Guide d'implémentation Fr Core
2.2.0-ballot - ballot

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 2025-12-29 | 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).

Les 5 traits INS doivent être ceux renvoyés par le téléservice INSi.

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 :

- Référentiel INS
- Annexe – Prise en Charge de l’INS dans les volets du CI-SIS

Utilisations:

- Exemples pour ce Profil: Patient/FRCorePatientExample

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | FRCorePatientProfile(2.2.0-ballot) | Information about an individual or animal receiving health care services Constraints: fr-core-1, fr-core-2, fr-core-3
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 Constraints: ext-1
extension:nationality |  | 0..1 | (Complexe) | Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality Constraints: ext-1
extension:identityReliability |  | 0..* | (Complexe) | Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability Constraints: ext-1
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, ...) Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "methodCollection"
extension:dateCollection |  | 0..1 | Extension | INS collection date| date d'interrogation du téléservice INSi Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
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. Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "identityStatus"
extension:validationDate |  | 0..1 | Extension | Date de vérification de l'identité Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "validationDate"
extension:validationMode |  | 0..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "validationMode"
value[x] |  | 0..1 | Coding | Value of extension Binding: FRCoreValueSetModeValidationIdentityINS (2.2.0-ballot) (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 Constraints: ext-1
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 Constraints: ext-1
extension:birthPlace | S | 1..1 | (Complexe) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | FRCoreAddressProfile(2.2.0-ballot) | Value of extension
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
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: FRCoreValueSetINSEECode (2.2.0-ballot) (required) Constraints: ext-1
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 Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
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).
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierUsePI (2.2.0-ballot) (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 | S Σ | 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: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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 | S Σ | 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: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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(2.2.0-ballot) | 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 | S Σ | 1..1 | HumanName | Name of a human | Nom de naissance
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
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 Constraints: ext-1
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 | S Σ | 1..1 | code | male | female | unknown Binding: FRCoreValueSetPatientGender (2.2.0-ballot) (required)
birthDate | S Σ | 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 Constraints: ext-1
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.
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 | Patient.implicitRules, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:identityReliability.extension:methodCollection, Patient.extension:identityReliability.extension:dateCollection, Patient.extension:identityReliability.extension:identityStatus, Patient.extension:identityReliability.extension:validationDate, Patient.extension:identityReliability.extension:validationMode, Patient.extension:identityReliability.extension:validationMode.value[x], Patient.extension:deathPlace, Patient.extension:birthDateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:birthPlace.value[x].use, Patient.extension:multipleBirth, Patient.modifierExtension, Patient.identifier, Patient.identifier:NSS, Patient.identifier:NSS.use, Patient.identifier:NSS.type, Patient.identifier:NSS.system, Patient.identifier:NSS.value, Patient.identifier:INS-C, Patient.identifier:INS-C.use, Patient.identifier:INS-C.type, Patient.identifier:INS-C.system, Patient.identifier:INS-C.value, Patient.identifier:NDP, Patient.identifier:NDP.use, Patient.identifier:NDP.type, Patient.identifier:NDP.system, Patient.identifier:NDP.value, Patient.identifier:PI, Patient.identifier:PI.use, Patient.identifier:PI.type, Patient.identifier:PI.system, Patient.identifier:PI.value, Patient.identifier:RRI, Patient.identifier:RRI.use, Patient.identifier:RRI.type, Patient.identifier:RRI.system, Patient.identifier:RRI.value, Patient.identifier:INS-NIR, Patient.identifier:INS-NIR.use, Patient.identifier:INS-NIR.type, Patient.identifier:INS-NIR.system, Patient.identifier:INS-NIR.value, Patient.identifier:INS-NIR-TEST, Patient.identifier:INS-NIR-TEST.use, Patient.identifier:INS-NIR-TEST.type, Patient.identifier:INS-NIR-TEST.system, Patient.identifier:INS-NIR-TEST.value, Patient.identifier:INS-NIR-DEMO, Patient.identifier:INS-NIR-DEMO.use, Patient.identifier:INS-NIR-DEMO.type, Patient.identifier:INS-NIR-DEMO.system, Patient.identifier:INS-NIR-DEMO.value, Patient.identifier:INS-NIA, Patient.identifier:INS-NIA.use, Patient.identifier:INS-NIA.type, Patient.identifier:INS-NIA.system, Patient.identifier:INS-NIA.value, Patient.active, Patient.name, Patient.name:usualName, Patient.name:usualName.use, Patient.name:officialName, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.name:officialName.use, Patient.name:officialName.family, Patient.name:officialName.given, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:identityReliability.extension:methodCollection, Patient.extension:identityReliability.extension:dateCollection, Patient.extension:identityReliability.extension:identityStatus, Patient.extension:identityReliability.extension:validationDate, Patient.extension:identityReliability.extension:validationMode, Patient.extension:deathPlace, Patient.extension:birthDateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:multipleBirth, Patient.modifierExtension, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.link.modifierExtension | 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)`
fr-core-3 | warning | Patient | If the official INS registration number is entered, then the municipality of birth COG code cannot be 99999 because this code cannot be sent via the INSI online service. | `(identifier.where(use = 'official').count() = 1 implies extension('http://hl7.org/fhir/StructureDefinition/patient-birthPlace').value.extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code').value.code != '99999')`

This structure is derived from FRCorePatientProfile

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | FRCorePatientProfile(2.2.0-ballot) | Information about an individual or animal receiving health care services
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|2.2.0-ballot
extension |  | 1..* | Extension | Extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:identityReliability |  | 0..* | FRCorePatientIdentityReliabilityExtension(2.2.0-ballot) | 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: FRCoreValueSetModeValidationIdentityINS (2.2.0-ballot) (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(2.2.0-ballot) | FR Core Address Insee Code Extension
identifier |  | 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.
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: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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(2.2.0-ballot) | 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(2.2.0-ballot) | 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.
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)`
fr-core-3 | warning | Patient | If the official INS registration number is entered, then the municipality of birth COG code cannot be 99999 because this code cannot be sent via the INSI online service. | `(identifier.where(use = 'official').count() = 1 implies extension('http://hl7.org/fhir/StructureDefinition/patient-birthPlace').value.extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code').value.code != '99999')`

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | FRCorePatientProfile(2.2.0-ballot) | Information about an individual or animal receiving health care services Constraints: fr-core-1, fr-core-2, fr-core-3
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 Constraints: ext-1
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|2.2.0-ballot
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|2.2.0-ballot
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
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 Constraints: ext-1
extension:nationality |  | 0..1 | (Complexe) | Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality Constraints: ext-1
extension:identityReliability |  | 0..* | (Complexe) | Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability Constraints: ext-1
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 Constraints: ext-1
extension:methodCollection |  | 0..1 | Extension | The way the INS identity is collected | Mode d'obtention de l'INS (SM, CV, INSI, ...) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "methodCollection"
value[x] |  | 0..1 | Coding | Value of extension Binding: FRCoreValueSetIdentityMethodCollection (2.2.0-ballot) (extensible)
extension:dateCollection |  | 0..1 | Extension | INS collection date| date d'interrogation du téléservice INSi Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
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. Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "identityStatus"
value[x] |  | 0..1 | Coding | Value of extension Binding: FRCoreValueSetIdentityReliabilityStatus (2.2.0-ballot) (extensible)
extension:validationDate |  | 0..1 | Extension | Date de vérification de l'identité Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "validationDate"
value[x] |  | 0..1 | date | Value of extension
extension:validationMode |  | 0..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "validationMode"
value[x] |  | 0..1 | Coding | Value of extension Binding: FRCoreValueSetModeValidationIdentityINS (2.2.0-ballot) (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 Constraints: ext-1
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 Constraints: ext-1
extension:birthPlace | S | 1..1 | (Complexe) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | FRCoreAddressProfile(2.2.0-ballot) | 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 Constraints: ext-1
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: FRCoreValueSetINSEECode (2.2.0-ballot) (required) Constraints: ext-1
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 Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
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 Constraints: ext-1
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 Constraints: ext-1
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 Constraints: ext-1
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 Constraints: ext-1
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: FRCoreValueSetPatientIdentifierUsePI (2.2.0-ballot) (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 Constraints: ext-1
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 | S Σ | 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 Constraints: ext-1
use | ?!Σ | 1..1 | code | official | old Binding: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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 Constraints: ext-1
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 Constraints: ext-1
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 | S Σ | 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 Constraints: ext-1
use | ?!Σ | 1..1 | code | official | old Binding: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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(2.2.0-ballot) | 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 Constraints: ext-1
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 | S Σ | 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 Constraints: ext-1
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 Constraints: ext-1
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(2.2.0-ballot) | A contact detail for the individual
gender | S Σ | 1..1 | code | male | female | unknown Binding: FRCoreValueSetPatientGender (2.2.0-ballot) (required)
birthDate | S Σ | 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(2.2.0-ballot) | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: FRCoreValueSetMaritalStatus (2.2.0-ballot) (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 Constraints: ext-1
extension:contactIdentifier |  | 0..1 | Identifier | FR Core Patient Contact Identifier Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier Constraints: ext-1
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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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: FRCoreValueSetPatientContactRole (2.2.0-ballot) (extensible)
relationship:relationType |  | 0..1 | CodeableConcept | The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: FRCoreValueSetPatientRelationType (2.2.0-ballot) (extensible)
name |  | 0..1 | FRCoreHumanNameProfile(2.2.0-ballot) | A name associated with the contact person
telecom |  | 0..* | FRCoreContactPointProfile(2.2.0-ballot) | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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 Additionnels | But
AllLanguages | Binding Max
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(FR Core Practitioner Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot) | PractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot) | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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.
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 | Patient.meta, Patient.meta.extension, Patient.meta.versionId, Patient.meta.lastUpdated, Patient.meta.source, Patient.meta.profile, Patient.meta.profile:fr-canonical, Patient.meta.profile:fr-ins-canonical, Patient.meta.security, Patient.meta.tag, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:identityReliability.extension, Patient.extension:identityReliability.extension:methodCollection, Patient.extension:identityReliability.extension:methodCollection.value[x], Patient.extension:identityReliability.extension:dateCollection, Patient.extension:identityReliability.extension:dateCollection.value[x], Patient.extension:identityReliability.extension:identityStatus, Patient.extension:identityReliability.extension:identityStatus.value[x], Patient.extension:identityReliability.extension:validationDate, Patient.extension:identityReliability.extension:validationDate.value[x], Patient.extension:identityReliability.extension:validationMode, Patient.extension:identityReliability.extension:validationMode.value[x], Patient.extension:deathPlace, Patient.extension:birthDateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:birthPlace.value[x].use, Patient.extension:birthPlace.value[x].type, Patient.extension:birthPlace.value[x].text, Patient.extension:birthPlace.value[x].line, Patient.extension:birthPlace.value[x].city, Patient.extension:birthPlace.value[x].district, Patient.extension:birthPlace.value[x].state, Patient.extension:birthPlace.value[x].postalCode, Patient.extension:birthPlace.value[x].country, Patient.extension:birthPlace.value[x].period, Patient.extension:multipleBirth, Patient.modifierExtension, Patient.identifier, Patient.identifier:NSS, Patient.identifier:NSS.extension, Patient.identifier:NSS.use, Patient.identifier:NSS.type, Patient.identifier:NSS.system, Patient.identifier:NSS.value, Patient.identifier:NSS.period, Patient.identifier:NSS.assigner, Patient.identifier:INS-C, Patient.identifier:INS-C.extension, Patient.identifier:INS-C.use, Patient.identifier:INS-C.type, Patient.identifier:INS-C.system, Patient.identifier:INS-C.value, Patient.identifier:INS-C.period, Patient.identifier:INS-C.assigner, Patient.identifier:NDP, Patient.identifier:NDP.extension, Patient.identifier:NDP.use, Patient.identifier:NDP.type, Patient.identifier:NDP.system, Patient.identifier:NDP.value, Patient.identifier:NDP.period, Patient.identifier:NDP.assigner, Patient.identifier:PI, Patient.identifier:PI.extension, Patient.identifier:PI.use, Patient.identifier:PI.type, Patient.identifier:PI.system, Patient.identifier:PI.value, Patient.identifier:PI.period, Patient.identifier:PI.assigner, Patient.identifier:RRI, Patient.identifier:RRI.extension, Patient.identifier:RRI.use, Patient.identifier:RRI.type, Patient.identifier:RRI.system, Patient.identifier:RRI.value, Patient.identifier:RRI.period, Patient.identifier:RRI.assigner, Patient.identifier:INS-NIR, Patient.identifier:INS-NIR.extension, Patient.identifier:INS-NIR.use, Patient.identifier:INS-NIR.type, Patient.identifier:INS-NIR.system, Patient.identifier:INS-NIR.value, Patient.identifier:INS-NIR.period, Patient.identifier:INS-NIR.assigner, Patient.identifier:INS-NIR-TEST, Patient.identifier:INS-NIR-TEST.extension, Patient.identifier:INS-NIR-TEST.use, Patient.identifier:INS-NIR-TEST.type, Patient.identifier:INS-NIR-TEST.system, Patient.identifier:INS-NIR-TEST.value, Patient.identifier:INS-NIR-TEST.period, Patient.identifier:INS-NIR-TEST.assigner, Patient.identifier:INS-NIR-DEMO, Patient.identifier:INS-NIR-DEMO.extension, Patient.identifier:INS-NIR-DEMO.use, Patient.identifier:INS-NIR-DEMO.type, Patient.identifier:INS-NIR-DEMO.system, Patient.identifier:INS-NIR-DEMO.value, Patient.identifier:INS-NIR-DEMO.period, Patient.identifier:INS-NIR-DEMO.assigner, Patient.identifier:INS-NIA, Patient.identifier:INS-NIA.extension, Patient.identifier:INS-NIA.use, Patient.identifier:INS-NIA.type, Patient.identifier:INS-NIA.system, Patient.identifier:INS-NIA.value, Patient.identifier:INS-NIA.period, Patient.identifier:INS-NIA.assigner, Patient.active, Patient.name, Patient.name:usualName, Patient.name:usualName.extension, Patient.name:usualName.use, Patient.name:usualName.text, Patient.name:usualName.family, Patient.name:usualName.given, Patient.name:usualName.prefix, Patient.name:usualName.suffix, Patient.name:usualName.period, Patient.name:officialName, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.name:officialName.use, Patient.name:officialName.text, Patient.name:officialName.family, Patient.name:officialName.given, Patient.name:officialName.prefix, Patient.name:officialName.suffix, Patient.name:officialName.period, Patient.telecom, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.extension:contactIdentifier, Patient.contact.extension:comment, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.relationship:role, Patient.contact.relationship:relationType, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Patient.meta.extension, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:identityReliability.extension, Patient.extension:identityReliability.extension:methodCollection, Patient.extension:identityReliability.extension:dateCollection, Patient.extension:identityReliability.extension:identityStatus, Patient.extension:identityReliability.extension:validationDate, Patient.extension:identityReliability.extension:validationMode, Patient.extension:deathPlace, Patient.extension:birthDateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:multipleBirth, Patient.modifierExtension, Patient.identifier:NSS.extension, Patient.identifier:INS-C.extension, Patient.identifier:NDP.extension, Patient.identifier:PI.extension, Patient.identifier:RRI.extension, Patient.identifier:INS-NIR.extension, Patient.identifier:INS-NIR-TEST.extension, Patient.identifier:INS-NIR-DEMO.extension, Patient.identifier:INS-NIA.extension, Patient.name:usualName.extension, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.contact.extension, Patient.contact.extension:contactIdentifier, Patient.contact.extension:comment, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension | 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)`
fr-core-3 | warning | Patient | If the official INS registration number is entered, then the municipality of birth COG code cannot be 99999 because this code cannot be sent via the INSI online service. | `(identifier.where(use = 'official').count() = 1 implies extension('http://hl7.org/fhir/StructureDefinition/patient-birthPlace').value.extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code').value.code != '99999')`
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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | FRCorePatientProfile(2.2.0-ballot) | Information about an individual or animal receiving health care services Constraints: fr-core-1, fr-core-2, fr-core-3
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 Constraints: ext-1
extension:nationality |  | 0..1 | (Complexe) | Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality Constraints: ext-1
extension:identityReliability |  | 0..* | (Complexe) | Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability Constraints: ext-1
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, ...) Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "methodCollection"
extension:dateCollection |  | 0..1 | Extension | INS collection date| date d'interrogation du téléservice INSi Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
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. Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "identityStatus"
extension:validationDate |  | 0..1 | Extension | Date de vérification de l'identité Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "validationDate"
extension:validationMode |  | 0..1 | Extension | Extension Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "validationMode"
value[x] |  | 0..1 | Coding | Value of extension Binding: FRCoreValueSetModeValidationIdentityINS (2.2.0-ballot) (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 Constraints: ext-1
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 Constraints: ext-1
extension:birthPlace | S | 1..1 | (Complexe) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | FRCoreAddressProfile(2.2.0-ballot) | Value of extension
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
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: FRCoreValueSetINSEECode (2.2.0-ballot) (required) Constraints: ext-1
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 Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
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).
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierUsePI (2.2.0-ballot) (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 | S Σ | 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: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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 | S Σ | 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: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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(2.2.0-ballot) | 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 | S Σ | 1..1 | HumanName | Name of a human | Nom de naissance
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
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 Constraints: ext-1
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 | S Σ | 1..1 | code | male | female | unknown Binding: FRCoreValueSetPatientGender (2.2.0-ballot) (required)
birthDate | S Σ | 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 Constraints: ext-1
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.
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 | Patient.implicitRules, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:identityReliability.extension:methodCollection, Patient.extension:identityReliability.extension:dateCollection, Patient.extension:identityReliability.extension:identityStatus, Patient.extension:identityReliability.extension:validationDate, Patient.extension:identityReliability.extension:validationMode, Patient.extension:identityReliability.extension:validationMode.value[x], Patient.extension:deathPlace, Patient.extension:birthDateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:birthPlace.value[x].use, Patient.extension:multipleBirth, Patient.modifierExtension, Patient.identifier, Patient.identifier:NSS, Patient.identifier:NSS.use, Patient.identifier:NSS.type, Patient.identifier:NSS.system, Patient.identifier:NSS.value, Patient.identifier:INS-C, Patient.identifier:INS-C.use, Patient.identifier:INS-C.type, Patient.identifier:INS-C.system, Patient.identifier:INS-C.value, Patient.identifier:NDP, Patient.identifier:NDP.use, Patient.identifier:NDP.type, Patient.identifier:NDP.system, Patient.identifier:NDP.value, Patient.identifier:PI, Patient.identifier:PI.use, Patient.identifier:PI.type, Patient.identifier:PI.system, Patient.identifier:PI.value, Patient.identifier:RRI, Patient.identifier:RRI.use, Patient.identifier:RRI.type, Patient.identifier:RRI.system, Patient.identifier:RRI.value, Patient.identifier:INS-NIR, Patient.identifier:INS-NIR.use, Patient.identifier:INS-NIR.type, Patient.identifier:INS-NIR.system, Patient.identifier:INS-NIR.value, Patient.identifier:INS-NIR-TEST, Patient.identifier:INS-NIR-TEST.use, Patient.identifier:INS-NIR-TEST.type, Patient.identifier:INS-NIR-TEST.system, Patient.identifier:INS-NIR-TEST.value, Patient.identifier:INS-NIR-DEMO, Patient.identifier:INS-NIR-DEMO.use, Patient.identifier:INS-NIR-DEMO.type, Patient.identifier:INS-NIR-DEMO.system, Patient.identifier:INS-NIR-DEMO.value, Patient.identifier:INS-NIA, Patient.identifier:INS-NIA.use, Patient.identifier:INS-NIA.type, Patient.identifier:INS-NIA.system, Patient.identifier:INS-NIA.value, Patient.active, Patient.name, Patient.name:usualName, Patient.name:usualName.use, Patient.name:officialName, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.name:officialName.use, Patient.name:officialName.family, Patient.name:officialName.given, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:identityReliability.extension:methodCollection, Patient.extension:identityReliability.extension:dateCollection, Patient.extension:identityReliability.extension:identityStatus, Patient.extension:identityReliability.extension:validationDate, Patient.extension:identityReliability.extension:validationMode, Patient.extension:deathPlace, Patient.extension:birthDateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:multipleBirth, Patient.modifierExtension, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.link.modifierExtension | 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)`
fr-core-3 | warning | Patient | If the official INS registration number is entered, then the municipality of birth COG code cannot be 99999 because this code cannot be sent via the INSI online service. | `(identifier.where(use = 'official').count() = 1 implies extension('http://hl7.org/fhir/StructureDefinition/patient-birthPlace').value.extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code').value.code != '99999')`

Differential View

This structure is derived from FRCorePatientProfile

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | FRCorePatientProfile(2.2.0-ballot) | Information about an individual or animal receiving health care services
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|2.2.0-ballot
extension |  | 1..* | Extension | Extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:identityReliability |  | 0..* | FRCorePatientIdentityReliabilityExtension(2.2.0-ballot) | 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: FRCoreValueSetModeValidationIdentityINS (2.2.0-ballot) (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(2.2.0-ballot) | FR Core Address Insee Code Extension
identifier |  | 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.
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: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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(2.2.0-ballot) | 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(2.2.0-ballot) | 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.
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)`
fr-core-3 | warning | Patient | If the official INS registration number is entered, then the municipality of birth COG code cannot be 99999 because this code cannot be sent via the INSI online service. | `(identifier.where(use = 'official').count() = 1 implies extension('http://hl7.org/fhir/StructureDefinition/patient-birthPlace').value.extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code').value.code != '99999')`

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | FRCorePatientProfile(2.2.0-ballot) | Information about an individual or animal receiving health care services Constraints: fr-core-1, fr-core-2, fr-core-3
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 Constraints: ext-1
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|2.2.0-ballot
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|2.2.0-ballot
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
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 Constraints: ext-1
extension:nationality |  | 0..1 | (Complexe) | Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality Constraints: ext-1
extension:identityReliability |  | 0..* | (Complexe) | Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability Constraints: ext-1
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 Constraints: ext-1
extension:methodCollection |  | 0..1 | Extension | The way the INS identity is collected | Mode d'obtention de l'INS (SM, CV, INSI, ...) Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "methodCollection"
value[x] |  | 0..1 | Coding | Value of extension Binding: FRCoreValueSetIdentityMethodCollection (2.2.0-ballot) (extensible)
extension:dateCollection |  | 0..1 | Extension | INS collection date| date d'interrogation du téléservice INSi Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
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. Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "identityStatus"
value[x] |  | 0..1 | Coding | Value of extension Binding: FRCoreValueSetIdentityReliabilityStatus (2.2.0-ballot) (extensible)
extension:validationDate |  | 0..1 | Extension | Date de vérification de l'identité Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "validationDate"
value[x] |  | 0..1 | date | Value of extension
extension:validationMode |  | 0..1 | Extension | Extension Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "validationMode"
value[x] |  | 0..1 | Coding | Value of extension Binding: FRCoreValueSetModeValidationIdentityINS (2.2.0-ballot) (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 Constraints: ext-1
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 Constraints: ext-1
extension:birthPlace | S | 1..1 | (Complexe) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | FRCoreAddressProfile(2.2.0-ballot) | 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 Constraints: ext-1
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: FRCoreValueSetINSEECode (2.2.0-ballot) (required) Constraints: ext-1
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 Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
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 Constraints: ext-1
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 Constraints: ext-1
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 Constraints: ext-1
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 Constraints: ext-1
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: FRCoreValueSetPatientIdentifierUsePI (2.2.0-ballot) (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 Constraints: ext-1
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: FRCoreValueSetPatientIdentifierType (2.2.0-ballot) (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 | S Σ | 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 Constraints: ext-1
use | ?!Σ | 1..1 | code | official | old Binding: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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 Constraints: ext-1
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 Constraints: ext-1
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 | S Σ | 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 Constraints: ext-1
use | ?!Σ | 1..1 | code | official | old Binding: FRCoreValueSetPatientIdentifierUseINS (2.2.0-ballot) (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(2.2.0-ballot) | 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 Constraints: ext-1
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 | S Σ | 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 Constraints: ext-1
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 Constraints: ext-1
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(2.2.0-ballot) | A contact detail for the individual
gender | S Σ | 1..1 | code | male | female | unknown Binding: FRCoreValueSetPatientGender (2.2.0-ballot) (required)
birthDate | S Σ | 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(2.2.0-ballot) | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: FRCoreValueSetMaritalStatus (2.2.0-ballot) (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 Constraints: ext-1
extension:contactIdentifier |  | 0..1 | Identifier | FR Core Patient Contact Identifier Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier Constraints: ext-1
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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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: FRCoreValueSetPatientContactRole (2.2.0-ballot) (extensible)
relationship:relationType |  | 0..1 | CodeableConcept | The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: FRCoreValueSetPatientRelationType (2.2.0-ballot) (extensible)
name |  | 0..1 | FRCoreHumanNameProfile(2.2.0-ballot) | A name associated with the contact person
telecom |  | 0..* | FRCoreContactPointProfile(2.2.0-ballot) | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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 Additionnels | But
AllLanguages | Binding Max
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(FR Core Practitioner Profile(2.2.0-ballot) | FR Core Organization Profile(2.2.0-ballot) | PractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(FR Core Organization Profile(2.2.0-ballot) | 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 Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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.
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 | Patient.meta, Patient.meta.extension, Patient.meta.versionId, Patient.meta.lastUpdated, Patient.meta.source, Patient.meta.profile, Patient.meta.profile:fr-canonical, Patient.meta.profile:fr-ins-canonical, Patient.meta.security, Patient.meta.tag, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:identityReliability.extension, Patient.extension:identityReliability.extension:methodCollection, Patient.extension:identityReliability.extension:methodCollection.value[x], Patient.extension:identityReliability.extension:dateCollection, Patient.extension:identityReliability.extension:dateCollection.value[x], Patient.extension:identityReliability.extension:identityStatus, Patient.extension:identityReliability.extension:identityStatus.value[x], Patient.extension:identityReliability.extension:validationDate, Patient.extension:identityReliability.extension:validationDate.value[x], Patient.extension:identityReliability.extension:validationMode, Patient.extension:identityReliability.extension:validationMode.value[x], Patient.extension:deathPlace, Patient.extension:birthDateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:birthPlace.value[x].use, Patient.extension:birthPlace.value[x].type, Patient.extension:birthPlace.value[x].text, Patient.extension:birthPlace.value[x].line, Patient.extension:birthPlace.value[x].city, Patient.extension:birthPlace.value[x].district, Patient.extension:birthPlace.value[x].state, Patient.extension:birthPlace.value[x].postalCode, Patient.extension:birthPlace.value[x].country, Patient.extension:birthPlace.value[x].period, Patient.extension:multipleBirth, Patient.modifierExtension, Patient.identifier, Patient.identifier:NSS, Patient.identifier:NSS.extension, Patient.identifier:NSS.use, Patient.identifier:NSS.type, Patient.identifier:NSS.system, Patient.identifier:NSS.value, Patient.identifier:NSS.period, Patient.identifier:NSS.assigner, Patient.identifier:INS-C, Patient.identifier:INS-C.extension, Patient.identifier:INS-C.use, Patient.identifier:INS-C.type, Patient.identifier:INS-C.system, Patient.identifier:INS-C.value, Patient.identifier:INS-C.period, Patient.identifier:INS-C.assigner, Patient.identifier:NDP, Patient.identifier:NDP.extension, Patient.identifier:NDP.use, Patient.identifier:NDP.type, Patient.identifier:NDP.system, Patient.identifier:NDP.value, Patient.identifier:NDP.period, Patient.identifier:NDP.assigner, Patient.identifier:PI, Patient.identifier:PI.extension, Patient.identifier:PI.use, Patient.identifier:PI.type, Patient.identifier:PI.system, Patient.identifier:PI.value, Patient.identifier:PI.period, Patient.identifier:PI.assigner, Patient.identifier:RRI, Patient.identifier:RRI.extension, Patient.identifier:RRI.use, Patient.identifier:RRI.type, Patient.identifier:RRI.system, Patient.identifier:RRI.value, Patient.identifier:RRI.period, Patient.identifier:RRI.assigner, Patient.identifier:INS-NIR, Patient.identifier:INS-NIR.extension, Patient.identifier:INS-NIR.use, Patient.identifier:INS-NIR.type, Patient.identifier:INS-NIR.system, Patient.identifier:INS-NIR.value, Patient.identifier:INS-NIR.period, Patient.identifier:INS-NIR.assigner, Patient.identifier:INS-NIR-TEST, Patient.identifier:INS-NIR-TEST.extension, Patient.identifier:INS-NIR-TEST.use, Patient.identifier:INS-NIR-TEST.type, Patient.identifier:INS-NIR-TEST.system, Patient.identifier:INS-NIR-TEST.value, Patient.identifier:INS-NIR-TEST.period, Patient.identifier:INS-NIR-TEST.assigner, Patient.identifier:INS-NIR-DEMO, Patient.identifier:INS-NIR-DEMO.extension, Patient.identifier:INS-NIR-DEMO.use, Patient.identifier:INS-NIR-DEMO.type, Patient.identifier:INS-NIR-DEMO.system, Patient.identifier:INS-NIR-DEMO.value, Patient.identifier:INS-NIR-DEMO.period, Patient.identifier:INS-NIR-DEMO.assigner, Patient.identifier:INS-NIA, Patient.identifier:INS-NIA.extension, Patient.identifier:INS-NIA.use, Patient.identifier:INS-NIA.type, Patient.identifier:INS-NIA.system, Patient.identifier:INS-NIA.value, Patient.identifier:INS-NIA.period, Patient.identifier:INS-NIA.assigner, Patient.active, Patient.name, Patient.name:usualName, Patient.name:usualName.extension, Patient.name:usualName.use, Patient.name:usualName.text, Patient.name:usualName.family, Patient.name:usualName.given, Patient.name:usualName.prefix, Patient.name:usualName.suffix, Patient.name:usualName.period, Patient.name:officialName, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.name:officialName.use, Patient.name:officialName.text, Patient.name:officialName.family, Patient.name:officialName.given, Patient.name:officialName.prefix, Patient.name:officialName.suffix, Patient.name:officialName.period, Patient.telecom, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.extension:contactIdentifier, Patient.contact.extension:comment, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.relationship:role, Patient.contact.relationship:relationType, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | Patient.meta.extension, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:identityReliability.extension, Patient.extension:identityReliability.extension:methodCollection, Patient.extension:identityReliability.extension:dateCollection, Patient.extension:identityReliability.extension:identityStatus, Patient.extension:identityReliability.extension:validationDate, Patient.extension:identityReliability.extension:validationMode, Patient.extension:deathPlace, Patient.extension:birthDateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:multipleBirth, Patient.modifierExtension, Patient.identifier:NSS.extension, Patient.identifier:INS-C.extension, Patient.identifier:NDP.extension, Patient.identifier:PI.extension, Patient.identifier:RRI.extension, Patient.identifier:INS-NIR.extension, Patient.identifier:INS-NIR-TEST.extension, Patient.identifier:INS-NIR-DEMO.extension, Patient.identifier:INS-NIA.extension, Patient.name:usualName.extension, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.contact.extension, Patient.contact.extension:contactIdentifier, Patient.contact.extension:comment, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension | 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)`
fr-core-3 | warning | Patient | If the official INS registration number is entered, then the municipality of birth COG code cannot be 99999 because this code cannot be sent via the INSI online service. | `(identifier.where(use = 'official').count() = 1 implies extension('http://hl7.org/fhir/StructureDefinition/patient-birthPlace').value.extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code').value.code != '99999')`
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