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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 Probleme

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

Entrée FR-Probleme: <p>IHE-PCC - Problem-Entry</p>

Cette entrée permet de décrire un problème du patient (une pathologie par exemple) en précisant :
Le type de problème observé : problème, plainte, symptôme, diagnostic, etc.

  • Le problème observé (en général, la pathologie observée)

  • La sévérité

  • Le statut du problème (sauf pour une réaction à une allergie/hypersensibilité)

  • Le statut clinique du patient (sauf pour une réaction à une allergie/hypersensibilité)

  • Un commentaire.

Utilisations:

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

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..4 II Slice: Non ordonné, Ouvert par value:root
.... templateId:iheProblemEntry 1..1 II Conformité Problem Entry (IHE PCC)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.5
..... @extension 0..1 st
.... templateId:ccdProblemObservation 1..1 II Conformité Problem observation (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.28
..... @extension 0..1 st
.... templateId:ccdReactionObservation 0..1 II Conformité Reaction observation (CCD)Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée.
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.54
..... @extension 0..1 st
.... templateId:frProbleme 1..1 II Conformité FR-Probleme (CI-SIS)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.37
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: CDAActClassObservation (required)
Motif requis: OBS
... @moodCode S 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Motif requis: EVN
... @negationInd 0..1 bl
... 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 <b>Type d'observation</b>
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 du problèmeCet élément permet de décrire le problème enregistré, les dates, commentaires, etc.
.... reference 0..1 TEL
.... thumbnail 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
... effectiveTime S 1..1 IVL_TS Dates de début et de fin du problème
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 CD Problème observéLa valeur de l'élément <value> peut être :CIM-10 pour les pathologie  et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante  Réaction allergique : CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité Si pas de problème ou pas d'information : JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText S 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
... methodCode 0..* CE Binding: ObservationMethod (example)
... targetSiteCode 0..* CD
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frSeverite 0..1 EntryRelationship
..... @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 FRCDASeverite
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frStatutDuProbleme 0..1 EntryRelationship
..... @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 FRCDAStatutDuProbleme
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frStatutCliniqueDuPatient 0..1 EntryRelationship
..... @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 FRCDAStatutCliniqueDuPatient
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCertitude 0..1 EntryRelationship
..... @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 FRCDACertitude
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCommentaireER 0..1 EntryRelationship
..... @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:iheProblemEntry.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:ccdProblemObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:ccdReactionObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frProbleme.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
Observation.code Base 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.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:frSeverite.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frSeverite.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frSeverite.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frStatutDuProbleme.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutDuProbleme.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutDuProbleme.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frCertitude.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frCertitude.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frCertitude.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
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:frSeverite.typeId, Observation.entryRelationship:frStatutDuProbleme.typeId, Observation.entryRelationship:frStatutCliniqueDuPatient.typeId, Observation.entryRelationship:frCertitude.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 Observation Espace de noms (namespace) XML: urn:hl7-org:v3
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... Slices pour templateId 3..4 II Slice: Non ordonné, Ouvert par value:root
.... templateId:iheProblemEntry 1..1 II Conformité Problem Entry (IHE PCC)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.5
.... templateId:ccdProblemObservation 1..1 II Conformité Problem observation (CCD)
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.28
.... templateId:ccdReactionObservation 0..1 II Conformité Reaction observation (CCD)Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée.
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.54
.... templateId:frProbleme 1..1 II Conformité FR-Probleme (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.37
... @classCode S 1..1 cs Motif requis: OBS
... @moodCode S 1..1 cs Motif requis: EVN
... code S 1..1 CD <b>Type d'observation</b>
... 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 du problèmeCet élément permet de décrire le problème enregistré, les dates, commentaires, etc.
... effectiveTime S 1..1 IVL_TS Dates de début et de fin du problème
... value S 1..1 CD Problème observéLa valeur de l'élément <value> peut être :CIM-10 pour les pathologie  et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante  Réaction allergique : CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité Si pas de problème ou pas d'information : JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662)
.... originalText S 0..1 ED
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frSeverite 0..1 EntryRelationship
..... observation 0..1 FRCDASeverite
.... entryRelationship:frStatutDuProbleme 0..1 EntryRelationship
..... observation 0..1 FRCDAStatutDuProbleme
.... entryRelationship:frStatutCliniqueDuPatient 0..1 EntryRelationship
..... observation 0..1 FRCDAStatutCliniqueDuPatient
.... entryRelationship:frCertitude 0..1 EntryRelationship
..... observation 0..1 FRCDACertitude
.... entryRelationship:frCommentaireER 0..1 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..4 II Slice: Non ordonné, Ouvert par value:root
.... templateId:iheProblemEntry 1..1 II Conformité Problem Entry (IHE PCC)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.5
..... @extension 0..1 st
.... templateId:ccdProblemObservation 1..1 II Conformité Problem observation (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.28
..... @extension 0..1 st
.... templateId:ccdReactionObservation 0..1 II Conformité Reaction observation (CCD)Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée.
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.54
..... @extension 0..1 st
.... templateId:frProbleme 1..1 II Conformité FR-Probleme (CI-SIS)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.37
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: CDAActClassObservation (required)
Motif requis: OBS
... @moodCode S 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Motif requis: EVN
... @negationInd 0..1 bl
... 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 <b>Type d'observation</b>
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 du problèmeCet élément permet de décrire le problème enregistré, les dates, commentaires, etc.
.... reference 0..1 TEL
.... thumbnail 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
... effectiveTime S 1..1 IVL_TS Dates de début et de fin du problème
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 CD Problème observéLa valeur de l'élément <value> peut être :CIM-10 pour les pathologie  et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante  Réaction allergique : CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité Si pas de problème ou pas d'information : JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText S 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
... methodCode 0..* CE Binding: ObservationMethod (example)
... targetSiteCode 0..* CD
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frSeverite 0..1 EntryRelationship
..... @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 FRCDASeverite
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frStatutDuProbleme 0..1 EntryRelationship
..... @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 FRCDAStatutDuProbleme
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frStatutCliniqueDuPatient 0..1 EntryRelationship
..... @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 FRCDAStatutCliniqueDuPatient
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCertitude 0..1 EntryRelationship
..... @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 FRCDACertitude
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCommentaireER 0..1 EntryRelationship
..... @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:iheProblemEntry.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:ccdProblemObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:ccdReactionObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frProbleme.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
Observation.code Base 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.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:frSeverite.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frSeverite.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frSeverite.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frStatutDuProbleme.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutDuProbleme.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutDuProbleme.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frCertitude.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frCertitude.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frCertitude.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
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:frSeverite.typeId, Observation.entryRelationship:frStatutDuProbleme.typeId, Observation.entryRelationship:frStatutCliniqueDuPatient.typeId, Observation.entryRelationship:frCertitude.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

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..4 II Slice: Non ordonné, Ouvert par value:root
.... templateId:iheProblemEntry 1..1 II Conformité Problem Entry (IHE PCC)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.5
..... @extension 0..1 st
.... templateId:ccdProblemObservation 1..1 II Conformité Problem observation (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.28
..... @extension 0..1 st
.... templateId:ccdReactionObservation 0..1 II Conformité Reaction observation (CCD)Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée.
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.54
..... @extension 0..1 st
.... templateId:frProbleme 1..1 II Conformité FR-Probleme (CI-SIS)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.37
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: CDAActClassObservation (required)
Motif requis: OBS
... @moodCode S 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Motif requis: EVN
... @negationInd 0..1 bl
... 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 <b>Type d'observation</b>
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 du problèmeCet élément permet de décrire le problème enregistré, les dates, commentaires, etc.
.... reference 0..1 TEL
.... thumbnail 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
... effectiveTime S 1..1 IVL_TS Dates de début et de fin du problème
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 CD Problème observéLa valeur de l'élément <value> peut être :CIM-10 pour les pathologie  et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante  Réaction allergique : CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité Si pas de problème ou pas d'information : JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText S 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
... methodCode 0..* CE Binding: ObservationMethod (example)
... targetSiteCode 0..* CD
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frSeverite 0..1 EntryRelationship
..... @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 FRCDASeverite
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frStatutDuProbleme 0..1 EntryRelationship
..... @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 FRCDAStatutDuProbleme
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frStatutCliniqueDuPatient 0..1 EntryRelationship
..... @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 FRCDAStatutCliniqueDuPatient
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCertitude 0..1 EntryRelationship
..... @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 FRCDACertitude
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCommentaireER 0..1 EntryRelationship
..... @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:iheProblemEntry.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:ccdProblemObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:ccdReactionObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frProbleme.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
Observation.code Base 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.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:frSeverite.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frSeverite.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frSeverite.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frStatutDuProbleme.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutDuProbleme.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutDuProbleme.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frCertitude.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frCertitude.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frCertitude.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
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:frSeverite.typeId, Observation.entryRelationship:frStatutDuProbleme.typeId, Observation.entryRelationship:frStatutCliniqueDuPatient.typeId, Observation.entryRelationship:frCertitude.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 Observation Espace de noms (namespace) XML: urn:hl7-org:v3
Les instances de ce type sont validées par templateId
Conteneur logique: ClinicalDocument (CDA Class)
... Slices pour templateId 3..4 II Slice: Non ordonné, Ouvert par value:root
.... templateId:iheProblemEntry 1..1 II Conformité Problem Entry (IHE PCC)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.5
.... templateId:ccdProblemObservation 1..1 II Conformité Problem observation (CCD)
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.28
.... templateId:ccdReactionObservation 0..1 II Conformité Reaction observation (CCD)Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée.
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.54
.... templateId:frProbleme 1..1 II Conformité FR-Probleme (CI-SIS)
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.37
... @classCode S 1..1 cs Motif requis: OBS
... @moodCode S 1..1 cs Motif requis: EVN
... code S 1..1 CD <b>Type d'observation</b>
... 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 du problèmeCet élément permet de décrire le problème enregistré, les dates, commentaires, etc.
... effectiveTime S 1..1 IVL_TS Dates de début et de fin du problème
... value S 1..1 CD Problème observéLa valeur de l'élément <value> peut être :CIM-10 pour les pathologie  et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante  Réaction allergique : CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité Si pas de problème ou pas d'information : JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662)
.... originalText S 0..1 ED
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frSeverite 0..1 EntryRelationship
..... observation 0..1 FRCDASeverite
.... entryRelationship:frStatutDuProbleme 0..1 EntryRelationship
..... observation 0..1 FRCDAStatutDuProbleme
.... entryRelationship:frStatutCliniqueDuPatient 0..1 EntryRelationship
..... observation 0..1 FRCDAStatutCliniqueDuPatient
.... entryRelationship:frCertitude 0..1 EntryRelationship
..... observation 0..1 FRCDACertitude
.... entryRelationship:frCommentaireER 0..1 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..4 II Slice: Non ordonné, Ouvert par value:root
.... templateId:iheProblemEntry 1..1 II Conformité Problem Entry (IHE PCC)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.3.6.1.4.1.19376.1.5.3.1.4.5
..... @extension 0..1 st
.... templateId:ccdProblemObservation 1..1 II Conformité Problem observation (CCD)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.28
..... @extension 0..1 st
.... templateId:ccdReactionObservation 0..1 II Conformité Reaction observation (CCD)Ajouter cet OID si l'entrée FR-Probleme est appelée, via un entryRela-tionship, dans une entrée FR-Allergie-ou-hypersensibilite ou une entrée FR-Vaccination, pour indiquer que ce problème est une réaction observée.
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 2.16.840.1.113883.10.20.1.54
..... @extension 0..1 st
.... templateId:frProbleme 1..1 II Conformité FR-Probleme (CI-SIS)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Motif requis: 1.2.250.1.213.1.1.3.37
..... @extension 0..1 st
... @classCode S 1..1 cs Binding: CDAActClassObservation (required)
Motif requis: OBS
... @moodCode S 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Motif requis: EVN
... @negationInd 0..1 bl
... 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 <b>Type d'observation</b>
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 du problèmeCet élément permet de décrire le problème enregistré, les dates, commentaires, etc.
.... reference 0..1 TEL
.... thumbnail 0..1 ED
... statusCode 0..1 CS Binding: ActStatus (required)
... effectiveTime S 1..1 IVL_TS Dates de début et de fin du problème
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 CD Problème observéLa valeur de l'élément <value> peut être :CIM-10 pour les pathologie  et réactions à une vaccination : Si le problème observé n'est pas trouvé dans la terminologie CIM-10, utiliser le code='R69' displayName='Causes inconnues et non précisées de morbidité' codeSystem='2.16.840.1.113883.6.3' codeSystemName='CIM-10' et décrire le problème sous forme de texte libre dans la partie narrative avec une référence vers l'entrée correspondante  Réaction allergique : CIM-11 (2.16.840.1.113883.6.347) provenant du JDV_AllergieReaction_CISIS (1.2.250.1.213.1.1.5.674)/ Chapitre 04 Maladies du système immunitaire / Bloc Affections allergiques ou d'hyper-sensibilité Si pas de problème ou pas d'information : JDV_AbsentOrUnknownProblem_CISIS (1.2.250.1.213.1.1.5.662)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st Espace de noms (namespace) XML: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText S 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
... methodCode 0..* CE Binding: ObservationMethod (example)
... targetSiteCode 0..* CD
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... Slices pour entryRelationship S 0..* EntryRelationship Slice: Non ordonné, Ouvert par value:$this
.... entryRelationship:frSeverite 0..1 EntryRelationship
..... @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 FRCDASeverite
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frStatutDuProbleme 0..1 EntryRelationship
..... @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 FRCDAStatutDuProbleme
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frStatutCliniqueDuPatient 0..1 EntryRelationship
..... @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 FRCDAStatutCliniqueDuPatient
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCertitude 0..1 EntryRelationship
..... @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 FRCDACertitude
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:frCommentaireER 0..1 EntryRelationship
..... @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:iheProblemEntry.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:ccdProblemObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:ccdReactionObservation.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.templateId:frProbleme.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.classCode Base required CDAActClassObservation 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
Observation.code Base 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.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:frSeverite.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frSeverite.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frSeverite.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frStatutDuProbleme.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutDuProbleme.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutDuProbleme.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frStatutCliniqueDuPatient.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
Observation.entryRelationship:frCertitude.​nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frCertitude.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.1-sd Clinical Document Architecture v2.0
Observation.entryRelationship:frCertitude.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
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:frSeverite.typeId, Observation.entryRelationship:frStatutDuProbleme.typeId, Observation.entryRelationship:frStatutCliniqueDuPatient.typeId, Observation.entryRelationship:frCertitude.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

 

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