.languageCode Base required All Languages 📦4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Act.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

Differential View

This structure is derived from Act

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Act 1..1 Act Espace de noms (namespace) XML: urn:hl7-org:v3
Base for all types and resources
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... Slices pour templateId 2..2 II Slice: Non ordonné, Ouvert par value:root
.... templateId:iheSubstitutionPermission 1..1 II Conformité Substitution-Permission (IHE PHARM)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.9.1.3.9.1
.... templateId:frAutorisationSubstitution 1..1 II Conformité FR-Autorisation-Substitution (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.87
... @classCode S 1..1 cs Motif requis: ACT
... @moodCode S 1..1 cs Motif requis: DEF
... statusCode
.... @code S 0..1 cs Motif requis: completed

doco Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Act.code Base required ActSubstanceAdminSubstitutionCode 📦20251028115833 Terminologies de Santé v1.4

Snapshot View

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Act 1..1 Act Espace de noms (namespace) XML: urn:hl7-org:v3
Base for all types and resources
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId C 0..1 II Constraints: II-1
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
.... @extension 1..1 st
.... templateId:iheSubstitutionPermission 1..1 II Conformité Substitution-Permission (IHE PHARM)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.9.1.3.9.1
..... @extension 0..1 st
.... templateId:frAutorisationSubstitution 1..1 II Conformité FR-Autorisation-Substitution (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: 1.2.250.1.213.1.1.3.87
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: XActClassDocumentEntryAct (2.0.0) (required)
Motif requis: ACT
... @moodCode S 1..1 cs Binding: XDocumentActMood (2.0.0) (required)
Motif requis: DEF
... @negationInd 0..1 bl
... id 0..* II
... code 1..1 CD <b>Type de substitution autorisé</b> entre le traitement prescrit et le traitement dispensé. <br clear='none'/>
Binding: ActSubstanceAdminSubstitutionCode (required)
... text 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code S 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 0..1 IVL_TS
... priorityCode 0..1 CE Binding: ActPriority (example)
... languageCode 0..1 CS Binding: AllLanguages (required)
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... entryRelationship 0..* EntryRelationship
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Act.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:iheSubstitutionPermission.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:frAutorisationSubstitution.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.classCode Base required x_ActClassDocumentEntryAct 📍2.0.0 THO v5.2
Act.moodCode Base required x_DocumentActMood 📍2.0.0 THO v5.2
Act.code Base required ActSubstanceAdminSubstitutionCode 📦20251028115833 Terminologies de Santé v1.4
Act.statusCode Base required ActStatus 📦3.0.0 THO v7.0
Act.statusCode.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
Act.languageCode Base required All Languages 📦4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Act.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()

This structure is derived from Act

Résumé

Obligatoire : 4 éléments
Must-Support : 3 éléments

Slices

Cette structure définit les slices suivantes:

  • The element 1 is sliced based on the value of Act.templateId

 

Other representations of profile: CSV, Excel