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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 Instructions au patient

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

Entrée FR-Instructions-au-patient: <p>IHE-PCC - Patient-Medication-Instructions
</p>

Cette entrée permet d’enregistrer des instructions au patient :

  • sous forme textuelle uniquement (c’est notamment le cas pour les prescriptions de médica-ments) ;

  • sous forme codée : chaque instruction est alors codée dans une sous-entrée FR-Instruction-au-patient (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
.. 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:ihePatientMedicationInstruction 1..1 II Conformité Patient Medication Instruction (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: 1.3.6.1.4.1.19376.1.5.3.1.4.3
..... @extension 0..1 st
.... templateId:ccdPatientInstructions 1..1 II Conformité Patient instructions (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.49
..... @extension 0..1 st
.... templateId:frInstructionsAuPatient 1..1 II Conformité FR-Instructions-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: 1.2.250.1.213.1.1.3.33
..... @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: INT
... @negationInd 0..1 bl
... id 0..* II
... code S 1..1 CD <b>Code de l'entrée</b> <br clear='none'/>
Binding: v3 Code System ActCode (example)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs Motif requis: PINSTRUCT
.... @codeSystem 0..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.2
.... @codeSystemName 0..1 st Motif requis: IHEActCode
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... 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: Instructions au patient
.... 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 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
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frInstructionAuPatient 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 FRCDAInstructionAuPatient
..... 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)
... 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:ihePatientMedicationInstruction.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:ccdPatientInstructions.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:frInstructionsAuPatient.​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 example v3 Code System ActCode 📦3.0.0 THO v7.0
Act.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Act.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
Act.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
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
Act.entryRelationship:frInstructionAuPatient.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.entryRelationship:frInstructionAuPatient.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.entryRelationship:frInstructionAuPatient.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Act.typeId, Act.entryRelationship:frInstructionAuPatient.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 3..3 II Slice: Non ordonné, Ouvert par value:root
.... templateId:ihePatientMedicationInstruction 1..1 II Conformité Patient Medication Instruction (IHE PCC)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.3
.... templateId:ccdPatientInstructions 1..1 II Conformité Patient instructions (CCD)
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.49
.... templateId:frInstructionsAuPatient 1..1 II Conformité FR-Instructions-au-patient (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.33
... @classCode S 1..1 cs Motif requis: ACT
... @moodCode S 1..1 cs Motif requis: INT
.... @code 0..1 cs Motif requis: PINSTRUCT
.... @codeSystem 0..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.2
.... @codeSystemName 0..1 st Motif requis: IHEActCode
... 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: Instructions au patient
... statusCode
.... @code S 0..1 cs Motif requis: completed
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frInstructionAuPatient 0..* EntryRelationship
..... observation 0..1 FRCDAInstructionAuPatient

doco Documentation pour ce format
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:ihePatientMedicationInstruction 1..1 II Conformité Patient Medication Instruction (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: 1.3.6.1.4.1.19376.1.5.3.1.4.3
..... @extension 0..1 st
.... templateId:ccdPatientInstructions 1..1 II Conformité Patient instructions (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.49
..... @extension 0..1 st
.... templateId:frInstructionsAuPatient 1..1 II Conformité FR-Instructions-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: 1.2.250.1.213.1.1.3.33
..... @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: INT
... @negationInd 0..1 bl
... id 0..* II
... code S 1..1 CD <b>Code de l'entrée</b> <br clear='none'/>
Binding: v3 Code System ActCode (example)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs Motif requis: PINSTRUCT
.... @codeSystem 0..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.2
.... @codeSystemName 0..1 st Motif requis: IHEActCode
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... 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: Instructions au patient
.... 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 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
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frInstructionAuPatient 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 FRCDAInstructionAuPatient
..... 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)
... 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:ihePatientMedicationInstruction.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:ccdPatientInstructions.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:frInstructionsAuPatient.​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 example v3 Code System ActCode 📦3.0.0 THO v7.0
Act.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Act.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
Act.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
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
Act.entryRelationship:frInstructionAuPatient.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.entryRelationship:frInstructionAuPatient.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.entryRelationship:frInstructionAuPatient.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Act.typeId, Act.entryRelationship:frInstructionAuPatient.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 : 7 éléments
Must-Support : 6 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 Act.templateId
  • The element 1 is sliced based on the value of Act.entryRelationship

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:ihePatientMedicationInstruction 1..1 II Conformité Patient Medication Instruction (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: 1.3.6.1.4.1.19376.1.5.3.1.4.3
..... @extension 0..1 st
.... templateId:ccdPatientInstructions 1..1 II Conformité Patient instructions (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.49
..... @extension 0..1 st
.... templateId:frInstructionsAuPatient 1..1 II Conformité FR-Instructions-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: 1.2.250.1.213.1.1.3.33
..... @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: INT
... @negationInd 0..1 bl
... id 0..* II
... code S 1..1 CD <b>Code de l'entrée</b> <br clear='none'/>
Binding: v3 Code System ActCode (example)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs Motif requis: PINSTRUCT
.... @codeSystem 0..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.2
.... @codeSystemName 0..1 st Motif requis: IHEActCode
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... 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: Instructions au patient
.... 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 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
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frInstructionAuPatient 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 FRCDAInstructionAuPatient
..... 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)
... 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:ihePatientMedicationInstruction.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:ccdPatientInstructions.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:frInstructionsAuPatient.​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 example v3 Code System ActCode 📦3.0.0 THO v7.0
Act.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Act.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
Act.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
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
Act.entryRelationship:frInstructionAuPatient.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.entryRelationship:frInstructionAuPatient.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.entryRelationship:frInstructionAuPatient.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Act.typeId, Act.entryRelationship:frInstructionAuPatient.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 3..3 II Slice: Non ordonné, Ouvert par value:root
.... templateId:ihePatientMedicationInstruction 1..1 II Conformité Patient Medication Instruction (IHE PCC)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.3
.... templateId:ccdPatientInstructions 1..1 II Conformité Patient instructions (CCD)
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.49
.... templateId:frInstructionsAuPatient 1..1 II Conformité FR-Instructions-au-patient (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.33
... @classCode S 1..1 cs Motif requis: ACT
... @moodCode S 1..1 cs Motif requis: INT
.... @code 0..1 cs Motif requis: PINSTRUCT
.... @codeSystem 0..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.2
.... @codeSystemName 0..1 st Motif requis: IHEActCode
... 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: Instructions au patient
... statusCode
.... @code S 0..1 cs Motif requis: completed
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frInstructionAuPatient 0..* EntryRelationship
..... observation 0..1 FRCDAInstructionAuPatient

doco Documentation pour ce format

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:ihePatientMedicationInstruction 1..1 II Conformité Patient Medication Instruction (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: 1.3.6.1.4.1.19376.1.5.3.1.4.3
..... @extension 0..1 st
.... templateId:ccdPatientInstructions 1..1 II Conformité Patient instructions (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.49
..... @extension 0..1 st
.... templateId:frInstructionsAuPatient 1..1 II Conformité FR-Instructions-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: 1.2.250.1.213.1.1.3.33
..... @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: INT
... @negationInd 0..1 bl
... id 0..* II
... code S 1..1 CD <b>Code de l'entrée</b> <br clear='none'/>
Binding: v3 Code System ActCode (example)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs Motif requis: PINSTRUCT
.... @codeSystem 0..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.2
.... @codeSystemName 0..1 st Motif requis: IHEActCode
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... 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: Instructions au patient
.... 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 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
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frInstructionAuPatient 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 FRCDAInstructionAuPatient
..... 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)
... 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:ihePatientMedicationInstruction.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:ccdPatientInstructions.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.templateId:frInstructionsAuPatient.​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 example v3 Code System ActCode 📦3.0.0 THO v7.0
Act.code.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.compression Base required CDACompressionAlgorithm 📦2.0.1-sd Clinical Document Architecture v2.0
Act.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
Act.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
Act.text.representation Base required CDABinaryDataEncoding 📦2.0.1-sd Clinical Document Architecture v2.0
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
Act.entryRelationship:frInstructionAuPatient.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.entryRelationship:frInstructionAuPatient.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Act.entryRelationship:frInstructionAuPatient.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0

Contraintes

Id Grade Chemin(s) Description Expression
II-1 error Act.typeId, Act.entryRelationship:frInstructionAuPatient.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 : 7 éléments
Must-Support : 6 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 Act.templateId
  • The element 1 is sliced based on the value of Act.entryRelationship

 

Other representations of profile: CSV, Excel