External Validation Service Front-end

Information

File Name: 20230208_CDA_SI-SDO_NP.xml
OID :: 1.3.6.1.4.1.12559.11.36.3.1.67860
Schematron :: CNSA_SDO_2023 (Version N/A)
Schematron Validation Result :: FAILED
Validation Date :: 3/9/23 2:54:47 PM (CET GMT+0100)
Model Based Validator :: N/A (Tool Version N/A)
Model Based Validation Result :: N/A
Permanent link :: https://interop.esante.gouv.fr/EVSClient/detailedResult.seam?type=CDA&oid=1.3.6.1.4.1.12559.11.36.3.1.67860
Data Visibility :: Public

Validation Results

Schematron validation

$type Validation Report

Well-formednessPASSED

The document you have validated is supposed to be a well-formed document. The validator has checked if it is well-formed, results of this validation are gathered in this section.

The document is well-formed

Schema Validation detailed ResultFAILED

Your document has been validated with the appropriate schema, here is the detail of the validation outcome.

The document is not valid regarding the schema because of the following reasons:

Summary of reports: 1

Description: Line:Col[22:30]:cvc-complex-type.2.4.a: Invalid content was found starting with element 'addr'. One of '{"urn:hl7-org:v3":realmCode, "urn:hl7-org:v3":typeId, "urn:hl7-org:v3":templateId, "urn:hl7-org:v3":id}' is expected.

Schematron validator resultsFAILED

Summary of checks: 1

3995

Errors

Test: count(hl7:id[not(@nullFlavor)]) >= 1E - 1
Location: /ClinicalDocument/recordTarget/patientRole
Description: (MS_RecordTarget): element hl7:id[not(@nullFlavor)] is mandatory [min 1x].

Reports

Test: descendant-or-self::hl7:ClinicalDocument[hl7:templateId[@root = '1.2.250.1.213.1.1.1.4.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.12.1']]R - 1
Location: /ClinicalDocument
Description: descendant-or-self::hl7:ClinicalDocument[hl7:templateId[@root = '1.2.250.1.213.1.1.1.4.2'] and hl7:templateId[@root = '2.16.840.1.113883.10.12.1']]: Instance is expected to have the following element: %%2

Test: string(@classCode) = ('DOCCLIN') or not(@classCode)R - 2
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): The value for classCode SHALL be 'DOCCLIN'. Found: ""

Test: string(@moodCode) = ('EVN') or not(@moodCode)R - 3
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): The value for moodCode SHALL be 'EVN'. Found: ""

Test: //hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:addr or //hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:telecomR - 4
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): L'adresse postale doit être présente ou le numéro de téléphone ou le courriel.

Test: not(//hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7cnsa:nomOrganismeAM) or //hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7cnsa:numSecuriteSocialeOuvrantDroitR - 5
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): Si nomOrganismeAM est renseigné alors numSecuriteSocialeOuvrantDroit est obligatoire.

Test: count(//hl7:ClinicalDocument/hl7:author/hl7:assignedAuthor/hl7:id)=1R - 6
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): L'identifiant de l'élément assignedAuthor est unique.

Test: count(//hl7:ClinicalDocument/hl7:custodian/hl7:assignedCustodian/hl7:representedCustodianOrganization/hl7:id)=1R - 7
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): L'identifiant de l'élément assignedCustodian est unique.

Test: //hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:patientR - 8
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): La description du patient est obligatoire

Test: (not(//hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:id/@root='1.2.250.1.213.1.4.8') and not(//hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:id/@root='1.2.250.1.213.1.4.9') and not(//hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:id/@root='1.2.250.1.213.1.4.10') and not(//hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:id/@root='1.2.250.1.213.1.4.11')) and //hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:id/@extension or (//hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:patient/hl7:name/hl7:family/@qualifier and //hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:patient/hl7:name/hl7:given and //hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:patient/hl7:birthTime and //hl7:ClinicalDocument/hl7:recordTarget/hl7:patientRole/hl7:patient/hl7:administrativeGenderCode)R - 9
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): Erreur de conformité CI-SIS : Dans le cadre de l'INS, les traits de l'INS (Nom de naissance, premier prénom, date de naissance et sexe) sont obligatoires

Test: count(hl7:realmCode) <= 1R - 10
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:realmCode appears too often [max 1x].

Test: count(hl7:typeId[@root = '2.16.840.1.113883.1.3'][@extension = 'POCD_HD000040']) >= 1R - 11
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:typeId[@root = '2.16.840.1.113883.1.3'][@extension = 'POCD_HD000040'] is required [min 1x].

Test: count(hl7:typeId[@root = '2.16.840.1.113883.1.3'][@extension = 'POCD_HD000040']) <= 1R - 12
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:typeId[@root = '2.16.840.1.113883.1.3'][@extension = 'POCD_HD000040'] appears too often [max 1x].

Test: count(hl7:templateId[@root = '1.2.250.1.213.1.1.1.4.2']) >= 1R - 13
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:templateId[@root = '1.2.250.1.213.1.1.1.4.2'] is mandatory [min 1x].

Test: count(hl7:templateId[@root = '1.2.250.1.213.1.1.1.4.2']) <= 1R - 14
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:templateId[@root = '1.2.250.1.213.1.1.1.4.2'] appears too often [max 1x].

Test: count(hl7:templateId[@root = '2.16.840.1.113883.10.12.1']) >= 1R - 15
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:templateId[@root = '2.16.840.1.113883.10.12.1'] is required [min 1x].

Test: count(hl7:templateId[@root = '2.16.840.1.113883.10.12.1']) <= 1R - 16
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:templateId[@root = '2.16.840.1.113883.10.12.1'] appears too often [max 1x].

Test: count(hl7:id) >= 1R - 17
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:id is required [min 1x].

Test: count(hl7:id) <= 1R - 18
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:id appears too often [max 1x].

Test: count(hl7:code[(@code = '18825-0' and @codeSystem = '2.16.840.1.113883.4.642.3.240') or @nullFlavor]) >= 1R - 19
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:code[(@code = '18825-0' and @codeSystem = '2.16.840.1.113883.4.642.3.240') or @nullFlavor] is required [min 1x].

Test: count(hl7:code[(@code = '18825-0' and @codeSystem = '2.16.840.1.113883.4.642.3.240') or @nullFlavor]) <= 1R - 20
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:code[(@code = '18825-0' and @codeSystem = '2.16.840.1.113883.4.642.3.240') or @nullFlavor] appears too often [max 1x].

Test: count(hl7:title) <= 1R - 21
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:title appears too often [max 1x].

Test: count(hl7:effectiveTime) >= 1R - 22
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:effectiveTime is required [min 1x].

Test: count(hl7:effectiveTime) <= 1R - 23
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:effectiveTime appears too often [max 1x].

Test: count(hl7:confidentialityCode[(@code = 'N' and @codeSystem = '2.16.840.1.113883.5.25') or @nullFlavor]) >= 1R - 24
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:confidentialityCode[(@code = 'N' and @codeSystem = '2.16.840.1.113883.5.25') or @nullFlavor] is required [min 1x].

Test: count(hl7:confidentialityCode[(@code = 'N' and @codeSystem = '2.16.840.1.113883.5.25') or @nullFlavor]) <= 1R - 25
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:confidentialityCode[(@code = 'N' and @codeSystem = '2.16.840.1.113883.5.25') or @nullFlavor] appears too often [max 1x].

Test: count(hl7:languageCode) <= 1R - 26
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:languageCode appears too often [max 1x].

Test: count(hl7:setId) <= 1R - 27
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:setId appears too often [max 1x].

Test: count(hl7:versionNumber) <= 1R - 28
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:versionNumber appears too often [max 1x].

Test: count(hl7:recordTarget) >= 1R - 29
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:recordTarget is required [min 1x].

Test: count(hl7:recordTarget) <= 1R - 30
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:recordTarget appears too often [max 1x].

Test: count(hl7:author[hl7:assignedAuthor]) >= 1R - 31
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:author[hl7:assignedAuthor] is required [min 1x].

Test: count(hl7:author[hl7:assignedAuthor]) <= 1R - 32
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:author[hl7:assignedAuthor] appears too often [max 1x].

Test: count(hl7:dataEnterer[hl7:assignedEntity]) <= 1R - 33
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:dataEnterer[hl7:assignedEntity] appears too often [max 1x].

Test: count(hl7:custodian[hl7:assignedCustodian]) >= 1R - 34
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:custodian[hl7:assignedCustodian] is required [min 1x].

Test: count(hl7:custodian[hl7:assignedCustodian]) <= 1R - 35
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:custodian[hl7:assignedCustodian] appears too often [max 1x].

Test: count(hl7:legalAuthenticator[hl7:signatureCode[@code = doc('/opt/SchematronValidator_prod/bin/schematron/cda_asip/ANS-MS/_pre_compilation/include/voc-2.16.840.1.113883.1.11.10282-DYNAMIC.xml')//valueSet[1]/conceptList/*/@code or @nullFlavor]]) <= 1R - 36
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:legalAuthenticator[hl7:signatureCode[@code = doc('/opt/SchematronValidator_prod/bin/schematron/cda_asip/ANS-MS/_pre_compilation/include/voc-2.16.840.1.113883.1.11.10282-DYNAMIC.xml')//valueSet[1]/conceptList/*/@code or @nullFlavor]] appears too often [max 1x].

Test: count(hl7:componentOf[hl7:encompassingEncounter]) <= 1R - 37
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:componentOf[hl7:encompassingEncounter] appears too often [max 1x].

Test: count(hl7:component[hl7:structuredBody]) >= 1R - 38
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:component[hl7:structuredBody] is required [min 1x].

Test: count(hl7:component[hl7:structuredBody]) <= 1R - 39
Location: /ClinicalDocument
Description: (MS_SDO-ClinicalDocument): element hl7:component[hl7:structuredBody] appears too often [max 1x].

Test: every $elm in descendant-or-self::* satisfies $elm[ not(@nullFlavor) or (@nullFlavor and not(@* except (@xsi:type|@xsi:nil|@classCode|@typeCode|@determinerCode|@moodCode|@nullFlavor|@partType|@codeSystem[. = '2.16.840.1.113883.5.139']|@codeSystemName[. = 'TimingEvent']|@integrityCheckAlgorithm[. = 'SHA-1']|@inverted[. = 'false']|@mediaType[. = 'text/plain']|@operator[. = 'I']|@representation[. = 'TXT']|@inclusive[. = 'true']|@unit[. = '1']) | * | text()[string-length(normalize-space()) gt 0])) or (@nullFlavor = ('OTH', 'NA', 'UNC') and not(@* except (@xsi:type|@xsi:nil|@*:valueSet|@*:valueSetVersion|@codeSystem|@codeSystemName|@codeSystemVersion|@extension|@nullFlavor|@partType|@integrityCheckAlgorithm[. = 'SHA-1']|@mediaType[. = 'text/plain']|@operator[. = 'I']|@representation[. = 'TXT']|@inclusive[. = 'true']|@unit[. = '1'])) and (@extension | @codeSystem | *[local-name()='originalText'] | *[local-name()='translation'])) ]R - 40
Location: /ClinicalDocument/realmCode
Description: dtr1-1-ANY: if there is a nullFlavor, there shall be no text or other attribute or element, unless it's nullFlavor='OTH' or 'NA' (@codeSystem, or may have a value), or nullFlavor 'UNC' (@extension or may have a value). Found:

Test: (@nullFlavor and not(@code or @typeCode)) or (not(@nullFlavor) and (@code or @typeCode))R - 41
Location: /ClinicalDocument/realmCode
Description: dtr1-1-CS: @code/@typeCode and @nullFlavor are mutually exclusive

Test: not(@codeSystem) or @codeSystem = '2.16.840.1.113883.5.139'R - 42
Location: /ClinicalDocument/realmCode
Description: dtr1-2-CS: cannot have codeSystem

Test: not(@codeSystemName) or @codeSystemName = 'TimingEvent'R - 43
Location: /ClinicalDocument/realmCode
Description: dtr1-3-CS: cannot have codeSystemName

Test: not(@codeSystemVersion)R - 44
Location: /ClinicalDocument/realmCode
Description: dtr1-4-CS: cannot have codeSystemVersion

Test: not(@displayName)R - 45
Location: /ClinicalDocument/realmCode
Description: dtr1-5-CS: cannot have displayName

Test: not(hl7:originalText)R - 46
Location: /ClinicalDocument/realmCode
Description: dtr1-6-CS: cannot have originalText

Test: not(hl7:qualifier)R - 47
Location: /ClinicalDocument/realmCode
Description: dtr1-7-CS: cannot have qualifier

Test: not(hl7:translation)R - 48
Location: /ClinicalDocument/realmCode
Description: dtr1-8-CS: cannot have translation

Test: empty(@xsi:type) or resolve-QName(@xsi:type, .) = QName('urn:hl7-org:v3', 'CS')R - 49
Location: /ClinicalDocument/realmCode
Description: (MS_SDO-ClinicalDocument): If an @xsi:type instruction is present it SHALL be valued "{urn:hl7-org:v3}:CS". Found "{}:"

Test: every $elm in descendant-or-self::* satisfies $elm[ not(@nullFlavor) or (@nullFlavor and not(@* except (@xsi:type|@xsi:nil|@classCode|@typeCode|@determinerCode|@moodCode|@nullFlavor|@partType|@codeSystem[. = '2.16.840.1.113883.5.139']|@codeSystemName[. = 'TimingEvent']|@integrityCheckAlgorithm[. = 'SHA-1']|@inverted[. = 'false']|@mediaType[. = 'text/plain']|@operator[. = 'I']|@representation[. = 'TXT']|@inclusive[. = 'true']|@unit[. = '1']) | * | text()[string-length(normalize-space()) gt 0])) or (@nullFlavor = ('OTH', 'NA', 'UNC') and not(@* except (@xsi:type|@xsi:nil|@*:valueSet|@*:valueSetVersion|@codeSystem|@codeSystemName|@codeSystemVersion|@extension|@nullFlavor|@partType|@integrityCheckAlgorithm[. = 'SHA-1']|@mediaType[. = 'text/plain']|@operator[. = 'I']|@representation[. = 'TXT']|@inclusive[. = 'true']|@unit[. = '1'])) and (@extension | @codeSystem | *[local-name()='originalText'] | *[local-name()='translation'])) ]R - 50
Location: /ClinicalDocument/typeId
Description: dtr1-1-ANY: if there is a nullFlavor, there shall be no text or other attribute or element, unless it's nullFlavor='OTH' or 'NA' (@codeSystem, or may have a value), or nullFlavor 'UNC' (@extension or may have a value). Found:

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Indent file

1	<?xml version="1.0" encoding="UTF-8"?>
2	<ClinicalDocument xmlns:mif="urn:hl7-org:v3/mif"
3	xmlns:hl7cnsa="urn:hl7cnsa"
4	xmlns:sch="http://www.ascc.net/xml/schematron"
5	xmlns="urn:hl7-org:v3"
6	xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
7	<realmCode code="FR"/>
8	<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
9	<templateId root="1.2.250.1.213.1.1.1.4.2"/>
10	<templateId root="2.16.840.1.113883.10.12.1"/>
11	<id root="1.2.250.1.213.1.1.1.4.2" extension="idDossierIndiividu"/>
12	<code code="18825-0" codeSystem="2.16.840.1.113883.4.642.3.240" displayName="Medical social services attachment"/>
13	<title>Exemple SDO</title>
14	<effectiveTime value="20221117"/>
15	<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" codeSystemName="Confidentiality" displayName="Normal"/>
16	<languageCode code="fr-FR" />
17
18	<recordTarget>
19	<patientRole>
20	<!-- INS-NIR de production : 1.2.250.1.213.1.4.8 -->
21	<!-- Adresse -->
22	<addr use="PHYS">
23	<streetAddressLine>17 AV de Bruxelles</streetAddressLine>
24	<postalCode>35830</postalCode>
25	<city>Betton</city>
26	</addr>
27	<!-- Téléphone mobile -->
28	<telecom value="tel:0686970800" use="MC"/>
29	<!-- Adresse mail -->
30	<telecom value="mailto:lafayette.marie@gmail.com" />
31	<!-- Assurance maladie -->
32	<hl7cnsa:nomOrganismeAM>CPAM</hl7cnsa:nomOrganismeAM>
33	<hl7cnsa:numSecuriteSocialeOuvrantDroit>276059205062865</hl7cnsa:numSecuriteSocialeOuvrantDroit>
34	<!-- Date de transfert du dossier -->
35	<hl7cnsa:dateTransfertDossier value="20230201"/>
36	<!-- Identité du patient, le patient est renommé individu dans le CNSA -->
37	<patient>
38	<name>
39	<!-- Nom de naissance : Elément obligatoire s’il s’agit de l’identité de référence : Information de l’INS -->
40	<family qualifier="BR">Lafayette</family>
41	<!-- • Nom d’usage : Elément obligatoire s’il s’agit de l’identité de référence : Information de l’INS -->
42	<family qualifier="SP">Lafayette</family>
43	<!-- Prénom acte de naissance -->
44	<given>Marie</given>
45	<!-- Premier prénom de l'acte de naissance -->
46	<given qualifier="BR">Marie</given>
47	<!-- Prénom utilisé -->
48	<given qualifier="CL">Marie</given>
49	</name>
50	<administrativeGenderCode code="F" displayName="Féminin" codeSystem="1.2.250.1.213.2.53"/>
51	<birthTime value="19960531"/>
52
53	<!-- Mesure de protection -->
54	<guardian>
55	<code code="1" displayName="Tutelle" codeSystem="1.2.250.1.213.3.3.208"/>
56	<addr use="PHYS">
57	<postalCode>35000</postalCode>
58	<city>Rennes</city>
59	</addr>
60	<telecom value="tel:0186940900"/>
61
62	<guardianPerson> <!-- Personne physique désignée responsable de l’individu par le juge des tutelles-->
63	<name>
64	<prefix>Madame</prefix>
65	<family>Lafayette</family>
66	<given>Flore</given>
67	</name>
68	</guardianPerson>
69	</guardian>
70
71	<!-- Lieu et date de naissance -->
72	<birthplace>
73	<place>
74	<addr use="PHYS">
75	<county>35238</county>
76	<city>RENNES</city>
77	</addr>
78	</place>
79	</birthplace>
80
81	</patient>
82	</patientRole>
83	</recordTarget>
84
85	<!-- MDPH initiale -->
86	<author contextControlCode="OP" typeCode="AUT">
87	<time value="20221201093000+0100"/>
88	<assignedAuthor classCode="ASSIGNED">
89	<id root="1.2.250.1.213.7.14" extension="14-CALVADOS"/>
90	</assignedAuthor>
91	</author>
92
93	<!-- Parent(s) du patient -->
94	<informant>
95	<relatedEntity classCode="PRS">
96	<code code="MTH" displayName="Mère" codeSystem="2.16.840.1.113883.5.111">
97	<originalText>mère du patient</originalText>
98	</code>
99	<addr use="PHYS">
100	<streetAddressLine>5 AV de Paris</streetAddressLine>
101	<postalCode>75007</postalCode>
102	<city>PARIS</city>
103	</addr>
104	<telecom value="tel:0186940910" />
105	<hl7cnsa:autoriteParentale value="true"></hl7cnsa:autoriteParentale> <!-- indicateur de l'autorité parentale -->
106	<relatedPerson>
107	<name>
108	<prefix>Madame</prefix>
109	<family>Lafayette</family>
110	<given>Elise</given>
111	</name>
112	</relatedPerson>
113	</relatedEntity>
114	</informant>
115
116	<!-- MDPH actuellement en charge du dossier -->
117	<custodian>
118	<assignedCustodian>
119	<representedCustodianOrganization>
120	<id root="1.2.250.1.213.7.25" extension="23-CREUSE"/>
121	</representedCustodianOrganization>
122	</assignedCustodian>
123	</custodian>
124
125	<!-- Corps du document -->
126	<component>
127	<structuredBody>
128
129	<component>
130	<!-- Section représentant les informations sur le décès de l’individu -->
131	<section>
132	<templateId root="1.2.250.1.213.1.1.2.228"></templateId>
133	<templateId root="2.16.840.1.113883.10.12.201"></templateId>
134	<entry>
135	<observation classCode="OBS" moodCode="EVN">
136	<templateId root="1.2.250.1.213.1.1.3.176"></templateId>
137	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
138	<code> <originalText>CertificationDeces</originalText> </code>
139	<effectiveTime value="20221201"/>
140	<value xsi:type="CE" code="1" codeSystem="1.2.250.1.213.3.3.100" displayName="Certifié"></value>
141	</observation>
142	</entry>
143	</section>
144	</component>
145
146	<component>
147	<!-- Section représentant l’évaluation d’un individu -->
148	<section>
149	<templateId root="1.2.250.1.213.1.1.2.229"/>
150	<templateId root="2.16.840.1.113883.10.12.201"/>
151	<text>20230110</text> <!-- Date de dernière mise à jour de la qualification de la situation et des besoins -->
152
153	<!-- Eléments environnementaux -->
154	<component>
155	<section>
156	<templateId root="1.2.250.1.213.1.1.2.230"/>
157	<templateId root="2.16.840.1.113883.10.12.201"/>
158	<!-- Composition du foyer -->
159	<entry>
160	<observation classCode="OBS" moodCode="EVN">
161	<templateId root="1.2.250.1.213.1.1.3.177"></templateId>
162	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
163	<code nullFlavor="NA">
164	<originalText>CompositionFoyer</originalText>
165	</code>
166	<value xsi:type="CE" code="II.1.bis.1" codeSystem="1.2.250.1.213.3.3.106" displayName="vit seule"></value>
167	</observation>
168	</entry>
169	<!-- type d'hébergement -->
170	<entry>
171	<observation classCode="OBS" moodCode="EVN">
172	<templateId root="1.2.250.1.213.1.1.3.178"></templateId>
173	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
174	<code><originalText>TypeHebergement</originalText></code>
175	<value xsi:type="CE" code="III.1.1" codeSystem="1.2.250.1.213.3.3.207" displayName="Domicile personnel"></value>
176	</observation>
177	</entry>
178	<!-- Caractéristiques du logement -->
179	<entry>
180	<observation classCode="OBS" moodCode="EVN">
181	<templateId root="1.2.250.1.213.1.1.3.179"></templateId>
182	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
183	<code><originalText>CaracteristiqueLogement</originalText></code>
184	<value xsi:type="CE" code="III.5.4" codeSystem="1.2.250.1.213.3.3.99" displayName="logement accessible, adapté"></value>
185	</observation>
186	</entry>
187	<!-- Ressources propres de la personne -->
188	<entry>
189	<observation classCode="OBS" moodCode="EVN">
190	<templateId root="1.2.250.1.213.1.1.3.180"></templateId>
191	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
192	<code><originalText>RessourceProprePersonne</originalText></code>
193	<value xsi:type="CE" code="II.3.2.a" codeSystem="1.2.250.1.213.3.3.174" displayName="a des ressources personnelles issues d'un salaire ou d'autre revenu du travail" ></value>
194	</observation>
195	</entry>
196	<!-- Caractéristiques transport -->
197	<entry>
198	<observation classCode="OBS" moodCode="EVN">
199	<templateId root="1.2.250.1.213.1.1.3.181"></templateId>
200	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
201	<code> <originalText>CaracteristiqueTransport</originalText></code>
202	<value xsi:type="CE" code="IV.2" codeSystem="1.2.250.1.213.3.3.201" displayName="utilisation des transports en commun"></value>
203	</observation>
204	</entry>
205	</section>
206	</component>
207
208	<!-- Eléments médicaux -->
209	<component>
210	<section>
211	<templateId root="1.2.250.1.213.1.1.2.231"></templateId>
212	<templateId root="2.16.840.1.113883.10.12.201"></templateId>
213	<!-- Pathologie principale -->
214	<entry>
215	<observation classCode="OBS" moodCode="EVN">
216	<templateId root="1.2.250.1.213.1.1.3.182"></templateId>
217	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
218	<code> <originalText>PathologiePrincipale</originalText></code>
219	<value xsi:type="CE" code="A81" codeSystem="1.2.250.1.213.3.3.162" displayName="Infections atypiques à virus, du système nerveux central"></value>
220	</observation>
221	</entry>
222	<!-- Pathologie secondaire -->
223	<entry>
224	<observation classCode="OBS" moodCode="EVN">
225	<templateId root="1.2.250.1.213.1.1.3.183"></templateId>
226	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
227	<code> <originalText>PathologieSecondaire</originalText></code>
228	<value xsi:type="CE" code="C17" codeSystem="1.2.250.1.213.3.3.162" displayName="Tumeur maligne de l'intestin grêle"></value>
229	</observation>
230	</entry>
231	<!-- Maladie rare -->
232	<entry>
233	<observation classCode="OBS" moodCode="EVN">
234	<templateId root="1.2.250.1.213.1.1.3.184"></templateId>
235	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
236	<code> <originalText>MaladieRare</originalText></code>
237	<value xsi:type="CE" code="VII.1.b" codeSystem="1.2.250.1.213.3.3.212" displayName="non, ce n'est pas une maladie rare"></value>
238	</observation>
239	</entry>
240	<!-- Handicap rare -->
241	<entry>
242	<observation classCode="OBS" moodCode="EVN">
243	<templateId root="1.2.250.1.213.1.1.3.185"></templateId>
244	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
245	<code> <originalText>HandicapRare</originalText></code>
246	<value xsi:type="CE" code="VII.9.bis.2" codeSystem="1.2.250.1.213.3.3.213"></value>
247	</observation>
248	</entry>
249	<!-- Déficience principale -->
250	<entry>
251	<observation classCode="OBS" moodCode="EVN">
252	<templateId root="1.2.250.1.213.1.1.3.186"></templateId>
253	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
254	<code> <originalText>DeficiencePrincipale</originalText></code>
255	<value xsi:type="CE" code="9999" codeSystem="1.2.250.1.213.3.3.108" displayName="Pas de déficience"></value>
256	</observation>
257	</entry>
258	<!-- Prise en charge -->
259	<entry>
260	<observation classCode="OBS" moodCode="EVN">
261	<templateId root="1.2.250.1.213.1.1.3.188"></templateId>
262	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
263	<code> <originalText>PriseEnCharge</originalText></code>
264	<value xsi:type="CE" code="VII.10.2.k.3" codeSystem="1.2.250.1.213.3.3.170" displayName="nécessité d'assurer une prévention pulmonaire"></value>
265	</observation>
266	</entry>
267	<!-- Difficulté rencontrée -->
268	<entry>
269	<observation classCode="OBS" moodCode="EVN">
270	<templateId root="1.2.250.1.213.1.1.3.189"></templateId>
271	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
272	<code> <originalText>DifficulteRencontree</originalText></code>
273	<value xsi:type="CE" code="IX.2.b.6.g" codeSystem="1.2.250.1.213.3.3.86" displayName="gère seul et avec difficulté l'activité utiliser les transports en commun"></value>
274	</observation>
275	</entry>
276	</section>
277	</component>
278
279	<!-- Eléments Scolaires ou Professionnels -->
280	<component>
281	<section>
282	<templateId root="1.2.250.1.213.1.1.2.232"></templateId>
283	<templateId root="2.16.840.1.113883.10.12.201"></templateId>
284	<!-- Situation par rapport à la scolarité -->
285	<entry>
286	<observation classCode="OBS" moodCode="EVN">
287	<templateId root="1.2.250.1.213.1.1.3.190"></templateId>
288	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
289	<code> <originalText>SituationScolarité</originalText></code>
290	<value xsi:type="CE" code="II.2.2.a.9" codeSystem="1.2.250.1.213.3.3.178" displayName="Formation en CFA "></value>
291	</observation>
292	</entry>
293	<!-- Temps de scolarisation -->
294	<entry>
295	<observation classCode="OBS" moodCode="EVN">
296	<templateId root="1.2.250.1.213.1.1.3.191"></templateId>
297	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
298	<code> <originalText>TempsScolarisation</originalText></code>
299	<value xsi:type="CE" code="V.5.10" codeSystem="1.2.250.1.213.3.3.198" displayName="9 demi-journées"></value>
300	</observation>
301	</entry>
302	<!-- Evaluation scolarité -->
303	<entry>
304	<observation classCode="OBS" moodCode="EVN">
305	<templateId root="1.2.250.1.213.1.1.3.192"></templateId>
306	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
307	<code> <originalText>EvaluationScolarité</originalText></code>
308	<value xsi:type="CE" code="V.2.1" codeSystem="1.2.250.1.213.3.3.122" displayName="scolarité sans aménagements avec acquisitions comparables en rythme et en contenu à la classe d'âge"></value>
309	</observation>
310	</entry>
311	<!-- Niveau de formation professionnelle -->
312	<entry>
313	<observation classCode="OBS" moodCode="EVN">
314	<templateId root="1.2.250.1.213.1.1.3.193"></templateId>
315	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
316	<code> <originalText>NiveauFormationProfessionnelle</originalText></code>
317	<value xsi:type="CE" code="VI.1.bis.10" codeSystem="1.2.250.1.213.3.3.152" displayName="Niv. 6 - Bac + 4 - Maîtrise"></value>
318	</observation>
319	</entry>
320	<!-- Situation par rapport au travail -->
321	<entry>
322	<observation classCode="OBS" moodCode="EVN">
323	<templateId root="1.2.250.1.213.1.1.3.194"></templateId>
324	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
325	<code> <originalText>SituationProfessionnelle</originalText></code>
326	<value xsi:type="CE" code="VI.3.bis.2.e" codeSystem="1.2.250.1.213.3.3.179" displayName="travaille en CDI"></value>
327	</observation>
328	</entry>
329	<!-- Aptitude actuelle au poste -->
330	<entry>
331	<observation classCode="OBS" moodCode="EVN">
332	<templateId root="1.2.250.1.213.1.1.3.195"></templateId>
333	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
334	<code> <originalText>AptitudePoste</originalText></code>
335	<value xsi:type="CE" code="VI.4.septies.1.a" codeSystem="1.2.250.1.213.3.3.89" displayName="apte sans restriction sans aménagement de poste"></value>
336	</observation>
337	</entry>
338	<!-- Perspectives professionnelles -->
339	<entry>
340	<observation classCode="OBS" moodCode="EVN">
341	<templateId root="1.2.250.1.213.1.1.3.196"></templateId>
342	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
343	<code> <originalText>PerspectiveProfessionnelle</originalText></code>
344	<value xsi:type="CE" code="VI.5.4" codeSystem="1.2.250.1.213.3.3.164" displayName="reconversion professionnelle"></value>
345	</observation>
346	</entry>
347	</section>
348	</component>
349
350	<!-- Evolution et Besoins -->
351	<component>
352	<section>
353	<templateId root="1.2.250.1.213.1.1.2.233"></templateId>
354	<templateId root="2.16.840.1.113883.10.12.201"></templateId>
355	<!-- Evolution envisagée -->
356	<entry>
357	<observation classCode="OBS" moodCode="EVN">
358	<templateId root="1.2.250.1.213.1.1.3.197"></templateId>
359	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
360	<code> <originalText>EvolutionEnvisagee</originalText></code>
361	<value xsi:type="CE" code="VII.7.2" codeSystem="1.2.250.1.213.3.3.124" displayName="stabilité envisagée"></value>
362	</observation>
363	</entry>
364	<!-- Evolution constatée -->
365	<entry>
366	<observation classCode="OBS" moodCode="EVN">
367	<templateId root="1.2.250.1.213.1.1.3.198"></templateId>
368	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
369	<code> <originalText>EvolutionConstatee</originalText></code>
370	<value xsi:type="CE" code="VII.8.1" codeSystem="1.2.250.1.213.3.3.123" displayName="amélioration depuis la précédente évaluation"></value>
371	</observation>
372	</entry>
373	<!--Besoins de compensation identifiés -->
374	<entry>
375	<observation classCode="OBS" moodCode="EVN">
376	<templateId root="1.2.250.1.213.1.1.3.199"></templateId>
377	<templateId root="2.16.840.1.113883.10.12.303"></templateId>
378	<code> <originalText>BesoinCompensation</originalText></code>
379	<value xsi:type="CE" code="9999" codeSystem="1.2.250.1.213.3.3.94" displayName="Pas de besoins"></value>
380	</observation>
381	</entry>
382	</section>
383	</component>
384	</section>
385	</component>
386
387	<component>
388	<!-- Section représentant les informations sur la décision de l’individu -->
389	<section>
390	<templateId root="1.2.250.1.213.1.1.2.235"></templateId>
391	<hl7cnsa:decision>
392	<hl7cnsa:identifiantDecision nullFlavor="NA"/>
393	<hl7cnsa:typeDeDecision code="1" displayName="Attribution" codeSystem="1.2.250.1.213.3.3.202"/>
394	<hl7cnsa:dateDeDecision value="20220101"/>
395	<hl7cnsa:motivation code="364" displayName="Attrib PCH3 à 0€ adulte surcoût pris en charge ESMS" codeSystem="1.2.250.1.213.3.3.148"/>
396	<hl7cnsa:droitPrestation>
397	<hl7cnsa:typeDroitOuPrestation code="13.2" displayName="Orientation vers un Etablissement d'accueil médicalisé en tout ou partie" codeSystem="1.2.250.1.213.3.3.204"/>
398	<hl7cnsa:natureDroit code="1" displayName="Nouveau droit" codeSystem="1.2.250.1.213.3.3.151"/>
399	<hl7cnsa:dateOuvertureDuDroit value="20220104"></hl7cnsa:dateOuvertureDuDroit>
400	<hl7cnsa:dateEcheanceDuDroit value="20230104"></hl7cnsa:dateEcheanceDuDroit>
401	<hl7cnsa:qualification code="1" displayName="cible" codeSystem="1.2.250.1.213.3.3.171"/>
402	<hl7cnsa:amendementCreton value="true"/>
403	<hl7cnsa:existencePAG value="true"/>
404	<hl7cnsa:caracterisation>
405	<hl7cnsa:niveau code="4" displayName="Priorité 4" codeSystem="1.2.250.1.213.3.3.98" />
406	<hl7cnsa:motif code="9" displayName="Maintien à domicile inadapté" codeSystem="1.2.250.1.213.3.3.141"/> <!-- No_motif_caracterisation non found -->
407	<hl7cnsa:dateMiseAJour value="20230404"/>
408	</hl7cnsa:caracterisation>
409	<!-- Detail type droit et prestation-->
410	<hl7cnsa:detailTypeDroitPrestation>
411	<hl7cnsa:temporaliteAccueil code="02" displayName="Temporaire" codeSystem="1.2.250.1.213.3.3.31"/>
412	<hl7cnsa:accueilSequentiel value="false"/>
413	<hl7cnsa:categorieEtablissement code="101" displayName="Centre Hospitalier Régional (C.H.R.)" codeSystem="1.2.250.1.213.1.6.1.8"/>
414	<hl7cnsa:categorieOrganisation code="09" displayName="Centre Expert" codeSystem="1.2.250.1.213.3.3.39"/>
415	<hl7cnsa:nbJourDerogationAccueilTemporaire value="16"/>
416	<hl7cnsa:priseEnCharge>
417	<hl7cnsa:modePriseEnCharge code="46" displayName="Hébergement (accueil jour et nuit)" codeSystem="1.2.250.1.213.3.3.13"/>
418	<hl7cnsa:quantification>
419	<hl7cnsa:nombre value="15"></hl7cnsa:nombre>
420	<hl7cnsa:unite code="2" displayName="Journée" codeSystem="1.2.250.1.213.3.3.211"/>
421	<hl7cnsa:periodicite code="3" displayName="Mensuelle" codeSystem="1.2.250.1.213.3.3.163"/>
422	</hl7cnsa:quantification>
423	</hl7cnsa:priseEnCharge>
424	</hl7cnsa:detailTypeDroitPrestation>
425	</hl7cnsa:droitPrestation>
426	</hl7cnsa:decision>
427	</section>
428	</component>
429
430	</structuredBody>
431	</component>
432	</ClinicalDocument>

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