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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 Instruction au patient

Official URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-cda-instruction-au-patient Version: 0.1.0
Draft as of 2026-02-26 Computable Name: FRCDAInstructionAuPatient

Entrée FR-Instruction-au-patient: <p>IHE-PCC - Simple-Observation</p>

  • Cette entrée permet d’enregistrer une instruction au patient sous forme codée (c’est notamment le cas pour les prescriptions d’examens de biologie médicale).

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: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:frSimpleObservation 1..1 II Conformité FR-Simple-observation (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: 1.2.250.1.213.1.1.3.48
..... @extension 0..1 st
.... templateId:frInstructionAuPatient 1..1 II Conformité FR-Instruction-au-patient (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: 1.2.250.1.213.1.1.3.48.35
..... @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 <div> <b>Code de l'observation</b> </div> <div> <p>Les attributs de cet élément prennent les valeurs suivantes :</p> <ul> <li>code=’PINSTRUCT’</li> <li>codeSystem=’1.3.6.1.4.1.19376.1.5.3.2’</li> <li>codeSystemName=’IHEActCode’</li> </ul> </div>
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: Description narrative de l'observation
.... reference 0..1 TEL
.... thumbnail 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 S 0..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 0..* CD Instruction au patient sous forme codéeJDV dépendant du cas d’usage. • Pour les prescription d’examen de biologie : JDV_Bio_instruction_patient_CISIS (1.2.250.1.213.1.1.5.691)
... 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
... 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)
... 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:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frInstructionAuPatient.​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.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
Observation.languageCode Base required All Languages 📦4.0.1 Std. FHIR
Observation.interpretationCode Base required CDAObservationInterpretation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.methodCode Base example ObservationMethod 📦3.0.0 THO v7.0
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.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: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:frSimpleObservation 1..1 II Conformité FR-Simple-observation (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.48
.... templateId:frInstructionAuPatient 1..1 II Conformité FR-Instruction-au-patient (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.48.35
... @classCode S 1..1 cs Motif requis: OBS
... @moodCode S 1..1 cs Motif requis: EVN
... code S 1..1 CD <div> <b>Code de l'observation</b> </div> <div> <p>Les attributs de cet élément prennent les valeurs suivantes :</p> <ul> <li>code=’PINSTRUCT’</li> <li>codeSystem=’1.3.6.1.4.1.19376.1.5.3.2’</li> <li>codeSystemName=’IHEActCode’</li> </ul> </div>
... 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: Description narrative de l'observation
... statusCode
.... @code S 0..1 cs Motif requis: completed
... effectiveTime S 0..1 IVL_TS Horodatage de l’entrée
... value S 0..* CD Instruction au patient sous forme codéeJDV dépendant du cas d’usage. • Pour les prescription d’examen de biologie : JDV_Bio_instruction_patient_CISIS (1.2.250.1.213.1.1.5.691)

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: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:frSimpleObservation 1..1 II Conformité FR-Simple-observation (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: 1.2.250.1.213.1.1.3.48
..... @extension 0..1 st
.... templateId:frInstructionAuPatient 1..1 II Conformité FR-Instruction-au-patient (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: 1.2.250.1.213.1.1.3.48.35
..... @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 <div> <b>Code de l'observation</b> </div> <div> <p>Les attributs de cet élément prennent les valeurs suivantes :</p> <ul> <li>code=’PINSTRUCT’</li> <li>codeSystem=’1.3.6.1.4.1.19376.1.5.3.2’</li> <li>codeSystemName=’IHEActCode’</li> </ul> </div>
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: Description narrative de l'observation
.... reference 0..1 TEL
.... thumbnail 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 S 0..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 0..* CD Instruction au patient sous forme codéeJDV dépendant du cas d’usage. • Pour les prescription d’examen de biologie : JDV_Bio_instruction_patient_CISIS (1.2.250.1.213.1.1.5.691)
... 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
... 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)
... 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:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frInstructionAuPatient.​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.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
Observation.languageCode Base required All Languages 📦4.0.1 Std. FHIR
Observation.interpretationCode Base required CDAObservationInterpretation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.methodCode Base example ObservationMethod 📦3.0.0 THO v7.0
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.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 : 8 éléments
Must-Support : 7 éléments

Slices

Cette structure définit les slices suivantes:

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

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: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:frSimpleObservation 1..1 II Conformité FR-Simple-observation (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: 1.2.250.1.213.1.1.3.48
..... @extension 0..1 st
.... templateId:frInstructionAuPatient 1..1 II Conformité FR-Instruction-au-patient (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: 1.2.250.1.213.1.1.3.48.35
..... @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 <div> <b>Code de l'observation</b> </div> <div> <p>Les attributs de cet élément prennent les valeurs suivantes :</p> <ul> <li>code=’PINSTRUCT’</li> <li>codeSystem=’1.3.6.1.4.1.19376.1.5.3.2’</li> <li>codeSystemName=’IHEActCode’</li> </ul> </div>
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: Description narrative de l'observation
.... reference 0..1 TEL
.... thumbnail 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 S 0..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 0..* CD Instruction au patient sous forme codéeJDV dépendant du cas d’usage. • Pour les prescription d’examen de biologie : JDV_Bio_instruction_patient_CISIS (1.2.250.1.213.1.1.5.691)
... 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
... 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)
... 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:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frInstructionAuPatient.​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.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
Observation.languageCode Base required All Languages 📦4.0.1 Std. FHIR
Observation.interpretationCode Base required CDAObservationInterpretation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.methodCode Base example ObservationMethod 📦3.0.0 THO v7.0
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.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: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:frSimpleObservation 1..1 II Conformité FR-Simple-observation (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.48
.... templateId:frInstructionAuPatient 1..1 II Conformité FR-Instruction-au-patient (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.48.35
... @classCode S 1..1 cs Motif requis: OBS
... @moodCode S 1..1 cs Motif requis: EVN
... code S 1..1 CD <div> <b>Code de l'observation</b> </div> <div> <p>Les attributs de cet élément prennent les valeurs suivantes :</p> <ul> <li>code=’PINSTRUCT’</li> <li>codeSystem=’1.3.6.1.4.1.19376.1.5.3.2’</li> <li>codeSystemName=’IHEActCode’</li> </ul> </div>
... 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: Description narrative de l'observation
... statusCode
.... @code S 0..1 cs Motif requis: completed
... effectiveTime S 0..1 IVL_TS Horodatage de l’entrée
... value S 0..* CD Instruction au patient sous forme codéeJDV dépendant du cas d’usage. • Pour les prescription d’examen de biologie : JDV_Bio_instruction_patient_CISIS (1.2.250.1.213.1.1.5.691)

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: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:frSimpleObservation 1..1 II Conformité FR-Simple-observation (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: 1.2.250.1.213.1.1.3.48
..... @extension 0..1 st
.... templateId:frInstructionAuPatient 1..1 II Conformité FR-Instruction-au-patient (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: 1.2.250.1.213.1.1.3.48.35
..... @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 <div> <b>Code de l'observation</b> </div> <div> <p>Les attributs de cet élément prennent les valeurs suivantes :</p> <ul> <li>code=’PINSTRUCT’</li> <li>codeSystem=’1.3.6.1.4.1.19376.1.5.3.2’</li> <li>codeSystemName=’IHEActCode’</li> </ul> </div>
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: Description narrative de l'observation
.... reference 0..1 TEL
.... thumbnail 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 S 0..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 0..* CD Instruction au patient sous forme codéeJDV dépendant du cas d’usage. • Pour les prescription d’examen de biologie : JDV_Bio_instruction_patient_CISIS (1.2.250.1.213.1.1.5.691)
... 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
... 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)
... 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:iheSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frSimpleObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frInstructionAuPatient.​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.statusCode.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
Observation.languageCode Base required All Languages 📦4.0.1 Std. FHIR
Observation.interpretationCode Base required CDAObservationInterpretation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.methodCode Base example ObservationMethod 📦3.0.0 THO v7.0
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.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 : 8 éléments
Must-Support : 7 éléments

Slices

Cette structure définit les slices suivantes:

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

 

Other representations of profile: CSV, Excel