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Source1

{
  "resourceType": "ConceptMap",
  "id": "FRProcedureLMCDAFHIR",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://interop.esante.gouv.fr/ig/document-core/ConceptMap/FRProcedureLMCDAFHIR",
  "version": "0.1.0",
  "title": "Mapping Métier/CDA/FHIR : \"Acte\"",
  "status": "draft",
  "date": "2026-07-16T16:44:47+00:00",
  "publisher": "Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris",
  "contact": [
    {
      "name": "Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris",
      "telecom": [
        {
          "system": "url",
          "value": "https://esante.gouv.fr"
        }
      ]
    }
  ],
  "description": "Mapping des éléments du modèle métier FRLMActe vers le profil CDA FRCDAActe, puis vers le profil FHIR FRProcedureDocument.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "FR",
          "display": "France (la)"
        }
      ]
    }
  ],
  "group": [
    {
      "source": "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-lm-acte",
      "target": "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-cda-acte",
      "element": [
        {
          "code": "FRLMActe",
          "target": [
            {
              "code": "FRCDAActe",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.identifiant",
          "target": [
            {
              "code": "FRCDAActe.id",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.description",
          "target": [
            {
              "code": "FRCDAActe.text",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.code",
          "target": [
            {
              "code": "FRCDAActe.code",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.titre",
          "target": [
            {
              "equivalence": "unmatched",
              "comment": "Le titre métier n’a pas d’équivalent structuré en CDA."
            }
          ]
        },
        {
          "code": "FRLMActe.statut",
          "target": [
            {
              "code": "FRCDAActe.statusCode",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.date",
          "target": [
            {
              "code": "FRCDAActe.effectiveTime",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.priorite",
          "target": [
            {
              "code": "FRCDAActe.priorityCode",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.localisationAnatomique",
          "target": [
            {
              "code": "FRCDAActe.targetSiteCode",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.voieDAbord",
          "target": [
            {
              "code": "FRCDAActe.approachSiteCode",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.perfomer",
          "target": [
            {
              "code": "FRCDAActe.performer",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.auteur",
          "target": [
            {
              "code": "FRCDAActe.author",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.informateur",
          "target": [
            {
              "code": "FRCDAActe.informant",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.participant",
          "target": [
            {
              "code": "FRCDAActe.participant",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.circonstances",
          "target": [
            {
              "code": "FRCDAActe.entryRelationship:frReferenceInterneCirconstances",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.reason",
          "target": [
            {
              "code": "FRCDAActe.entryRelationship:frReferenceInterneMotifActe",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.dispositifMedical",
          "target": [
            {
              "code": "FRCDAActe.entryRelationship:frReferenceInterneDM",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.difficulte",
          "target": [
            {
              "code": "FRCDAActe.entryRelationship:frSimpleObservationDifficulte",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRLMActe.scores",
          "target": [
            {
              "code": "FRCDAActe.entryRelationship:frSimpleObservationScores",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source": "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-cda-acte",
      "target": "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-procedure-document",
      "element": [
        {
          "code": "FRCDAActe",
          "target": [
            {
              "code": "FRProcedureDocument",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRCDAActe.id",
          "target": [
            {
              "code": "FRProcedureDocument.identifier",
              "equivalence": "equivalent",
              "comment": "L'élément id en CDA devient identifier en FHIR."
            }
          ]
        },
        {
          "code": "FRCDAActe.code",
          "target": [
            {
              "code": "FRProcedureDocument.code",
              "equivalence": "equivalent",
              "comment": "Le code CDA correspond au code FHIR."
            }
          ]
        },
        {
          "code": "FRCDAActe.effectiveTime",
          "target": [
            {
              "code": "FRProcedureDocument.performed[x]",
              "equivalence": "equivalent",
              "comment": "effectiveTime → performedDateTime ou performedPeriod."
            }
          ]
        },
        {
          "code": "FRCDAActe.text",
          "target": [
            {
              "code": "FRProcedureDocument.note",
              "equivalence": "equivalent",
              "comment": "text CDA devient note/annotation FHIR."
            }
          ]
        },
        {
          "code": "FRCDAActe.statusCode",
          "target": [
            {
              "code": "FRProcedureDocument.status",
              "equivalence": "equivalent",
              "comment": "statusCode CDA → status FHIR."
            }
          ]
        },
        {
          "code": "FRCDAActe.entryRelationship:frReferenceInterneDM",
          "target": [
            {
              "code": "FRProcedureDocument.usedReference",
              "equivalence": "equivalent",
              "comment": "DM référencé dans usedReference."
            }
          ]
        },
        {
          "code": "FRCDAActe.entryRelationship:frSimpleObservationScores",
          "target": [
            {
              "code": "FRProcedureDocument.partOf",
              "equivalence": "equivalent",
              "comment": "Les observations liées aux scores deviennent partOf."
            }
          ]
        },
        {
          "code": "FRCDAActe.performer",
          "target": [
            {
              "code": "FRProcedureDocument.performer.actor.extension:Intervenant",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRCDAActe.informant",
          "target": [
            {
              "code": "FRProcedureDocument.performer.actor.extension:Informateur",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRCDAActe.participant",
          "target": [
            {
              "code": "FRProcedureDocument.performer.actor.extension:Participant",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRCDAActe.entryRelationship:frReferenceInterneMotifActe",
          "target": [
            {
              "code": "FRProcedureDocument.reasonReference",
              "equivalence": "equivalent",
              "comment": "Motif de l'acte en CDA correspond à reasonReference en FHIR."
            }
          ]
        },
        {
          "code": "FRCDAActe.entryRelationship:frReferenceInterneCirconstances",
          "target": [
            {
              "code": "FRProcedureDocument.encounter",
              "equivalence": "equivalent",
              "comment": "Référence de contexte CDA → Encounter FHIR."
            }
          ]
        },
        {
          "code": "FRCDAActe.entryRelationship:frSimpleObservationDifficulte",
          "target": [
            {
              "code": "FRProcedureDocument.extension:difficulte",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRCDAActe.author",
          "target": [
            {
              "code": "FRProcedureDocument.recorder.extension:author",
              "equivalence": "equivalent",
              "comment": "author CDA → recorder FHIR."
            }
          ]
        },
        {
          "code": "FRCDAActe.priorityCode",
          "target": [
            {
              "code": "FRProcedureDocument.extension:priority",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRCDAActe.targetSiteCode",
          "target": [
            {
              "code": "FRProcedureDocument.bodySite.TargetSiteCode",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "FRCDAActe.approachSiteCode",
          "target": [
            {
              "code": "FRProcedureDocument.bodySite.ApproachSiteCode",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    }
  ]
}