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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 Evaluation Composant

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

Entrée FR-Evaluation-Composant: <p>Cette entrée permet de porter un résultat élémentaire (ex : score unitaire) répondant à une question faisant partie d’une évaluation.</p>

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
.. 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..3 II Slice: Non ordonné, Ouvert par value:root
.... templateId:ccdResultObservation 1..1 II Conformité Simple Observation (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.31
..... @extension 0..1 st
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13
..... @extension 0..1 st
.... templateId:frEvaluationComposant 1..1 II Conformité FR-Evaluation-Composant(CI-SIS)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.214
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: CDAActClassObservation (required)
Motif requis: OBS
... @moodCode S 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Motif requis: EVN
... @negationInd 0..1 bl
... id 1..1 II Identifiant
... sdtcCategory 0..* CD Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code S 1..1 CD <p> <strong>Code de l'évaluation : </strong> </p> <p>dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code<strong> LOINC </strong>(2.16.840.1.113883.6.1) ou <strong>ICF</strong> (2.16.840.1.113883.6.254) ou autre.</p> <p>Si le type d'évaluation <strong>n'est pas trouvé</strong> dans les terminologies proposées, utiliser le <strong> <em>code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC'</em> </strong> et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante.</p>
Binding: ObservationType (example)
... derivationExpr 0..1 ST
... text S 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.
Motif requis: Partie narrative
.... reference 0..1 TEL
.... thumbnail 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
... effectiveTime S 1..1 IVL_TS Horodatage de l'entrée
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 CD Résultat de l'évaluation Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant).
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText S 0..1 ED
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
..... @integrityCheck 0..1 bin
..... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
..... @language 0..1 cs
..... @mediaType 0..1 cs Binding: MediaType (example)
..... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
..... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
..... reference 0..1 TEL https://terminology.hl7.org/5.2.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-NP
..... thumbnail 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... interpretationCode S 0..1 CE <b> Interprétation </b>
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:frEvaluationComposantN2 0..* EntryRelationship
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
..... @inversionInd 0..1 bl
..... @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 FRCDAEvaluationComposantN2
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCommentaireER 0..* EntryRelationship
..... @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)
..... @inversionInd 0..1 bl
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 FRCDACommentaireER
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..* InfrastructureRoot
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
..... @extension 1..1 st
.... templateId 0..* II
.... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
Valeur fixe: REFV
.... observationRange 1..1 ObservationRange
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation pour ce format

Bindings terminologiques

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:ccdResultObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frEvaluationComposant.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
Observation.code Base example ObservationType 📦3.0.0 THO v7.0
Observation.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Observation.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
Observation.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.statusCode Base required ActStatus 📦3.0.0 THO v7.0
Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
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 v7.0
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 v7.0
Observation.entryRelationship:frEvaluationComposantN2.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frEvaluationComposantN2.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frEvaluationComposantN2.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
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 v7.0
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

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Observation.typeId, Observation.entryRelationship:frEvaluationComposantN2.typeId, Observation.entryRelationship:frCommentaireER.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

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Observation 1..1 Observation Espace de noms (namespace) XML: urn:hl7-org:v3
Base for all types and resources
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... Slices pour templateId 3..3 II Slice: Non ordonné, Ouvert par value:root
.... templateId:ccdResultObservation 1..1 II Conformité Simple Observation (CCD)
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.31
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13
.... templateId:frEvaluationComposant 1..1 II Conformité FR-Evaluation-Composant(CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.214
... @classCode S 1..1 cs Motif requis: OBS
... @moodCode S 1..1 cs Motif requis: EVN
... code S 1..1 CD <p> <strong>Code de l'évaluation : </strong> </p> <p>dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code<strong> LOINC </strong>(2.16.840.1.113883.6.1) ou <strong>ICF</strong> (2.16.840.1.113883.6.254) ou autre.</p> <p>Si le type d'évaluation <strong>n'est pas trouvé</strong> dans les terminologies proposées, utiliser le <strong> <em>code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC'</em> </strong> et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante.</p>
... text S 1..1 ED
.... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Motif requis: Partie narrative
... effectiveTime S 1..1 IVL_TS Horodatage de l'entrée
... value S 1..1 CD Résultat de l'évaluation Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant).
.... originalText S 0..1 ED
..... reference 0..1 TEL https://terminology.hl7.org/5.2.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-NP
... interpretationCode S 0..1 CE <b> Interprétation </b>
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frEvaluationComposantN2 0..* EntryRelationship
..... observation 0..1 FRCDAEvaluationComposantN2
.... entryRelationship:frCommentaireER 0..* EntryRelationship
..... act 0..1 FRCDACommentaireER

doco Documentation pour ce format
NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. 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..3 II Slice: Non ordonné, Ouvert par value:root
.... templateId:ccdResultObservation 1..1 II Conformité Simple Observation (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.31
..... @extension 0..1 st
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13
..... @extension 0..1 st
.... templateId:frEvaluationComposant 1..1 II Conformité FR-Evaluation-Composant(CI-SIS)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.214
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: CDAActClassObservation (required)
Motif requis: OBS
... @moodCode S 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Motif requis: EVN
... @negationInd 0..1 bl
... id 1..1 II Identifiant
... sdtcCategory 0..* CD Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code S 1..1 CD <p> <strong>Code de l'évaluation : </strong> </p> <p>dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code<strong> LOINC </strong>(2.16.840.1.113883.6.1) ou <strong>ICF</strong> (2.16.840.1.113883.6.254) ou autre.</p> <p>Si le type d'évaluation <strong>n'est pas trouvé</strong> dans les terminologies proposées, utiliser le <strong> <em>code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC'</em> </strong> et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante.</p>
Binding: ObservationType (example)
... derivationExpr 0..1 ST
... text S 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.
Motif requis: Partie narrative
.... reference 0..1 TEL
.... thumbnail 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
... effectiveTime S 1..1 IVL_TS Horodatage de l'entrée
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 CD Résultat de l'évaluation Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant).
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText S 0..1 ED
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
..... @integrityCheck 0..1 bin
..... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
..... @language 0..1 cs
..... @mediaType 0..1 cs Binding: MediaType (example)
..... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
..... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
..... reference 0..1 TEL https://terminology.hl7.org/5.2.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-NP
..... thumbnail 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... interpretationCode S 0..1 CE <b> Interprétation </b>
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:frEvaluationComposantN2 0..* EntryRelationship
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
..... @inversionInd 0..1 bl
..... @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 FRCDAEvaluationComposantN2
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCommentaireER 0..* EntryRelationship
..... @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)
..... @inversionInd 0..1 bl
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 FRCDACommentaireER
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..* InfrastructureRoot
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
..... @extension 1..1 st
.... templateId 0..* II
.... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
Valeur fixe: REFV
.... observationRange 1..1 ObservationRange
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation pour ce format

Bindings terminologiques

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:ccdResultObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frEvaluationComposant.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
Observation.code Base example ObservationType 📦3.0.0 THO v7.0
Observation.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Observation.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
Observation.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.statusCode Base required ActStatus 📦3.0.0 THO v7.0
Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
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 v7.0
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 v7.0
Observation.entryRelationship:frEvaluationComposantN2.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frEvaluationComposantN2.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frEvaluationComposantN2.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
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 v7.0
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

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Observation.typeId, Observation.entryRelationship:frEvaluationComposantN2.typeId, Observation.entryRelationship:frCommentaireER.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 : 10 éléments
Must-Support : 9 éléments

Structures

Cette structure fait référence à ces autres structures:

Slices

Cette structure définit les slices suivantes:

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

Key Elements View

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. 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..3 II Slice: Non ordonné, Ouvert par value:root
.... templateId:ccdResultObservation 1..1 II Conformité Simple Observation (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.31
..... @extension 0..1 st
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13
..... @extension 0..1 st
.... templateId:frEvaluationComposant 1..1 II Conformité FR-Evaluation-Composant(CI-SIS)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.214
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: CDAActClassObservation (required)
Motif requis: OBS
... @moodCode S 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Motif requis: EVN
... @negationInd 0..1 bl
... id 1..1 II Identifiant
... sdtcCategory 0..* CD Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code S 1..1 CD <p> <strong>Code de l'évaluation : </strong> </p> <p>dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code<strong> LOINC </strong>(2.16.840.1.113883.6.1) ou <strong>ICF</strong> (2.16.840.1.113883.6.254) ou autre.</p> <p>Si le type d'évaluation <strong>n'est pas trouvé</strong> dans les terminologies proposées, utiliser le <strong> <em>code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC'</em> </strong> et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante.</p>
Binding: ObservationType (example)
... derivationExpr 0..1 ST
... text S 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.
Motif requis: Partie narrative
.... reference 0..1 TEL
.... thumbnail 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
... effectiveTime S 1..1 IVL_TS Horodatage de l'entrée
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 CD Résultat de l'évaluation Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant).
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText S 0..1 ED
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
..... @integrityCheck 0..1 bin
..... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
..... @language 0..1 cs
..... @mediaType 0..1 cs Binding: MediaType (example)
..... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
..... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
..... reference 0..1 TEL https://terminology.hl7.org/5.2.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-NP
..... thumbnail 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... interpretationCode S 0..1 CE <b> Interprétation </b>
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:frEvaluationComposantN2 0..* EntryRelationship
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
..... @inversionInd 0..1 bl
..... @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 FRCDAEvaluationComposantN2
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCommentaireER 0..* EntryRelationship
..... @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)
..... @inversionInd 0..1 bl
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 FRCDACommentaireER
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..* InfrastructureRoot
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
..... @extension 1..1 st
.... templateId 0..* II
.... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
Valeur fixe: REFV
.... observationRange 1..1 ObservationRange
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation pour ce format

Bindings terminologiques

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:ccdResultObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frEvaluationComposant.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
Observation.code Base example ObservationType 📦3.0.0 THO v7.0
Observation.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Observation.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
Observation.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.statusCode Base required ActStatus 📦3.0.0 THO v7.0
Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
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 v7.0
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 v7.0
Observation.entryRelationship:frEvaluationComposantN2.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frEvaluationComposantN2.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frEvaluationComposantN2.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
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 v7.0
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

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Observation.typeId, Observation.entryRelationship:frEvaluationComposantN2.typeId, Observation.entryRelationship:frCommentaireER.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

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Observation 1..1 Observation Espace de noms (namespace) XML: urn:hl7-org:v3
Base for all types and resources
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... Slices pour templateId 3..3 II Slice: Non ordonné, Ouvert par value:root
.... templateId:ccdResultObservation 1..1 II Conformité Simple Observation (CCD)
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.31
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13
.... templateId:frEvaluationComposant 1..1 II Conformité FR-Evaluation-Composant(CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.214
... @classCode S 1..1 cs Motif requis: OBS
... @moodCode S 1..1 cs Motif requis: EVN
... code S 1..1 CD <p> <strong>Code de l'évaluation : </strong> </p> <p>dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code<strong> LOINC </strong>(2.16.840.1.113883.6.1) ou <strong>ICF</strong> (2.16.840.1.113883.6.254) ou autre.</p> <p>Si le type d'évaluation <strong>n'est pas trouvé</strong> dans les terminologies proposées, utiliser le <strong> <em>code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC'</em> </strong> et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante.</p>
... text S 1..1 ED
.... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
Motif requis: Partie narrative
... effectiveTime S 1..1 IVL_TS Horodatage de l'entrée
... value S 1..1 CD Résultat de l'évaluation Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant).
.... originalText S 0..1 ED
..... reference 0..1 TEL https://terminology.hl7.org/5.2.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-NP
... interpretationCode S 0..1 CE <b> Interprétation </b>
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frEvaluationComposantN2 0..* EntryRelationship
..... observation 0..1 FRCDAEvaluationComposantN2
.... entryRelationship:frCommentaireER 0..* EntryRelationship
..... act 0..1 FRCDACommentaireER

doco Documentation pour ce format

Snapshot View

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. 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..3 II Slice: Non ordonné, Ouvert par value:root
.... templateId:ccdResultObservation 1..1 II Conformité Simple Observation (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.31
..... @extension 0..1 st
.... templateId:iheSimpleObservation 1..1 II Conformité Simple Observation (IHE PCC)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.13
..... @extension 0..1 st
.... templateId:frEvaluationComposant 1..1 II Conformité FR-Evaluation-Composant(CI-SIS)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.214
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: CDAActClassObservation (required)
Motif requis: OBS
... @moodCode S 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Motif requis: EVN
... @negationInd 0..1 bl
... id 1..1 II Identifiant
... sdtcCategory 0..* CD Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: category (urn:hl7-org:sdtc)
... code S 1..1 CD <p> <strong>Code de l'évaluation : </strong> </p> <p>dépend du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant). Utiliser de préférence un code<strong> LOINC </strong>(2.16.840.1.113883.6.1) ou <strong>ICF</strong> (2.16.840.1.113883.6.254) ou autre.</p> <p>Si le type d'évaluation <strong>n'est pas trouvé</strong> dans les terminologies proposées, utiliser le <strong> <em>code='54522-8' displayName='Statut fonctionnel' codeSystem=' 2.16.840.1.113883.6.1' codeSystemName='LOINC'</em> </strong> et décrire le type d'évaluation sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante.</p>
Binding: ObservationType (example)
... derivationExpr 0..1 ST
... text S 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.
Motif requis: Partie narrative
.... reference 0..1 TEL
.... thumbnail 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
... effectiveTime S 1..1 IVL_TS Horodatage de l'entrée
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 CD Résultat de l'évaluation Le type et la valeur du résultat de l'évaluation (value) dépendent du volet utilisant cette entrée (les précisions sont alors fournies dans le volet correspondant).
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText S 0..1 ED
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
..... @integrityCheck 0..1 bin
..... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
..... @language 0..1 cs
..... @mediaType 0..1 cs Binding: MediaType (example)
..... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
..... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
..... reference 0..1 TEL https://terminology.hl7.org/5.2.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-NP
..... thumbnail 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... interpretationCode S 0..1 CE <b> Interprétation </b>
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:frEvaluationComposantN2 0..* EntryRelationship
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId C 0..1 II Constraints: II-1
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
..... @inversionInd 0..1 bl
..... @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 FRCDAEvaluationComposantN2
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCommentaireER 0..* EntryRelationship
..... @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)
..... @inversionInd 0..1 bl
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 FRCDACommentaireER
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..* InfrastructureRoot
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... realmCode 0..* CS
.... typeId C 0..1 II Constraints: II-1
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Valeur fixe: 2.16.840.1.113883.1.3
..... @extension 1..1 st
.... templateId 0..* II
.... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
Valeur fixe: REFV
.... observationRange 1..1 ObservationRange
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation pour ce format

Bindings terminologiques

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:ccdResultObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frEvaluationComposant.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
Observation.code Base example ObservationType 📦3.0.0 THO v7.0
Observation.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Observation.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
Observation.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.statusCode Base required ActStatus 📦3.0.0 THO v7.0
Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
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 v7.0
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 v7.0
Observation.entryRelationship:frEvaluationComposantN2.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frEvaluationComposantN2.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frEvaluationComposantN2.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
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 v7.0
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

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Observation.typeId, Observation.entryRelationship:frEvaluationComposantN2.typeId, Observation.entryRelationship:frCommentaireER.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 : 10 éléments
Must-Support : 9 éléments

Structures

Cette structure fait référence à ces autres structures:

Slices

Cette structure définit les slices suivantes:

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

 

Other representations of profile: CSV, Excel