Instance: Bundle-IPS-FR InstanceOf: Bundle Usage: #example * meta.lastUpdated = "2025-10-09T13:28:17.000+00:00" * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-bundle-document" * identifier.system = "1.2.250.1.213.1.1.1.51.2024.1.1" * identifier.value = "2024.01" * type = #document * timestamp = "2025-10-09T13:28:17.000+00:00" * entry[0].fullUrl = "urn:uuid:09275181-4d85-43b8-89b0-6dd68182bc52" * entry[=].resource = Composition-IPS-FR * entry[+].fullUrl = "urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac" * entry[=].resource = patientExemple * entry[+].fullUrl = "urn:uuid:a11d31c5-77ff-4642-91f7-66c4d10d18c9" * entry[=].resource = practitioner-role-exemple-1 * entry[+].fullUrl = "urn:uuid:b5941194-08be-4893-a629-652f97587b39" * entry[=].resource = practitioner-exemple-1 * entry[+].fullUrl = "urn:uuid:579f1274-8265-4bb1-91ba-d093a11be4f5" * entry[=].resource = organizationExemple * entry[+].fullUrl = "urn:uuid:51807e91-cb17-4ca1-bc58-1efa85cf9d72" * entry[=].resource = encounterExemple * entry[+].fullUrl = "urn:uuid:648170b7-1538-44a7-8820-df04dcc32fad" * entry[=].resource = locationExemple * entry[+].fullUrl = "urn:uuid:257427f5-dffa-4a97-9475-4ebb988589af" * entry[=].resource = Condition-Exemple-1 * entry[+].fullUrl = "urn:uuid:4d6a4b74-b2a7-4ec1-8db1-8925f435a916" * entry[=].resource = Condition-Exemple-2 * entry[+].fullUrl = "urn:uuid:af0e13e5-d0a2-4dbc-b892-7328eca72ff4" * entry[=].resource = Condition-Exemple-3 * entry[+].fullUrl = "urn:uuid:a4d49149-cda7-470d-a2e3-08f8d7db1bad" * entry[=].resource = Condition-Exemple-4 * entry[+].fullUrl = "urn:uuid:803caba9-c128-4faa-94a0-d344738ebc63" * entry[=].resource = Condition-Exemple-5 * entry[+].fullUrl = "urn:uuid:effd6c8a-6122-46cb-82ed-ef3f300ec17b" * entry[=].resource = Condition-Exemple-6 * entry[+].fullUrl = "urn:uuid:18492799-4e37-47a7-b79b-18a4d0597963" * entry[=].resource = Condition-Exemple-7 * entry[+].fullUrl = "urn:uuid:4e00844f-241b-47c0-85a4-9d612c46b3ad" * entry[=].resource = Procedure-Exemple-1 * entry[+].fullUrl = "urn:uuid:5b0fcb3b-91fb-4870-bd97-8faa2794ea01" * entry[=].resource = practitioner-role-exemple-2 * entry[+].fullUrl = "urn:uuid:da9eb2be-5993-4e39-827b-728fe3943a93" * entry[=].resource = organizationExemple2 * entry[+].fullUrl = "urn:uuid:9e55af45-e661-472f-b713-4aaa2cfd1a77" * entry[=].resource = practitioner-exemple-2 * entry[+].fullUrl = "urn:uuid:be247a4c-f8fe-4224-b51c-8c35d7124a2d" * entry[=].resource = Condition-Exemple-8 * entry[+].fullUrl = "urn:uuid:3c6ec5d8-182d-4dfc-871b-59c9eb91aa51" * entry[=].resource = Procedure-Exemple-2 * entry[+].fullUrl = "urn:uuid:0ccf6c51-d3f5-4817-bc24-7f63a2ef3c7f" * entry[=].resource = AllergieIntolerance-Exemple-1 * entry[+].fullUrl = "urn:uuid:23f1c0a3-ce38-4817-9408-7feaeb04002d" * entry[=].resource = EffetIndesirable-Exemple-1 * entry[+].fullUrl = "urn:uuid:0409af90-4717-4a93-9800-fcf546875dc8" * entry[=].resource = MedicationAdministration-Exemple-1 * entry[+].fullUrl = "urn:uuid:f995f9bb-4043-45db-8b12-50dc7e9acc5a" * entry[=].resource = Medication-Exemple-1 * entry[+].fullUrl = "urn:uuid:a4e1cafa-05e4-40c7-82dc-641f54281671" * entry[=].resource = Condition-Exemple-9 * entry[+].fullUrl = "urn:uuid:1ff316e0-edde-4bb9-a5fe-822d486d8230" * entry[=].resource = MedicationAdministration-Exemple-2 * entry[+].fullUrl = "urn:uuid:fb88edae-4d3f-4b00-ae17-71c8f03adc71" * entry[=].resource = Medication-Exemple-2 * entry[+].fullUrl = "urn:uuid:034d19b3-3c4e-488a-a7c0-9181dfc721e3" * entry[=].resource = DeviceUseStatement-Exemple-1 * entry[+].fullUrl = "urn:uuid:7bb3e1f4-15bd-4c06-a587-3445c0f5a530" * entry[=].resource = Device-Exemple-1 * entry[+].fullUrl = "urn:uuid:41465f6b-d169-40b9-8d84-96064b4c3d28" * entry[=].resource = DeviceUseStatement-Exemple-2 * entry[+].fullUrl = "urn:uuid:f38b1772-ca78-4578-be14-f7a493b2cbb9" * entry[=].resource = Device-Exemple-2 * entry[+].fullUrl = "urn:uuid:960ebfbc-4b56-40b9-9990-cae5944d6e9b" * entry[=].resource = Observation-Exemple1-Groupe-de-questionnaires-d-evaluation * entry[+].fullUrl = "urn:uuid:e102b4b3-91b6-4b89-9065-560bc68c024c" * entry[=].resource = Observation-Exemple-1-Evaluation * entry[+].fullUrl = "urn:uuid:b9bca1ce-b850-408c-966c-26a1a87adf65" * entry[=].resource = Observation-Exemple-2-Evaluation * entry[+].fullUrl = "urn:uuid:ae1c9c50-9620-4755-a7a0-f72af5a82229" * entry[=].resource = Observation-Exemple-3-Signe-vital-observe * entry[+].fullUrl = "urn:uuid:44da5856-6555-4b43-b03f-176f45c29432" * entry[=].resource = Observation-Exemple-4-Signe-vital-observe * entry[+].fullUrl = "urn:uuid:48129cb5-0a81-4a17-aebd-8c6584b20cd4" * entry[=].resource = Observation-Exemple-5-Habitus-Mode-De-Vie * entry[+].fullUrl = "urn:uuid:3618f351-cea4-4834-8cf9-10151b74436b" * entry[=].resource = Observation-Exemple-6-Habitus-Mode-De-Vie * entry[+].fullUrl = "urn:uuid:4f0f3856-74a9-4a57-b173-e8342735d6c9" * entry[=].resource = Observation-Exemple-7-Habitus-Mode-De-Vie * entry[+].fullUrl = "urn:uuid:3799b968-d637-4a16-ad7b-5f79987dcdb1" * entry[=].resource = Observation-Exemple-8-Habitus-Mode-De-Vie * entry[+].fullUrl = "urn:uuid:541404fa-fc9c-4552-8d36-10adcc37f34e" * entry[=].resource = FamilyMemberHistory-Exemple-1 * entry[+].fullUrl = "urn:uuid:7f0d585b-9a48-4605-baab-30e93603a563" * entry[=].resource = Immunizations-Exemple-1 * entry[+].fullUrl = "urn:uuid:3a7417c1-d483-4f56-833d-43bf8e438874" * entry[=].resource = Immunizations-Exemple-2 * entry[+].fullUrl = "urn:uuid:f3062170-ef7b-45a7-802f-47e461a7d05d" * entry[=].resource = practitioner-role-exemple-3 * entry[+].fullUrl = "urn:uuid:4dbc2eff-6a94-4c7b-b49f-0f7a9790bef6" * entry[=].resource = organization-Exemple-3 * entry[+].fullUrl = "urn:uuid:ab96b0ff-374a-45c7-82e4-aaa8888a2fec" * entry[=].resource = practitioner-exemple-3 * entry[+].fullUrl = "urn:uuid:80c62f71-7c99-458d-884d-725bc410a14d" * entry[=].resource = Condition-Exemple-10 * entry[+].fullUrl = "urn:uuid:bea6c387-6dca-4f55-93b7-7079e1c88dfb" * entry[=].resource = Observation-Exemple-8-sur-la-grossesse * entry[+].fullUrl = "urn:uuid:bdc0e3ae-128b-46de-b1a7-1c564cca6a61" * entry[=].resource = Observation-Exemple-9-sur-la-grossesse * entry[+].fullUrl = "urn:uuid:e4299828-2563-4265-9297-c27a8240b6ba" * entry[=].resource = Observation-Exemple-10-sur-la-grossesse * entry[+].fullUrl = "urn:uuid:091bf5bc-2ed8-4328-a5e6-7d78aeeeb20b" * entry[=].resource = Observation-Exemple-11-sur-la-grossesse * entry[+].fullUrl = "urn:uuid:73af1b58-f567-4c03-a1a6-d65d3b3fd079" * entry[=].resource = MedicationAdministration-Exemple-3 * entry[+].fullUrl = "urn:uuid:83e3e384-84ca-46dd-aa8c-c847a70b1fb5" * entry[=].resource = MedicationAdministration-Exemple-4 * entry[+].fullUrl = "urn:uuid:2f861880-31d2-4969-a2ce-b78f750f430e" * entry[=].resource = Medication-Exemple-3 * entry[+].fullUrl = "urn:uuid:6349c4d2-bdba-41b1-b5d6-1ce8c359205d" * entry[=].resource = Medication-Exemple-4 Instance: Composition-IPS-FR InstanceOf: Composition Usage: #inline * meta.lastUpdated = "2025-09-09T13:28:17.000+00:00" * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-composition-document" * language = #fr-FR * extension.url = "http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version" * extension.valueString = "2" * identifier.value = "1.2.250.1.213.1.1.1.51.2024.1" * status = #final * type = $loinc#60591-5 "Synthèse médicale" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * encounter = Reference(urn:uuid:51807e91-cb17-4ca1-bc58-1efa85cf9d72) * date = "2025-09-09T14:00:00+01:00" * author.extension.url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-author-time" * author.extension.valueDateTime = "2024-04-21T13:45:00+01:00" * author = Reference(urn:uuid:a11d31c5-77ff-4642-91f7-66c4d10d18c9) "DR Stéphane MEDIONI" * title = "SYNTHESE MEDICALE" * confidentiality = #N * attester.mode = #legal * attester.time = "2024-01-04T15:00:00+01:00" * attester.party = Reference(urn:uuid:a11d31c5-77ff-4642-91f7-66c4d10d18c9) "DR Stéphane MEDIONI" * custodian = Reference(urn:uuid:579f1274-8265-4bb1-91ba-d093a11be4f5) "Centre de soins le Belvédère" * relatesTo.code = #replaces * relatesTo.targetIdentifier.type = $v2-0203#RI "Relates to Identifier" * relatesTo.targetIdentifier.system = "urn:ietf:rfc:3986" * relatesTo.targetIdentifier.value = "urn:uuid:8D5E778C-E155-4685-95C6-5FF65A362964" * event.extension.url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-performer-event" * event.extension.valueReference = Reference(urn:uuid:a11d31c5-77ff-4642-91f7-66c4d10d18c9) "DR Stéphane MEDIONI" * event.period.start = "2024-04-21T08:00:00+01:00" * section[0].title = "Problèmes actifs" * section[=].code = $loinc#11450-4 "Liste des problèmes actifs" * section[=].text.status = #generated * section[=].text.div = "
DateTypeProblèmeSévéritéStatut du problèmeStatut clinique du patientCertitudeCommentaireDocument référencé
2023-07-05interprétation diagnostiqueThyroïdite auto-immunemodéréActifen formeConfirmé
2023-07-05interprétation diagnostiqueDiabète insulino-dépendantmodéréActifen formeConfirmé
2023-05-21interprétation diagnostiqueÉpilepsiemodéréActifen formeConfirmé
2023-05-21interprétation diagnostiqueAngiœdème bradykiniqueléger à modéréActifasymptomatiqueConfirmé
2023-05-21interprétation diagnostiqueCauses inconnues et non précisées de morbiditélégerRécurrenten formeNon confirmétexte libre
" * section[=].entry[0] = Reference(urn:uuid:257427f5-dffa-4a97-9475-4ebb988589af) * section[=].entry[+] = Reference(urn:uuid:4d6a4b74-b2a7-4ec1-8db1-8925f435a916) * section[=].entry[+] = Reference(urn:uuid:af0e13e5-d0a2-4dbc-b892-7328eca72ff4) * section[=].entry[+] = Reference(urn:uuid:a4d49149-cda7-470d-a2e3-08f8d7db1bad) * section[=].entry[+] = Reference(urn:uuid:803caba9-c128-4faa-94a0-d344738ebc63) * section[+].title = "Antécédents" * section[=].code = $loinc#11348-0 "Antécédents médicaux" * section[=].text.status = #generated * section[=].text.div = "
DateTypeProblèmeSévéritéStatut du problèmeStatut clinique du patientCertitudeCommentaire
2018-05-21interprétation diagnostiqueAccident Ischémique Cérébral TransitoiremodéréRésoluen formeNon confirmétexte libre
2018-05-21interprétation diagnostiquePyélonéphrite aiguëmodéréRésoluen formeNon confirmétexte libre
" * section[=].entry[0] = Reference(urn:uuid:effd6c8a-6122-46cb-82ed-ef3f300ec17b) * section[=].entry[+] = Reference(urn:uuid:18492799-4e37-47a7-b79b-18a4d0597963) * section[+].title = "Historique des actes" * section[=].code = $loinc#47519-4 "Historique des actes" * section[=].text.status = #generated * section[=].text.div = "
DateActeVoie d'abordLocalisation anatomiqueMotifCommentaire
14/01/2018Dilatation intraluminale de 2 vaisseaux coronaires avec pose d'endoprothèse, par voie artérielle transcutanéeVoie intraartérielleartère coronaireInfarctus inférieur transmural(texte libre)
08/12/2016Autre acte (texte libre)---(texte libre)
" * section[=].entry[0] = Reference(urn:uuid:4e00844f-241b-47c0-85a4-9d612c46b3ad) * section[=].entry[+] = Reference(urn:uuid:3c6ec5d8-182d-4dfc-871b-59c9eb91aa51) * section[+].title = "Allergies, hypersensibilités non allergiques, intolérances, idiosyncrasie" * section[=].code = $loinc#48765-2 "Allergies et hypersensibilités" * section[=].text.status = #generated * section[=].text.div = "
DateTypeAgent responsableStatutCriticitéCertitudeRéaction(s)Sévérité réaction(s)Commentaire
04/12/2021Allergie médicamenteuseParacétamolActifBasConfirméBronchospasme d'origine médicamenteuse
Troubles allergiques ou d'hypersensibilité de la peau ou des muqueuses
modéré
léger
(texte libre)
" * section[=].entry = Reference(urn:uuid:0ccf6c51-d3f5-4817-bc24-7f63a2ef3c7f) * section[+].title = "Effets indésirables prévisibles liés aux médicaments" * section[=].code = $loinc#44939-7 "Effets indésirables prévisibles liés aux médicaments" * section[=].text.status = #generated * section[=].text.div = "
DateTypeAgent responsableSubstance(s) incriminée(s)PosologieVoie d’administrationRéaction(s)ImputabilitéGravitéEvolutionCommentaire
04/12/2021interaction médicamenteuseAMOXICILLINE EG 1G BUV SACH 6AMOXICILLINE TRIHYDRATÉE1 g / 2 fois par jourvoie oralenauséesprobableNon graveGuérison sans séquelle(texte libre)
" * section[=].entry = Reference(urn:uuid:23f1c0a3-ce38-4817-9408-7feaeb04002d) * section[+].title = "Traitements" * section[=].code = $loinc#10160-0 "Historique de la prise médicamenteuse" * section[=].text.status = #generated * section[=].text.div = "

Traitements au long cours :

Date de débutDate de finMédicamentFréquenceDose prescriteRythmeVoie d'administrationMotifCommentaire
11/01/2024LEVOTHYROX 75 microgrammes, comprimé sécable1 fois/j1 cpVoie oraleThyroïdite auto-immuneLe patient a pris le médicament après le petit-déjeuner
" * section[=].entry = Reference(urn:uuid:1ff316e0-edde-4bb9-a5fe-822d486d8230) * section[+].title = "Dispositifs médicaux" * section[=].code = $loinc#46264-8 "Dispositifs médicaux" * section[=].text.status = #generated * section[=].text.div = "
Date débutDate finType de DMID du DMCommentaire
11/08/2019STIMULATEUR CARDIAQUE IMPLANTABLE TRIPLE CHAMBREinconnuStimulateur cardiaque contrôlé et fonctionnel
11/08/2013Autre DM : (texte libre)inconnu(texte libre)
" * section[=].entry[0] = Reference(urn:uuid:034d19b3-3c4e-488a-a7c0-9181dfc721e3) * section[=].entry[+] = Reference(urn:uuid:f38b1772-ca78-4578-be14-f7a493b2cbb9) * section[+].title = "Points de vigilance" * section[=].code = $loinc#44944-7 "Autres alertes" * section[=].text.status = #generated * section[=].text.div = "

Surveiller tension artérielle

" * section[+].title = "Statut fonctionnel" * section[=].code = $loinc#47420-5 "Évaluation du statut fonctionnel" * section[=].text.status = #generated * section[=].text.div = "
DateTypeObservationCommentaire
14/01/2018Score de performance ECOGCapable d’une activité identique à celle précédant la maladie sans aucune restriction (LOINC : LA9622-7)(texte libre)
14/01/2018MarcherRestriction modérée de la performance de marche sur de courtes distances (CIF : d4500.3)(texte libre)
" * section[=].entry[0] = Reference(urn:uuid:960ebfbc-4b56-40b9-9990-cae5944d6e9b) * section[=].entry[+] = Reference(urn:uuid:b9bca1ce-b850-408c-966c-26a1a87adf65) * section[+].title = "Constantes" * section[=].code = $loinc#8716-3 "Signes vitaux" * section[=].text.status = #generated * section[=].text.div = "
Signe vitalValeurDate de la mesureCommentaire
Poids58 kg02/04/2024(texte libre)
Taille1,60 m02/04/2024(texte libre)
" * section[=].entry[0] = Reference(urn:uuid:ae1c9c50-9620-4755-a7a0-f72af5a82229) * section[=].entry[+] = Reference(urn:uuid:44da5856-6555-4b43-b03f-176f45c29432) * section[+].title = "Mode de vie" * section[=].code = $loinc#29762-2 "Habitus, Mode de vie" * section[=].text.status = #generated * section[=].text.div = "
DateTypeObservationCommentaire
non renseignéeStatut tabagiqueFumeur quotidien(Texte libre)
non renseignéeConsommation tabagique25 PA(Texte libre)
non renseignéeConsommation d'alcool5 verres / jour(Texte libre)
non renseignéeConsommation de drogueCannabis(Texte libre)
" * section[=].entry[0] = Reference(urn:uuid:48129cb5-0a81-4a17-aebd-8c6584b20cd4) * section[=].entry[+] = Reference(urn:uuid:3618f351-cea4-4834-8cf9-10151b74436b) * section[=].entry[+] = Reference(urn:uuid:4f0f3856-74a9-4a57-b173-e8342735d6c9) * section[=].entry[+] = Reference(urn:uuid:3799b968-d637-4a16-ad7b-5f79987dcdb1) * section[+].title = "Facteurs de risques professionnels" * section[=].code = $loinc#10161-8 "Facteurs de risques professionnels" * section[=].text.status = #generated * section[=].text.div = "

Contact répété avec solvants organiques (atelier peinture)

" * section[+].title = "Facteurs de risques professionnels" * section[=].code = $loinc#10157-6 "Historique des pathologies familiales" * section[=].text.status = #generated * section[=].text.div = "
Lien de parentéAntécédentCommentaire
MèreAnémie à hématies falciformes sans crises (CIM-10 : D57.1)(texte libre)
" * section[=].entry = Reference(urn:uuid:541404fa-fc9c-4552-8d36-10adcc37f34e) * section[+].title = "Vaccinations" * section[=].code = $loinc#11369-6 "Historique des vaccinations" * section[=].text.status = #generated * section[=].text.div = "
DateMaladie(s) prévenue(s)VaccinLot n°Type / RangVoieRégion d'administrationRéaction observéeVaccinateurCommentaire
28/09/2009Diphtérie-poliomyélite-tétanosREVAXIS, suspension injectable en seringue préremplie. Vaccin diphtérique, tétanique et poliomyélitique (inactivé), adsorbé, à teneur réduite en antigènes44566721ère série vaccinante / 2Voie intramusculaireDeltoïde gaucheFièvre due à des médicamentsDr Charles MULLERPrise récente et ponctuelle de solupred (60mg) en une prise pendant 2 jours
25/08/2009Diphtérie-poliomyélite-tétanosREVAXIS, suspension injectable en seringue préremplie. Vaccin diphtérique, tétanique et poliomyélitique (inactivé), adsorbé, à teneur réduite en antigènes44566681ère série vaccinante / 1Voie intramusculaireDeltoïde gaucheFièvre due à des médicamentsDr Charles MULLER-
" * section[=].entry[0] = Reference(urn:uuid:7f0d585b-9a48-4605-baab-30e93603a563) * section[=].entry[+] = Reference(urn:uuid:3a7417c1-d483-4f56-833d-43bf8e438874) * section[+].title = "Historique des grossesses" * section[=].code = $loinc#10162-6 "Historique des grossesses" * section[=].text.status = #generated * section[=].text.div = "
ObservationPrécision
Statut de grossessepatiente actuellement enceinte
Date prévisionnelle d'accouchement03/09/2024
Nb d'enfants vivants1
Nombre d'interruptions de grossesse1
" * section[=].entry[0] = Reference(urn:uuid:bea6c387-6dca-4f55-93b7-7079e1c88dfb) * section[=].entry[+] = Reference(urn:uuid:bdc0e3ae-128b-46de-b1a7-1c564cca6a61) * section[=].entry[+] = Reference(urn:uuid:e4299828-2563-4265-9297-c27a8240b6ba) * section[=].entry[+] = Reference(urn:uuid:091bf5bc-2ed8-4328-a5e6-7d78aeeeb20b) * section[+].title = "Plan de soins" * section[=].code = $loinc#18776-5 "Plan de soins" * section[=].text.status = #generated * section[=].text.div = "

Traitements médicamenteux :

MédicamentCommentaire
ROSUVASTATINE EG 5 mg, comprimé pelliculé(texte libre)
Autre traitement : (texte libre)(texte libre)

Demandes d'examens ou de suivis :

Date envisagéeDemandeCommentaire
01/12/2024Cholestérol LDL(Texte libre)
01/12/2024Autre examen (texte libre)(Texte libre)

Actes :

Date envisagéePrioritéActeCommentaire
01/12/2024Bénéfique pour le patient mais pas essentiel pour sa surviePose d'une prothèse auditive implantable dans l'oreille moyenne(Texte libre)
01/12/2024Aussi vite que possibleAutre acte (texte libre)(Texte libre)

Rencontres :

Date envisagéeType de rencontrePersonneLieuCommentaire
01/12/2024AmbulatoirePR Jacques PETITJEAN (Médecin - Oncologie, opt Onco-hématologie (SM))Hôpital Lariboisière (Service hématologie)(Texte libre)

Vaccins recommandés :

Période de vaccination souhaitableVaccinCommentaire
entre le 01/12/2024 et le 31/12/2024Vaccin antituberculeux(Texte libre)
entre le 01/12/2024 et le 31/12/2024Autre vaccin (texte libre)(Texte libre)
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bradykinique" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * onsetDateTime = "2023-05-21" Instance: Condition-Exemple-5 InstanceOf: Condition Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-condition" * extension.url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-condition-clinical-status-extension" * extension.valueCodeableConcept = $sct#102499006 "en forme" * identifier.system = "urn:uuid" * identifier.value = "12DA3A06-18E7-40B7-9397-1FA5B1552472" * clinicalStatus = #recurrence "Récurrent" * verificationStatus = $condition-ver-status#unconfirmed "Non confirmé" * category = $sct#282291009 "interprétation diagnostique" * severity = $jdv-severite-observation-cisis#255604002 "léger" * code = $terminologie-cim-10#R69 "Causes inconnues et non précisées de morbidité" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * onsetDateTime = "2023-05-21" * note.text = 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identifier.system = "urn:oid:1.2.3.999" * identifier.value = "55915ED6-0682-4588-9F4A-FB71210F7015" * status = #completed * category = $v3-ActCode#DRUG "Médicament" * medicationReference = Reference(urn:uuid:fb88edae-4d3f-4b00-ae17-71c8f03adc71) * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * effectivePeriod.start = "2021-12-04" * reasonReference = Reference(urn:uuid:257427f5-dffa-4a97-9475-4ebb988589af) * note.text = "Le patient a pris le médicament après le petit-déjeuner" * dosage.route = #20053000 "Voie orale" * dosage.dose = 1 '{tbl}' "tablet" * dosage.rateQuantity.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * dosage.rateQuantity.extension.valueCode = #not-applicable Instance: Medication-Exemple-2 InstanceOf: Medication Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-document" * extension[0].url = "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname" * extension[=].valueString = "LEVOTHYROX 75 microgrammes" * extension[+].url = "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification" * extension[=].valueCodeableConcept = $terminologie-atc#H03AA01 "lévothyroxine sodique" * extension[=].valueCodeableConcept.text = "lévothyroxine sodique" * code = $terminologie-bdpm#3400930065785 "LEVOTHYROX 75 microgrammes, comprimé sécable plaquette(s) PVC aluminium de 30 comprimé(s)" * ingredient.itemCodeableConcept.extension.url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-nom-substance" * ingredient.itemCodeableConcept.extension.valueString = "paracetamol" * ingredient.itemCodeableConcept = $terminologie-sms#100000091647 "LÉVOTHYROXINE SODIQUE" * ingredient.strength.numerator.value = 75 * ingredient.strength.numerator.unit = "mg" * ingredient.strength.denominator.value = 1 Instance: DeviceUseStatement-Exemple-1 InstanceOf: DeviceUseStatement Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-device-use-statement-medicaldevice" * identifier.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * identifier.extension.valueCode = #unknown * status = #active * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * timingPeriod.start = "2019-08-11" * device = Reference(urn:uuid:7bb3e1f4-15bd-4c06-a587-3445c0f5a530) "STIMULATEUR CARDIAQUE IMPLANTABLE TRIPLE CHAMBRE" * note.text = "Stimulateur cardiaque contrôlé et fonctionnel" Instance: Device-Exemple-1 InstanceOf: Device Usage: #inline * type = $terminologie-emdn#J010104 "STIMULATEUR CARDIAQUE IMPLANTABLE TRIPLE CHAMBRE" Instance: DeviceUseStatement-Exemple-2 InstanceOf: DeviceUseStatement Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-device-use-statement-medicaldevice" * identifier.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * identifier.extension.valueCode = #unknown * status = #active * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * timingPeriod.start = "2019-08-11" * device = Reference(urn:uuid:f38b1772-ca78-4578-be14-f7a493b2cbb9) "Autre dispositif médical" * note.text = "Autre DM : (texte libre)" Instance: Device-Exemple-2 InstanceOf: Device Usage: #inline * type = $terminologie-cisis#GEN-092.02.02 "Autre dispositif médical" Instance: Observation-Exemple1-Groupe-de-questionnaires-d-evaluation InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-groupe-questionnaires-evaluation" * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "12DA3A06-18E7-40B7-9397-1FA5B1555683" * status = #final * code.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * code.extension.valueCode = #not-applicable * effectiveDateTime = "2018-01-14T15:06:00+00:00" * hasMember = Reference(urn:uuid:e102b4b3-91b6-4b89-9065-560bc68c024c) Instance: Observation-Exemple-1-Evaluation InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-evaluation" * status = #final * category.coding.code = #survey * code = $loinc#89247-1 "Score de performance ECOG" * effectiveDateTime = "2018-01-14T15:06:00+00:00" * valueCodeableConcept = $loinc#LA9622-7 "Capable d’une activité identique à celle précédant la maladie sans aucune restriction" * note.text = "Texte libre" Instance: Observation-Exemple-2-Evaluation InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-evaluation" * status = #final * category.coding.code = #survey * code = $icf-nl#d450 "Marcher" * effectiveDateTime = "2018-01-14T15:06:00+00:00" * valueCodeableConcept = $icf-nl#d4500.3 "Restriction modérée de la performance de marche sur de courtes distances" * note.text = "Texte libre" Instance: Observation-Exemple-3-Signe-vital-observe InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-signes-vital-Observe-document" * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "8D40D39D-3574-496A-91EA-B7BE236ABD1A" * status = #final * category = $observation-category#vital-signs * code = $loinc#29463-7 "Poids" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * effectiveDateTime = "2024-04-02T09:58:00+00:00" * valueQuantity = 58 'kg' "kg" * note.text = "Texte libre" Instance: Observation-Exemple-4-Signe-vital-observe InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-signes-vital-Observe-document" * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "8D40D39D-3574-496A-91EA-B7BE236ABD1A" * status = #final * category = $observation-category#vital-signs * code = $loinc#8302-2 "Taille" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * effectiveDateTime = "2024-04-02T09:58:00+00:00" * valueQuantity = 1.6 'm' "m" * note.text = "Texte libre" Instance: Observation-Exemple-5-Habitus-Mode-De-Vie InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-habitus-mode-de-vie" * status = #final * category = $observation-category#social-history * code = $loinc#72166-2 "Statut tabagique" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * effectiveDateTime.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * effectiveDateTime.extension.valueCode = #not-applicable * valueCodeableConcept = $loinc#LA18976-3 "Fumeur quotidien" * note.text = "Texte libre" Instance: Observation-Exemple-6-Habitus-Mode-De-Vie InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-habitus-mode-de-vie" * status = #final * category = $observation-category#social-history * code = $loinc#74011-8 "Consommation tabagique" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * effectiveDateTime.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * effectiveDateTime.extension.valueCode = #not-applicable * valueQuantity = 25 '{pack}/a' "pack" * note.text = "Texte libre" Instance: Observation-Exemple-7-Habitus-Mode-De-Vie InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-habitus-mode-de-vie" * status = #final * category = $observation-category#social-history * code = $loinc#74013-4 "Consommation d'alcool" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * effectiveDateTime.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * effectiveDateTime.extension.valueCode = #not-applicable * valueQuantity = 5 '{drink}/d' "drink" * note.text = "Texte libre" Instance: Observation-Exemple-8-Habitus-Mode-De-Vie InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-habitus-mode-de-vie" * status = #final * category = $observation-category#social-history * code = $loinc#11343-1 "Consommation de drogue non médicales" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * effectiveDateTime.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * effectiveDateTime.extension.valueCode = #not-applicable * valueCodeableConcept = $sct#398705004 "Cannabis" * note.text = "Texte libre" Instance: FamilyMemberHistory-Exemple-1 InstanceOf: FamilyMemberHistory Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-family-member-history" * status = #completed * patient = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * date.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * date.extension.valueCode = #not-applicable * relationship = $v3-RoleCode#MTH "Mère" * note.text = "Texte libre" * condition.code = $sct#282291009 "interprétation diagnostique" * condition.outcome = $terminologie-cim-10#D57.1 "Anémie à hématies falciformes sans crises" Instance: Immunizations-Exemple-1 InstanceOf: Immunization Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-vaccination-document" * extension[0].url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-vaccination-type-extension" * extension[=].valueCodeableConcept = $v3-ActCode#INITIMMUNIZ "1ère série vaccinante" * extension[+].url = "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname" * extension[=].valueString.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * extension[=].valueString.extension.valueCode = #unknown * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "41DAC707-7C96-47B7-B600-AC63D8002142" * status = #completed * vaccineCode = $terminologie-atc#J07CA01 "Diphtérie-poliomyélite-tétanos" * patient = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * occurrenceDateTime = "2009-09-28" * lotNumber = "4456672" * site = $sct#16217701000119102 "Deltoïde gauche" * route = $terminologie-standardterms#20035000 "Voie intramusculaire" * performer.actor.extension[0].extension[0].url = "type" * performer.actor.extension[=].extension[=].valueCode = #PRF * performer.actor.extension[=].extension[+].url = "actor" * performer.actor.extension[=].extension[=].valueReference = Reference(urn:uuid:f3062170-ef7b-45a7-802f-47e461a7d05d) * performer.actor.extension[=].url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension" * performer.actor.extension[+].extension[0].url = "type" * performer.actor.extension[=].extension[+].url = "actor" * performer.actor.extension[=].url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension" * note.text = "texte libre" * reasonReference = Reference(urn:uuid:80c62f71-7c99-458d-884d-725bc410a14d") * protocolApplied.series = "1" * protocolApplied.doseNumberPositiveInt = 1 Instance: Immunizations-Exemple-2 InstanceOf: Immunization Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-vaccination-document" * extension[0].url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-vaccination-type-extension" * extension[=].valueCodeableConcept = $v3-ActCode#INITIMMUNIZ "1ère série vaccinante" * extension[+].url = "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname" * extension[=].valueString.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * extension[=].valueString.extension.valueCode = #unknown * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "41DAC707-7C96-47B7-B600-AC63D8002142" * status = #completed * vaccineCode = $terminologie-atc#J07CA01 "Diphtérie-poliomyélite-tétanos" * patient = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * occurrenceDateTime = "2009-09-28" * lotNumber = "4456668" * site = $sct#16217701000119102 "Deltoïde gauche" * route = $terminologie-standardterms#20035000 "Voie intramusculaire" * performer.actor.extension[0].extension[0].url = "type" * performer.actor.extension[=].extension[=].valueCode = #PRF * performer.actor.extension[=].extension[+].url = "actor" * performer.actor.extension[=].extension[=].valueReference = Reference(urn:uuid:f3062170-ef7b-45a7-802f-47e461a7d05d) * performer.actor.extension[=].url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension" * performer.actor.extension[+].extension[0].url = "type" * performer.actor.extension[=].extension[+].url = "actor" * performer.actor.extension[=].url = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension" * note.text = "texte libre" * reasonReference = Reference(urn:uuid:80c62f71-7c99-458d-884d-725bc410a14d") * protocolApplied.series = "2" * protocolApplied.doseNumberPositiveInt = 2 Instance: practitioner-role-exemple-3 InstanceOf: PractitionerRole Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document" * practitioner = Reference(urn:uuid:ab96b0ff-374a-45c7-82e4-aaa8888a2fec) * organization = Reference(urn:uuid:4dbc2eff-6a94-4c7b-b49f-0f7a9790bef6) Instance: organization-Exemple-3 InstanceOf: Organization Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-organization-document" * identifier.system = "urn:oid:1.2.250.1.71.4.2.2" * identifier.value = "21750803447" * type = $TRE-A01-CadreExercice#AMBULATOIRE "Ambulatoire" * name = "Cabinet médical du Dr MULLER" Instance: practitioner-exemple-3 InstanceOf: Practitioner Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitioner-document" * identifier.type = $fr-core-cs-v2-0203#RPPS "Numéro du professionnel de santé" * identifier.system = "https://rpps.esante.gouv.fr" * identifier.value = "801234567897" * name.family = "MULLER<" * name.given = "Charles" * name.prefix = "M" * name.suffix = "DR" Instance: Condition-Exemple-10 InstanceOf: Condition Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-condition" * identifier.system = "urn:uuid" * identifier.value = "F9E020E2-D219-43D4-8BF8-6B275E1F726D" * category = $sct#418799008 "symptôme rapporté par le patient ou le répondant" * code = $terminologie-cim-10#R50.2 "Fièvre due à des médicaments" * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * onsetDateTime = "2009-09-28" Instance: Observation-Exemple-8-sur-la-grossesse InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-grossesse-document" * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "4FD525FD-8712-40F9-BF31-EF9A25069C25" * status = #final * code = $loinc#11449-6 "Statut de grossesse" * effectiveDateTime.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * effectiveDateTime.extension.valueCode = #not-applicable * valueCodeableConcept = $sct#77386006 "enceinte" Instance: Observation-Exemple-9-sur-la-grossesse InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-grossesse-document" * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "4FD525FD-8712-40F9-BF31-EF9A25069C32" * status = #final * code = $loinc#11778-8 "Date estimée de l'accouchement" * effectiveDateTime.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * effectiveDateTime.extension.valueCode = #not-applicable * valueDateTime = "2024-09-03" Instance: Observation-Exemple-10-sur-la-grossesse InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-grossesse-document" * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "4FD525FD-8712-40F9-BF31-EF9A25069C65" * status = #final * code = $loinc#11638-4 "Nombre d'enfants vivants" * effectiveDateTime.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * effectiveDateTime.extension.valueCode = #not-applicable * valueInteger = 1 Instance: Observation-Exemple-11-sur-la-grossesse InstanceOf: Observation Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-grossesse-document" * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "4FD525FD-8712-40F9-BF31-EF9A25069C65" * status = #final * code = $loinc#11612-9 "Nombre d'interruptions de grossesse" * effectiveDateTime.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * effectiveDateTime.extension.valueCode = #not-applicable * valueInteger = 1 Instance: MedicationAdministration-Exemple-3 InstanceOf: MedicationAdministration Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-document" * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "AADC9C14-F1CA-4177-B2C8-A5178D5B3CA0" * status = #completed * medicationReference = Reference(urn:uuid:2f861880-31d2-4969-a2ce-b78f750f430e) * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * effectivePeriod.start = "2021-12-04" * note.text = "texte libre" Instance: MedicationAdministration-Exemple-4 InstanceOf: MedicationAdministration Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-document" * identifier.system = "urn:oid:1.2.3.999" * identifier.value = "AADC9C14-F1CA-4177-B2C8-A5178D5B3CA0" * status = #completed * medicationReference = Reference(urn:uuid:26349c4d2-bdba-41b1-b5d6-1ce8c359205d) * subject = Reference(urn:uuid:00f54e2e-22f2-4162-87b4-4826d855feac) * effectivePeriod.start = "2021-12-04" * note.text = "texte libre" Instance: Medication-Exemple-3 InstanceOf: Medication Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-document" * extension.url = "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname" * extension.valueString = "ROSUVASTATINE EG 5 mg, comprimé pelliculé" * code = $terminologie-atc#69473265 "ROSUVASTATINE EG 5 mg, comprimé pelliculé" Instance: Medication-Exemple-4 InstanceOf: Medication Usage: #inline * meta.profile = "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-document" * extension.url = "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname" * extension.valueString.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason" * extension.valueString.extension.valueCode = #unknown * code = $terminologie-cisis#GEN-092.03.01 "Autre(s) traitement(s)"