Guide d'implémentation Fr Core
2.2.0-ballot - ballot France flag

Guide d'implémentation Fr Core - version de développement local (v2.2.0-ballot) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

Resource Profile: FR Core Patient INS Profile

Official URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins Version: 2.2.0-ballot
Active as of 2025-11-29 Computable Name: FRCorePatientINSProfile

FR Core Patient profile overspecified to comply with the requirements of the National Health Identity (INS) framework. The INS identifier can only be conveyed in the case of a qualified identity, which is why the identifier slices are defined in the FRCorePatientINS profile and not in the FRCorePatient profile.

Profil Fr Core Patient surspécifié pour être conforme aux exigences du référentiel d’Identité Nationale de Santé (INS). Le matricule INS ne peut être véhiculé que dans le cas d’une identité qualifiée, raison pour laquelle les slices identifier sont définies au niveau du FRCorePatientINS et non au niveau du FRCorePatient.

Usage

Le profil hérite de FRCorePatient enrichi de l’identité INS récupérée par le téléservice INSi et potentiellement qualifiée.

Ce profil permet d’indiquer les contraintes fortes nécessaires pour modéliser un patient avec les traits INS et le matricule INS, marqués en MustSupport (carré rouge contenant un S).

Une ressource conforme au profil FRCorePatientINSProfile sera également conforme au profil FRCorePatientProfile grâce au principe d’héritage, il n’est donc pas nécessaire d’avoir une instance de chaque profil pour un même patient.

Les identifiants INS-NIR ne peuvent être véhiculés uniquement dans le cas d’un patient qualifié (cf EXI 12 du référentiel INS version 2.1), raison pour laquelle les slices identifier sont définies au niveau du FrCorePatientINS et non au niveau du FrCorePatient.

Pour plus d’informations sur le contexte du patient INS, consultez le référentiel national d’identitovigilance (RNIV) et la documentation du référentiel INS de l’ANS :

Utilisations:

You can also check for usages in the 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
.. Patient C 0..* FRCorePatientProfile Information about an individual or animal receiving health care services
Constraints: fr-core-1, fr-core-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
.... extension:nationality 0..1 (Complexe) Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
.... extension:identityReliability 0..* (Complexe) Reliabilility of the identity | Fiabilité de l'identité
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:methodCollection 0..1 Extension The way the INS identity is collected | Mode d'obtention de l'INS (SM, CV, INSI, ...)
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "methodCollection"
...... extension:dateCollection 0..1 Extension INS collection date| date d'interrogation du téléservice INSi
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "dateCollection"
...... extension:identityStatus 0..1 Extension Il s'agit du statut de l'identité (VALI | PROV | FICT | DOUT | ...). Dans certains cas il peut également être nécessaire de véhiculer, la notion d’attribut d’identité. Les combinaisons autorisées entre statuts et attributs sont décrites dans le Référentiel National d’Identito-Vigilance.
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "identityStatus"
...... extension:validationDate 0..1 Extension Date de vérification de l'identité
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "validationDate"
...... extension:validationMode 0..1 Extension Extension
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "validationMode"
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Mode validation identity INS (required)
..... url 1..1 uri "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability"
.... extension:deathPlace 0..1 string FR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
.... extension:birthDateUpdateIndicator 0..1 boolean FR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
.... extension:birthPlace S 1..1 (Complexe) Place of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 FRCoreAddressProfile Value of extension
...... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
....... extension:inseeCode 1..1 Coding FR Core Address Insee Code Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code
Binding: FR Core ValueSet INSEE code (required)
...... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Exemple General: home
.... extension:multipleBirth 0..1 integer Rang Gémellaire
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Patient.multipleBirth
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:NSS Σ 0..1 Identifier National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : NH
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-C Σ 0..* Identifier Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-C
....... display 1..1 string Representation defined by the system
Valeur fixe : Identifiant National de Santé Calculé
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.213.1.4.2
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:NDP Σ 0..1 Identifier French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : NDP
....... display 1..1 string Representation defined by the system
Valeur fixe : Identifiant du patient au Dossier Pharmaceutique
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.176.1.2
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:PI Σ 0..* Identifier Hospital assigned patient identifier | Identifiant Patient Permanent (IPP).
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: FR Core ValueSet Patient identifier use PI (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : PI
....... display 1..1 string Representation defined by the system
Valeur fixe : Patient internal identifier
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Exemple General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:RRI Σ 0..* Identifier Regional Registry ID | Identifiant régional
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : RRI
....... display 1..1 string Representation defined by the system
Valeur fixe : Regional registry ID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Exemple General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-NIR SΣ 0..* Identifier INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
..... use ?!Σ 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d'affectation des INS-NIR
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-NIR-TEST Σ 0..* Identifier Identifiant INS-NIR du patient fictif de test
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-TEST
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d’affectation des INS-NIR de test
Motif requis: urn:oid:1.2.250.1.213.1.4.10
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-NIR-DEMO Σ 0..* Identifier Identifiant INS-NIR du patient fictif de démonstration
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-DEMO
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d’affectation des INS-NIR de démonstration
Motif requis: urn:oid:1.2.250.1.213.1.4.11
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-NIA SΣ 0..* Identifier INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
..... use ?!Σ 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIA
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d'affectation des INS-NIA
Motif requis: urn:oid:1.2.250.1.213.1.4.9
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices pour name Σ 1..* FRCoreHumanNameProfile A name associated with the patient
Slice: Non ordonné, Ouvert par value:use
.... name:usualName Σ 0..* HumanName Name of a human | Nom utilisé
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Motif requis: usual
.... name:officialName SΣ 1..1 HumanName Name of a human | Nom de naissance
..... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
...... extension:birth-list-given-name S 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Motif requis: official
..... family Σ 1..1 string Family name (often called 'Surname')
..... given Σ 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'.
Ordre de répétition de cet élément : Given Names appear in the correct order for presenting the name
... gender SΣ 1..1 code male | female | unknown
Binding: FR Core ValueSet Patient gender (required)
... birthDate SΣ 1..1 date The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Patient.extension:identityReliability.​extension:validationMode.​value[x] Base required FR Core ValueSet Mode validation identity INS 📦2.2.0-ballot cet IG
Patient.extension:birthPlace.​value[x].use Base required AddressUse 📍4.0.1 Std. FHIR
Patient.identifier:NSS.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:NSS.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:INS-C.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-C.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:NDP.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:NDP.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:PI.​use Base required FR Core ValueSet Patient identifier use PI 📦2.2.0-ballot cet IG
Patient.identifier:PI.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:RRI.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:RRI.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-TEST.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-TEST.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-DEMO.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-DEMO.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIA.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIA.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.name:usualName.​use Base required NameUse 📍4.0.1 Std. FHIR
Patient.name:officialName.​use Base required NameUse 📍4.0.1 Std. FHIR
Patient.gender Base required FR Core ValueSet Patient gender 📦2.2.0-ballot cet IG
Patient.link.type Base required LinkType 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 bonne pratique Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **TOUS** les éléments All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **TOUTES** les extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
fr-core-1 error Patient If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST] or Patient.identifier[INS-NIR-DEMO] SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.11' and use = 'official').exists())
fr-core-2 error Patient If identityReliability status = 'VALI', then only one identifier of type official SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(use = 'official').count() = 1)

This structure is derived from FRCorePatientProfile

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Patient C 0..* FRCorePatientProfile Information about an individual or animal receiving health care services
Constraints: fr-core-1, fr-core-2
... meta
.... Slices pour profile Contenu/Règles pour toutes les slices
..... profile:fr-ins-canonical 0..1 canonical(StructureDefinition) Profiles this resource claims to conform to
Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins
... extension 1..* Extension Extension
... Slices pour extension Contenu/Règles pour toutes les slices
.... extension:identityReliability 0..* FRCorePatientIdentityReliabilityExtension Reliabilility of the identity | Fiabilité de l'identité
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:validationMode 0..1 Extension Extension
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Mode validation identity INS (required)
.... extension:birthPlace S 1..1 PatBirthPlace(5.2.0) Place of Birth for patient
..... value[x]
...... extension 1..* Extension Extension
...... Slices pour extension Contenu/Règles pour toutes les slices
....... extension:inseeCode 1..1 FRCoreAddressInseeCodeExtension FR Core Address Insee Code Extension
... Slices pour identifier Contenu/Règles pour toutes les slices
.... identifier:INS-NIR S 0..* Identifier INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
..... use 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type 1..1 CodeableConcept Description of identifier
Motif requis: Au moins les éléments suivants
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR
..... system 1..1 uri Autorité d'affectation des INS-NIR
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value 1..1 string The value that is unique
.... identifier:INS-NIR-TEST 0..* Identifier Identifiant INS-NIR du patient fictif de test
..... use 1..1 code usual | official | temp | secondary | old (If known)
Motif requis: official
..... type 1..1 CodeableConcept Description of identifier
Motif requis: Au moins les éléments suivants
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-TEST
..... system 1..1 uri Autorité d’affectation des INS-NIR de test
Motif requis: urn:oid:1.2.250.1.213.1.4.10
..... value 1..1 string The value that is unique
.... identifier:INS-NIR-DEMO 0..* Identifier Identifiant INS-NIR du patient fictif de démonstration
..... use 1..1 code usual | official | temp | secondary | old (If known)
Motif requis: official
..... type 1..1 CodeableConcept Description of identifier
Motif requis: Au moins les éléments suivants
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-DEMO
..... system 1..1 uri Autorité d’affectation des INS-NIR de démonstration
Motif requis: urn:oid:1.2.250.1.213.1.4.11
..... value 1..1 string The value that is unique
.... identifier:INS-NIA S 0..* Identifier INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
..... use 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type 1..1 CodeableConcept Description of identifier
Motif requis: Au moins les éléments suivants
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIA
..... system 1..1 uri Autorité d'affectation des INS-NIA
Motif requis: urn:oid:1.2.250.1.213.1.4.9
..... value 1..1 string The value that is unique
... name 1..* FRCoreHumanNameProfile A name associated with the patient
... Slices pour name Contenu/Règles pour toutes les slices
.... name:officialName S 1..1 HumanName Name of a human | Nom de naissance
..... extension 1..* Extension Extension
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:birth-list-given-name S 1..1 FRCorePatientBirthListGivenName Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
..... given 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'.
... gender S 1..1 code male | female | unknown
... birthDate S 1..1 date The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.

doco Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Patient.extension:identityReliability.​extension:validationMode.​value[x] Base required FR Core ValueSet Mode validation identity INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIA.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG

Contraintes

Id Grade Chemin(s) Description Expression
fr-core-1 error Patient If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST] or Patient.identifier[INS-NIR-DEMO] SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.11' and use = 'official').exists())
fr-core-2 error Patient If identityReliability status = 'VALI', then only one identifier of type official SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(use = 'official').count() = 1)
NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Patient C 0..* FRCorePatientProfile Information about an individual or animal receiving health care services
Constraints: fr-core-1, fr-core-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices pour profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Non ordonné, Ouvert par value:$this
..... profile:fr-canonical Σ 0..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
..... profile:fr-ins-canonical Σ 0..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
.... extension:nationality 0..1 (Complexe) Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
.... extension:identityReliability 0..* (Complexe) Reliabilility of the identity | Fiabilité de l'identité
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
..... id 0..1 string Unique id for inter-element referencing
..... Slices pour extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
...... extension:methodCollection 0..1 Extension The way the INS identity is collected | Mode d'obtention de l'INS (SM, CV, INSI, ...)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "methodCollection"
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Identity method collection (extensible)
...... extension:dateCollection 0..1 Extension INS collection date| date d'interrogation du téléservice INSi
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "dateCollection"
....... value[x] 0..1 date Value of extension
...... extension:identityStatus 0..1 Extension Il s'agit du statut de l'identité (VALI | PROV | FICT | DOUT | ...). Dans certains cas il peut également être nécessaire de véhiculer, la notion d’attribut d’identité. Les combinaisons autorisées entre statuts et attributs sont décrites dans le Référentiel National d’Identito-Vigilance.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "identityStatus"
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Identity reliability (extensible)
...... extension:validationDate 0..1 Extension Date de vérification de l'identité
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "validationDate"
....... value[x] 0..1 date Value of extension
...... extension:validationMode 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "validationMode"
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Mode validation identity INS (required)
..... url 1..1 uri "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability"
.... extension:deathPlace 0..1 string FR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
.... extension:birthDateUpdateIndicator 0..1 boolean FR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
.... extension:birthPlace S 1..1 (Complexe) Place of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 FRCoreAddressProfile Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
....... extension:inseeCode 1..1 Coding FR Core Address Insee Code Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code
Binding: FR Core ValueSet INSEE code (required)
...... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Exemple General: home
...... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Exemple General: both
...... text Σ 0..1 string Text representation of the address
Exemple General: 137 Nowhere Street, Erewhon 9132
...... line Σ 0..* string Street name, number, direction & P.O. Box etc.
Ordre de répétition de cet élément : The order in which lines should appear in an address label
Exemple General: 137 Nowhere Street
...... city Σ 0..1 string Les communes existantes sont définies ici : https://public.opendatasoft.com/explore/dataset/correspondance-code-insee-code-postal/table.
Exemple General: Erewhon
...... district Σ 0..1 string District name (aka county)
Exemple General: Madison
...... state Σ 0..1 string Sub-unit of country (abbreviations ok)
...... postalCode Σ 0..1 string Postal code for area
Exemple General: 9132
...... country Σ 0..1 string Country (will be ISO 3166 3 letter code; code=FRA for France)
...... period Σ 0..1 Period Time period when address was/is in use
Exemple General: {"start":"2010-03-23","end":"2010-07-01"}
.... extension:multipleBirth 0..1 integer Rang Gémellaire
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Patient.multipleBirth
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices pour identifier Σ 1..* Identifier An identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS au statut qualifié, il est nécessaire de respecter la conformité au profil FRCorePatientINS. Les identifiants NIR et NIA ne sont définis que dans le cas du FRCorePatientINS.
Slice: Non ordonné, Ouvert par value:type
.... identifier:NSS Σ 0..1 Identifier National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : NH
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-C Σ 0..* Identifier Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-C
....... display 1..1 string Representation defined by the system
Valeur fixe : Identifiant National de Santé Calculé
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.213.1.4.2
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NDP Σ 0..1 Identifier French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : NDP
....... display 1..1 string Representation defined by the system
Valeur fixe : Identifiant du patient au Dossier Pharmaceutique
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.176.1.2
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:PI Σ 0..* Identifier Hospital assigned patient identifier | Identifiant Patient Permanent (IPP).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: FR Core ValueSet Patient identifier use PI (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : PI
....... display 1..1 string Representation defined by the system
Valeur fixe : Patient internal identifier
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Exemple General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:RRI Σ 0..* Identifier Regional Registry ID | Identifiant régional
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : RRI
....... display 1..1 string Representation defined by the system
Valeur fixe : Regional registry ID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Exemple General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-NIR SΣ 0..* Identifier INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d'affectation des INS-NIR
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-NIR-TEST Σ 0..* Identifier Identifiant INS-NIR du patient fictif de test
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-TEST
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d’affectation des INS-NIR de test
Motif requis: urn:oid:1.2.250.1.213.1.4.10
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-NIR-DEMO Σ 0..* Identifier Identifiant INS-NIR du patient fictif de démonstration
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-DEMO
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d’affectation des INS-NIR de démonstration
Motif requis: urn:oid:1.2.250.1.213.1.4.11
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-NIA SΣ 0..* Identifier INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIA
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d'affectation des INS-NIA
Motif requis: urn:oid:1.2.250.1.213.1.4.9
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices pour name Σ 1..* FRCoreHumanNameProfile A name associated with the patient
Slice: Non ordonné, Ouvert par value:use
.... name:usualName Σ 0..* HumanName Name of a human | Nom utilisé
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Motif requis: usual
..... text Σ 0..1 string Text representation of the full name
..... family Σ 0..1 string Family name (often called 'Surname')
..... given Σ 0..* string Given names (not always 'first'). Includes middle names
Ordre de répétition de cet élément : Given Names appear in the correct order for presenting the name
..... prefix Σ 0..* string Parts that come before the name
Ordre de répétition de cet élément : Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
Ordre de répétition de cet élément : Suffixes appear in the correct order for presenting the name
..... period Σ 0..1 Period Time period when name was/is in use
.... name:officialName SΣ 1..1 HumanName Name of a human | Nom de naissance
..... id 0..1 string Unique id for inter-element referencing
..... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
...... extension:birth-list-given-name S 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Motif requis: official
..... text Σ 0..1 string Text representation of the full name
..... family Σ 1..1 string Family name (often called 'Surname')
..... given Σ 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'.
Ordre de répétition de cet élément : Given Names appear in the correct order for presenting the name
..... prefix Σ 0..* string Parts that come before the name
Ordre de répétition de cet élément : Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
Ordre de répétition de cet élément : Suffixes appear in the correct order for presenting the name
..... period Σ 0..1 Period Time period when name was/is in use
... telecom Σ 0..* FRCoreContactPointProfile A contact detail for the individual
... gender SΣ 1..1 code male | female | unknown
Binding: FR Core ValueSet Patient gender (required)
... birthDate SΣ 1..1 date The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address Σ 0..* FRCoreAddressProfile An address for the individual
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: FR Core ValueSet Marital Status ValueSet (extensible)
... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
Constraints: pat-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices pour extension 0..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
..... extension:contactIdentifier 0..1 Identifier FR Core Patient Contact Identifier Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier
..... extension:comment 0..1 string Comment on element Patient.contact | Commentaire sur l'élément Patient.contact
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices pour relationship 0..* CodeableConcept The kind of relationship
Slice: Non ordonné, Ouvert par value:$this
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
..... relationship:role 0..1 CodeableConcept The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ...
Binding: FR Core ValueSet Patient contact role (extensible)
..... relationship:relationType 0..1 CodeableConcept The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ...
Binding: FR Core ValueSet relation type (extensible)
.... name 0..1 FRCoreHumanNameProfile A name associated with the contact person
.... telecom 0..* FRCoreContactPointProfile A contact detail for the person
.... address 0..1 Address Address for the contact person
.... gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
.... organization C 0..1 Reference(Organization) Organization that is associated with the contact
.... period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.
Bindings AdditionnelsBut
AllLanguages Binding Max
.... preferred 0..1 boolean Language preference indicator
... generalPractitioner 0..* Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(FR Core Organization Profile | Organization) Organization that is the custodian of the patient record
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Patient.meta.security Base extensible SecurityLabels 📍4.0.1 Std. FHIR
Patient.meta.tag Base example Common Tags 📍4.0.1 Std. FHIR
Patient.language Base preferred Common Languages 📍4.0.1 Std. FHIR
Patient.extension:identityReliability.​extension:methodCollection.​value[x] Base extensible FR Core ValueSet Identity method collection 📦2.2.0-ballot cet IG
Patient.extension:identityReliability.​extension:identityStatus.​value[x] Base extensible FR Core ValueSet Identity reliability 📦2.2.0-ballot cet IG
Patient.extension:identityReliability.​extension:validationMode.​value[x] Base required FR Core ValueSet Mode validation identity INS 📦2.2.0-ballot cet IG
Patient.extension:birthPlace.​value[x].use Base required AddressUse 📍4.0.1 Std. FHIR
Patient.extension:birthPlace.​value[x].type Base required AddressType 📍4.0.1 Std. FHIR
Patient.identifier:NSS.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:NSS.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:INS-C.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-C.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:NDP.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:NDP.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:PI.​use Base required FR Core ValueSet Patient identifier use PI 📦2.2.0-ballot cet IG
Patient.identifier:PI.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:RRI.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:RRI.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-TEST.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-TEST.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-DEMO.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-DEMO.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIA.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIA.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.name:usualName.​use Base required NameUse 📍4.0.1 Std. FHIR
Patient.name:officialName.​use Base required NameUse 📍4.0.1 Std. FHIR
Patient.gender Base required FR Core ValueSet Patient gender 📦2.2.0-ballot cet IG
Patient.maritalStatus Base extensible FR Core ValueSet Marital Status ValueSet 📦2.2.0-ballot cet IG
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 Std. FHIR
Patient.contact.relationship:role Base extensible FR Core ValueSet Patient contact role 📦2.2.0-ballot cet IG
Patient.contact.relationship:relationType Base extensible FR Core ValueSet relation type 📦2.2.0-ballot cet IG
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 Std. FHIR
Patient.communication.​language Base preferred Common Languages 📍4.0.1 Std. FHIR
Patient.link.type Base required LinkType 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 bonne pratique Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **TOUS** les éléments All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **TOUTES** les extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
fr-core-1 error Patient If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST] or Patient.identifier[INS-NIR-DEMO] SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.11' and use = 'official').exists())
fr-core-2 error Patient If identityReliability status = 'VALI', then only one identifier of type official SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(use = 'official').count() = 1)
pat-1 error Patient.contact SHALL at least contain a contact's details or a reference to an organization name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from FRCorePatientProfile

Résumé

Obligatoire : 11 éléments(16 éléments obligatoire(s) imbriqué(s))
Must-Support : 7 éléments

Key Elements View

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Patient C 0..* FRCorePatientProfile Information about an individual or animal receiving health care services
Constraints: fr-core-1, fr-core-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
.... extension:nationality 0..1 (Complexe) Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
.... extension:identityReliability 0..* (Complexe) Reliabilility of the identity | Fiabilité de l'identité
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:methodCollection 0..1 Extension The way the INS identity is collected | Mode d'obtention de l'INS (SM, CV, INSI, ...)
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "methodCollection"
...... extension:dateCollection 0..1 Extension INS collection date| date d'interrogation du téléservice INSi
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "dateCollection"
...... extension:identityStatus 0..1 Extension Il s'agit du statut de l'identité (VALI | PROV | FICT | DOUT | ...). Dans certains cas il peut également être nécessaire de véhiculer, la notion d’attribut d’identité. Les combinaisons autorisées entre statuts et attributs sont décrites dans le Référentiel National d’Identito-Vigilance.
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "identityStatus"
...... extension:validationDate 0..1 Extension Date de vérification de l'identité
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "validationDate"
...... extension:validationMode 0..1 Extension Extension
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "validationMode"
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Mode validation identity INS (required)
..... url 1..1 uri "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability"
.... extension:deathPlace 0..1 string FR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
.... extension:birthDateUpdateIndicator 0..1 boolean FR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
.... extension:birthPlace S 1..1 (Complexe) Place of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 FRCoreAddressProfile Value of extension
...... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
....... extension:inseeCode 1..1 Coding FR Core Address Insee Code Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code
Binding: FR Core ValueSet INSEE code (required)
...... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Exemple General: home
.... extension:multipleBirth 0..1 integer Rang Gémellaire
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Patient.multipleBirth
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:NSS Σ 0..1 Identifier National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : NH
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-C Σ 0..* Identifier Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-C
....... display 1..1 string Representation defined by the system
Valeur fixe : Identifiant National de Santé Calculé
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.213.1.4.2
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:NDP Σ 0..1 Identifier French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : NDP
....... display 1..1 string Representation defined by the system
Valeur fixe : Identifiant du patient au Dossier Pharmaceutique
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.176.1.2
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:PI Σ 0..* Identifier Hospital assigned patient identifier | Identifiant Patient Permanent (IPP).
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: FR Core ValueSet Patient identifier use PI (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : PI
....... display 1..1 string Representation defined by the system
Valeur fixe : Patient internal identifier
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Exemple General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:RRI Σ 0..* Identifier Regional Registry ID | Identifiant régional
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : RRI
....... display 1..1 string Representation defined by the system
Valeur fixe : Regional registry ID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Exemple General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-NIR SΣ 0..* Identifier INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
..... use ?!Σ 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d'affectation des INS-NIR
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-NIR-TEST Σ 0..* Identifier Identifiant INS-NIR du patient fictif de test
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-TEST
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d’affectation des INS-NIR de test
Motif requis: urn:oid:1.2.250.1.213.1.4.10
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-NIR-DEMO Σ 0..* Identifier Identifiant INS-NIR du patient fictif de démonstration
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-DEMO
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d’affectation des INS-NIR de démonstration
Motif requis: urn:oid:1.2.250.1.213.1.4.11
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
.... identifier:INS-NIA SΣ 0..* Identifier INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
..... use ?!Σ 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIA
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d'affectation des INS-NIA
Motif requis: urn:oid:1.2.250.1.213.1.4.9
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices pour name Σ 1..* FRCoreHumanNameProfile A name associated with the patient
Slice: Non ordonné, Ouvert par value:use
.... name:usualName Σ 0..* HumanName Name of a human | Nom utilisé
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Motif requis: usual
.... name:officialName SΣ 1..1 HumanName Name of a human | Nom de naissance
..... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
...... extension:birth-list-given-name S 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Motif requis: official
..... family Σ 1..1 string Family name (often called 'Surname')
..... given Σ 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'.
Ordre de répétition de cet élément : Given Names appear in the correct order for presenting the name
... gender SΣ 1..1 code male | female | unknown
Binding: FR Core ValueSet Patient gender (required)
... birthDate SΣ 1..1 date The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Patient.extension:identityReliability.​extension:validationMode.​value[x] Base required FR Core ValueSet Mode validation identity INS 📦2.2.0-ballot cet IG
Patient.extension:birthPlace.​value[x].use Base required AddressUse 📍4.0.1 Std. FHIR
Patient.identifier:NSS.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:NSS.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:INS-C.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-C.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:NDP.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:NDP.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:PI.​use Base required FR Core ValueSet Patient identifier use PI 📦2.2.0-ballot cet IG
Patient.identifier:PI.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:RRI.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:RRI.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-TEST.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-TEST.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-DEMO.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-DEMO.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIA.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIA.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.name:usualName.​use Base required NameUse 📍4.0.1 Std. FHIR
Patient.name:officialName.​use Base required NameUse 📍4.0.1 Std. FHIR
Patient.gender Base required FR Core ValueSet Patient gender 📦2.2.0-ballot cet IG
Patient.link.type Base required LinkType 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 bonne pratique Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **TOUS** les éléments All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **TOUTES** les extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
fr-core-1 error Patient If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST] or Patient.identifier[INS-NIR-DEMO] SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.11' and use = 'official').exists())
fr-core-2 error Patient If identityReliability status = 'VALI', then only one identifier of type official SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(use = 'official').count() = 1)

Differential View

This structure is derived from FRCorePatientProfile

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Patient C 0..* FRCorePatientProfile Information about an individual or animal receiving health care services
Constraints: fr-core-1, fr-core-2
... meta
.... Slices pour profile Contenu/Règles pour toutes les slices
..... profile:fr-ins-canonical 0..1 canonical(StructureDefinition) Profiles this resource claims to conform to
Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins
... extension 1..* Extension Extension
... Slices pour extension Contenu/Règles pour toutes les slices
.... extension:identityReliability 0..* FRCorePatientIdentityReliabilityExtension Reliabilility of the identity | Fiabilité de l'identité
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:validationMode 0..1 Extension Extension
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Mode validation identity INS (required)
.... extension:birthPlace S 1..1 PatBirthPlace(5.2.0) Place of Birth for patient
..... value[x]
...... extension 1..* Extension Extension
...... Slices pour extension Contenu/Règles pour toutes les slices
....... extension:inseeCode 1..1 FRCoreAddressInseeCodeExtension FR Core Address Insee Code Extension
... Slices pour identifier Contenu/Règles pour toutes les slices
.... identifier:INS-NIR S 0..* Identifier INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
..... use 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type 1..1 CodeableConcept Description of identifier
Motif requis: Au moins les éléments suivants
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR
..... system 1..1 uri Autorité d'affectation des INS-NIR
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value 1..1 string The value that is unique
.... identifier:INS-NIR-TEST 0..* Identifier Identifiant INS-NIR du patient fictif de test
..... use 1..1 code usual | official | temp | secondary | old (If known)
Motif requis: official
..... type 1..1 CodeableConcept Description of identifier
Motif requis: Au moins les éléments suivants
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-TEST
..... system 1..1 uri Autorité d’affectation des INS-NIR de test
Motif requis: urn:oid:1.2.250.1.213.1.4.10
..... value 1..1 string The value that is unique
.... identifier:INS-NIR-DEMO 0..* Identifier Identifiant INS-NIR du patient fictif de démonstration
..... use 1..1 code usual | official | temp | secondary | old (If known)
Motif requis: official
..... type 1..1 CodeableConcept Description of identifier
Motif requis: Au moins les éléments suivants
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-DEMO
..... system 1..1 uri Autorité d’affectation des INS-NIR de démonstration
Motif requis: urn:oid:1.2.250.1.213.1.4.11
..... value 1..1 string The value that is unique
.... identifier:INS-NIA S 0..* Identifier INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
..... use 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type 1..1 CodeableConcept Description of identifier
Motif requis: Au moins les éléments suivants
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIA
..... system 1..1 uri Autorité d'affectation des INS-NIA
Motif requis: urn:oid:1.2.250.1.213.1.4.9
..... value 1..1 string The value that is unique
... name 1..* FRCoreHumanNameProfile A name associated with the patient
... Slices pour name Contenu/Règles pour toutes les slices
.... name:officialName S 1..1 HumanName Name of a human | Nom de naissance
..... extension 1..* Extension Extension
..... Slices pour extension Contenu/Règles pour toutes les slices
...... extension:birth-list-given-name S 1..1 FRCorePatientBirthListGivenName Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
..... given 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'.
... gender S 1..1 code male | female | unknown
... birthDate S 1..1 date The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.

doco Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Patient.extension:identityReliability.​extension:validationMode.​value[x] Base required FR Core ValueSet Mode validation identity INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIA.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG

Contraintes

Id Grade Chemin(s) Description Expression
fr-core-1 error Patient If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST] or Patient.identifier[INS-NIR-DEMO] SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.11' and use = 'official').exists())
fr-core-2 error Patient If identityReliability status = 'VALI', then only one identifier of type official SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(use = 'official').count() = 1)

Snapshot View

NomDrapeauxCard.TypeDescription et contraintes    Filter: Filtersdoco
.. Patient C 0..* FRCorePatientProfile Information about an individual or animal receiving health care services
Constraints: fr-core-1, fr-core-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices pour profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Non ordonné, Ouvert par value:$this
..... profile:fr-canonical Σ 0..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
..... profile:fr-ins-canonical Σ 0..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Motif requis: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
.... extension:nationality 0..1 (Complexe) Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
.... extension:identityReliability 0..* (Complexe) Reliabilility of the identity | Fiabilité de l'identité
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
..... id 0..1 string Unique id for inter-element referencing
..... Slices pour extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
...... extension:methodCollection 0..1 Extension The way the INS identity is collected | Mode d'obtention de l'INS (SM, CV, INSI, ...)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "methodCollection"
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Identity method collection (extensible)
...... extension:dateCollection 0..1 Extension INS collection date| date d'interrogation du téléservice INSi
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "dateCollection"
....... value[x] 0..1 date Value of extension
...... extension:identityStatus 0..1 Extension Il s'agit du statut de l'identité (VALI | PROV | FICT | DOUT | ...). Dans certains cas il peut également être nécessaire de véhiculer, la notion d’attribut d’identité. Les combinaisons autorisées entre statuts et attributs sont décrites dans le Référentiel National d’Identito-Vigilance.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "identityStatus"
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Identity reliability (extensible)
...... extension:validationDate 0..1 Extension Date de vérification de l'identité
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "validationDate"
....... value[x] 0..1 date Value of extension
...... extension:validationMode 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
....... url 1..1 uri "validationMode"
....... value[x] 0..1 Coding Value of extension
Binding: FR Core ValueSet Mode validation identity INS (required)
..... url 1..1 uri "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability"
.... extension:deathPlace 0..1 string FR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
.... extension:birthDateUpdateIndicator 0..1 boolean FR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
.... extension:birthPlace S 1..1 (Complexe) Place of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Non ordonné, Ouvert par value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
..... value[x] 1..1 FRCoreAddressProfile Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
....... extension:inseeCode 1..1 Coding FR Core Address Insee Code Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code
Binding: FR Core ValueSet INSEE code (required)
...... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Exemple General: home
...... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Exemple General: both
...... text Σ 0..1 string Text representation of the address
Exemple General: 137 Nowhere Street, Erewhon 9132
...... line Σ 0..* string Street name, number, direction & P.O. Box etc.
Ordre de répétition de cet élément : The order in which lines should appear in an address label
Exemple General: 137 Nowhere Street
...... city Σ 0..1 string Les communes existantes sont définies ici : https://public.opendatasoft.com/explore/dataset/correspondance-code-insee-code-postal/table.
Exemple General: Erewhon
...... district Σ 0..1 string District name (aka county)
Exemple General: Madison
...... state Σ 0..1 string Sub-unit of country (abbreviations ok)
...... postalCode Σ 0..1 string Postal code for area
Exemple General: 9132
...... country Σ 0..1 string Country (will be ISO 3166 3 letter code; code=FRA for France)
...... period Σ 0..1 Period Time period when address was/is in use
Exemple General: {"start":"2010-03-23","end":"2010-07-01"}
.... extension:multipleBirth 0..1 integer Rang Gémellaire
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Patient.multipleBirth
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices pour identifier Σ 1..* Identifier An identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS au statut qualifié, il est nécessaire de respecter la conformité au profil FRCorePatientINS. Les identifiants NIR et NIA ne sont définis que dans le cas du FRCorePatientINS.
Slice: Non ordonné, Ouvert par value:type
.... identifier:NSS Σ 0..1 Identifier National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : NH
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-C Σ 0..* Identifier Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-C
....... display 1..1 string Representation defined by the system
Valeur fixe : Identifiant National de Santé Calculé
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.213.1.4.2
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:NDP Σ 0..1 Identifier French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : NDP
....... display 1..1 string Representation defined by the system
Valeur fixe : Identifiant du patient au Dossier Pharmaceutique
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Motif requis: urn:oid:1.2.250.1.176.1.2
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:PI Σ 0..* Identifier Hospital assigned patient identifier | Identifiant Patient Permanent (IPP).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: FR Core ValueSet Patient identifier use PI (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : PI
....... display 1..1 string Representation defined by the system
Valeur fixe : Patient internal identifier
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Exemple General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:RRI Σ 0..* Identifier Regional Registry ID | Identifiant régional
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: secondary
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : http://terminology.hl7.org/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : RRI
....... display 1..1 string Representation defined by the system
Valeur fixe : Regional registry ID
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Exemple General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-NIR SΣ 0..* Identifier INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d'affectation des INS-NIR
Motif requis: urn:oid:1.2.250.1.213.1.4.8
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-NIR-TEST Σ 0..* Identifier Identifiant INS-NIR du patient fictif de test
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-TEST
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d’affectation des INS-NIR de test
Motif requis: urn:oid:1.2.250.1.213.1.4.10
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-NIR-DEMO Σ 0..* Identifier Identifiant INS-NIR du patient fictif de démonstration
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Motif requis: official
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIR-DEMO
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d’affectation des INS-NIR de démonstration
Motif requis: urn:oid:1.2.250.1.213.1.4.11
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:INS-NIA SΣ 0..* Identifier INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code official | old
Binding: FR Core ValueSet Patient identifier use INS (required)
..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Motif requis: Au moins les éléments suivants
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Valeur fixe : (Complexe)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Valeur fixe : https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Valeur fixe : INS-NIA
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri Autorité d'affectation des INS-NIA
Motif requis: urn:oid:1.2.250.1.213.1.4.9
..... value Σ 1..1 string The value that is unique
Exemple General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices pour name Σ 1..* FRCoreHumanNameProfile A name associated with the patient
Slice: Non ordonné, Ouvert par value:use
.... name:usualName Σ 0..* HumanName Name of a human | Nom utilisé
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Non ordonné, Ouvert par value:url
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Motif requis: usual
..... text Σ 0..1 string Text representation of the full name
..... family Σ 0..1 string Family name (often called 'Surname')
..... given Σ 0..* string Given names (not always 'first'). Includes middle names
Ordre de répétition de cet élément : Given Names appear in the correct order for presenting the name
..... prefix Σ 0..* string Parts that come before the name
Ordre de répétition de cet élément : Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
Ordre de répétition de cet élément : Suffixes appear in the correct order for presenting the name
..... period Σ 0..1 Period Time period when name was/is in use
.... name:officialName SΣ 1..1 HumanName Name of a human | Nom de naissance
..... id 0..1 string Unique id for inter-element referencing
..... Slices pour extension 1..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
...... extension:birth-list-given-name S 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Motif requis: official
..... text Σ 0..1 string Text representation of the full name
..... family Σ 1..1 string Family name (often called 'Surname')
..... given Σ 1..1 string Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'.
Ordre de répétition de cet élément : Given Names appear in the correct order for presenting the name
..... prefix Σ 0..* string Parts that come before the name
Ordre de répétition de cet élément : Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
Ordre de répétition de cet élément : Suffixes appear in the correct order for presenting the name
..... period Σ 0..1 Period Time period when name was/is in use
... telecom Σ 0..* FRCoreContactPointProfile A contact detail for the individual
... gender SΣ 1..1 code male | female | unknown
Binding: FR Core ValueSet Patient gender (required)
... birthDate SΣ 1..1 date The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address Σ 0..* FRCoreAddressProfile An address for the individual
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: FR Core ValueSet Marital Status ValueSet (extensible)
... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
Constraints: pat-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices pour extension 0..* Extension Extension
Slice: Non ordonné, Ouvert par value:url
..... extension:contactIdentifier 0..1 Identifier FR Core Patient Contact Identifier Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier
..... extension:comment 0..1 string Comment on element Patient.contact | Commentaire sur l'élément Patient.contact
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices pour relationship 0..* CodeableConcept The kind of relationship
Slice: Non ordonné, Ouvert par value:$this
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
..... relationship:role 0..1 CodeableConcept The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ...
Binding: FR Core ValueSet Patient contact role (extensible)
..... relationship:relationType 0..1 CodeableConcept The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ...
Binding: FR Core ValueSet relation type (extensible)
.... name 0..1 FRCoreHumanNameProfile A name associated with the contact person
.... telecom 0..* FRCoreContactPointProfile A contact detail for the person
.... address 0..1 Address Address for the contact person
.... gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
.... organization C 0..1 Reference(Organization) Organization that is associated with the contact
.... period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.
Bindings AdditionnelsBut
AllLanguages Binding Max
.... preferred 0..1 boolean Language preference indicator
... generalPractitioner 0..* Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole) Patient's nominated primary care provider
... managingOrganization Σ 0..1 Reference(FR Core Organization Profile | Organization) Organization that is the custodian of the patient record
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Patient | RelatedPerson) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.

doco Documentation pour ce format

Bindings terminologiques

Chemin Statut Usage Jeu de valeurs (ValueSet) Version Source
Patient.meta.security Base extensible SecurityLabels 📍4.0.1 Std. FHIR
Patient.meta.tag Base example Common Tags 📍4.0.1 Std. FHIR
Patient.language Base preferred Common Languages 📍4.0.1 Std. FHIR
Patient.extension:identityReliability.​extension:methodCollection.​value[x] Base extensible FR Core ValueSet Identity method collection 📦2.2.0-ballot cet IG
Patient.extension:identityReliability.​extension:identityStatus.​value[x] Base extensible FR Core ValueSet Identity reliability 📦2.2.0-ballot cet IG
Patient.extension:identityReliability.​extension:validationMode.​value[x] Base required FR Core ValueSet Mode validation identity INS 📦2.2.0-ballot cet IG
Patient.extension:birthPlace.​value[x].use Base required AddressUse 📍4.0.1 Std. FHIR
Patient.extension:birthPlace.​value[x].type Base required AddressType 📍4.0.1 Std. FHIR
Patient.identifier:NSS.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:NSS.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:INS-C.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-C.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:NDP.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:NDP.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:PI.​use Base required FR Core ValueSet Patient identifier use PI 📦2.2.0-ballot cet IG
Patient.identifier:PI.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:RRI.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:RRI.​type Base extensible FR Core ValueSet Patient identifier type 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIR.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-TEST.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-TEST.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-DEMO.​use Base required IdentifierUse 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIR-DEMO.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.identifier:INS-NIA.​use Base required FR Core ValueSet Patient identifier use INS 📦2.2.0-ballot cet IG
Patient.identifier:INS-NIA.​type Base extensible IdentifierType 📍4.0.1 Std. FHIR
Patient.name:usualName.​use Base required NameUse 📍4.0.1 Std. FHIR
Patient.name:officialName.​use Base required NameUse 📍4.0.1 Std. FHIR
Patient.gender Base required FR Core ValueSet Patient gender 📦2.2.0-ballot cet IG
Patient.maritalStatus Base extensible FR Core ValueSet Marital Status ValueSet 📦2.2.0-ballot cet IG
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 Std. FHIR
Patient.contact.relationship:role Base extensible FR Core ValueSet Patient contact role 📦2.2.0-ballot cet IG
Patient.contact.relationship:relationType Base extensible FR Core ValueSet relation type 📦2.2.0-ballot cet IG
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 Std. FHIR
Patient.communication.​language Base preferred Common Languages 📍4.0.1 Std. FHIR
Patient.link.type Base required LinkType 📍4.0.1 Std. FHIR

Contraintes

Id Grade Chemin(s) Description Expression
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 bonne pratique Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **TOUS** les éléments All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **TOUTES** les extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
fr-core-1 error Patient If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST] or Patient.identifier[INS-NIR-DEMO] SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10' and use = 'official').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.11' and use = 'official').exists())
fr-core-2 error Patient If identityReliability status = 'VALI', then only one identifier of type official SHALL be present (extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension('identityStatus').value.exists(code = 'VALI')) implies (identifier.where(use = 'official').count() = 1)
pat-1 error Patient.contact SHALL at least contain a contact's details or a reference to an organization name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from FRCorePatientProfile

Résumé

Obligatoire : 11 éléments(16 éléments obligatoire(s) imbriqué(s))
Must-Support : 7 éléments

 

Other representations of profile: CSV, Excel, Schematron