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Resource Profile: FRPatientDocument - Detailed Descriptions

Draft as of 2025-12-05

Definitions for the fr-patient-document resource profile.

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. Patient
Définition

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

CourtInformation about an individual or animal receiving health care services
Contrôle0..*
Est modificateurfalse
Résuméfalse
Noms alternatifsSubjectOfCare Client Resident
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Patient.implicitRules
Définition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

CourtA set of rules under which this content was created
Commentaires

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Contrôle0..1
Typeuri
Est modificateurtrue parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Patient.extension:nationality
Nom de la slicenationality
Définition

The nationality of the patient.

CourtNationality
Contrôle0..1
Cet élément est affecté par les invariants suivants : ele-1
TypeExtension(FR Core Nationality Extension) (Extension complexe)
Est modificateurfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Patient.extension:identityReliability
Nom de la sliceidentityReliability
Définition

Reliabilility of the patient's identity | Précision sur le degré de fiabilité de l'identité du patient (si provisoire, validé... avec la justification : quelle type de pièce d'identité ?) avec la méthode de collection

CourtReliabilility of the identity | Fiabilité de l'identité
Contrôle0..*
Cet élément est affecté par les invariants suivants : ele-1
TypeExtension(FR Core Patient Ident Reliability Extension) (Extension complexe)
Est modificateurfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Patient.extension:deathPlace
Nom de la slicedeathPlace
Définition

Carries the death place of the patient |Précise le lieu de décès du patient (hôpital, sur la voie publique, au domicile, etc.).

CourtFR Core Patient Death Place Extension
Contrôle0..1
Cet élément est affecté par les invariants suivants : ele-1
TypeExtension(FR Core Patient Death Place Extension) (Type dextension : string)
Est modificateurfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Patient.extension:birthdateUpdateIndicator
Nom de la slicebirthdateUpdateIndicator
Définition

An Extension

CourtFR Core Patient Birthdate Update Indicator Extension
Contrôle0..1
Cet élément est affecté par les invariants suivants : ele-1
TypeExtension(FR Core Patient Birthdate Update Indicator Extension) (Type dextension : boolean)
Est modificateurfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Patient.extension:birthPlace
Nom de la slicebirthPlace
Définition

The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.

CourtPlace of Birth for patient
Contrôle0..1
TypeExtension(Patient Birth Place) (Type dextension : Address)
Est modificateurfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Patient.extension:birthPlace.extension
Définition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

CourtExtensionAdditional content defined by implementations
Commentaires

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Contrôle0..0*
TypeExtension
Est modificateurfalse
Résuméfalse
Noms alternatifsextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingCet élément introduit un ensemble de slices sur Patient.extension.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
  • value @ url
  • 16. Patient.extension:birthPlace.url
    Définition

    Source of the definition for the extension code - a logical name or a URL.

    Courtidentifies the meaning of the extension
    Commentaires

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Contrôle1..1
    Typeuri
    Est modificateurfalse
    Format XMLDans le format XML, cette propriété est représentée comme attribut.
    Résuméfalse
    Valeur fixehttp://hl7.org/fhir/StructureDefinition/patient-birthPlace
    18. Patient.extension:birthPlace.value[x]
    Définition

    An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.


    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    CourtAn address expressed using postal conventions (as opposed to GPS or other location definition formats)Value of extension
    Commentaires

    Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

    Contrôle10..1
    Cet élément est affecté par les invariants suivants : ele-1
    TypeAddress(FR Core Address Profile), date, Meta, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
    Est modificateurfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Patient.modifierExtension
    Définition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    CourtExtensions that cannot be ignored
    Commentaires

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Contrôle0..*
    TypeExtension
    Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Résuméfalse
    Exigences

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Noms alternatifsextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. Patient.identifier
    Définition

    An identifier for this patient.

    CourtAn identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS.
    NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
    Contrôle0..*
    TypeIdentifier
    Est modificateurfalse
    Résumétrue
    Exigences

    Patients are almost always assigned specific numerical identifiers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingCet élément introduit un ensemble de slices sur Patient.identifier. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
    • value @ type
    • 24. Patient.identifier.use
      Définition

      The purpose of this identifier.

      Courtusual | official | temp | secondary | old (If known)
      Commentaires

      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Contrôle0..1
      BindingLes codes DOIVENT (SHALL) être pris de IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. Patient.identifier:NSS
      Nom de la sliceNSS
      Définition

      An identifier for this patient.

      CourtNational 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).An identifier for this patient
      NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
      Contrôle0..1*
      TypeIdentifier
      Est modificateurfalse
      Résumétrue
      Exigences

      Patients are almost always assigned specific numerical identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Patient.identifier:NSS.use
      Définition

      The purpose of this identifier.

      Courtusual | official | temp | secondary | old (If known)
      Commentaires

      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Contrôle0..1
      BindingLes codes DOIVENT (SHALL) être pris de IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      Valeur de motifofficial
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Patient.identifier:NSS.type
      Définition

      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

      CourtDescription of identifier
      Commentaires

      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

      Contrôle10..1
      BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

      TypeCodeableConcept
      Est modificateurfalse
      Résumétrue
      Exigences

      Allows users to make use of identifiers when the identifier system is not known.

      Valeur de motif{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "NH"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Patient.identifier:NSS.system
      Définition

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      CourtThe namespace for the identifier value
      Commentaires

      Identifier.system is always case sensitive.

      Contrôle0..1
      Typeuri
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      Valeur de motifurn:oid:1.2.250.1.213.1.4.8
      ExempleGeneral: http://www.acme.com/identifiers/patient
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Patient.identifier:NSS.value
      Définition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      CourtThe value that is unique
      Commentaires

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

      Contrôle10..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      ExempleGeneral: 123456
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. Patient.identifier:INS-C
      Nom de la sliceINS-C
      Définition

      An identifier for this patient.

      CourtComputed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitaleAn identifier for this patient
      NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
      Contrôle0..*
      TypeIdentifier
      Est modificateurfalse
      Résumétrue
      Exigences

      Patients are almost always assigned specific numerical identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. Patient.identifier:INS-C.use
      Définition

      The purpose of this identifier.

      Courtusual | official | temp | secondary | old (If known)
      Commentaires

      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Contrôle0..1
      BindingLes codes DOIVENT (SHALL) être pris de IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      Valeur de motifsecondary
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Patient.identifier:INS-C.type
      Définition

      Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale


      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

      CourtDescription of identifier
      Commentaires

      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

      Contrôle10..1
      BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

      TypeCodeableConcept
      Est modificateurfalse
      Résumétrue
      Exigences

      Allows users to make use of identifiers when the identifier system is not known.

      Valeur de motif{
        "coding" : [{
          "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203",
          "code" : "INS-C",
          "display" : "Identifiant National de Santé Calculé"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Patient.identifier:INS-C.system
      Définition

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      CourtThe namespace for the identifier value
      Commentaires

      Identifier.system is always case sensitive.

      Contrôle0..1
      Typeuri
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      Valeur de motifurn:oid:1.2.250.1.213.1.4.2
      ExempleGeneral: http://www.acme.com/identifiers/patient
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Patient.identifier:INS-C.value
      Définition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      CourtThe value that is unique
      Commentaires

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

      Contrôle10..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      ExempleGeneral: 123456
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Patient.identifier:NDP
      Nom de la sliceNDP
      Définition

      An identifier for this patient.

      CourtFrench pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.An identifier for this patient
      NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
      Contrôle0..1*
      TypeIdentifier
      Est modificateurfalse
      Résumétrue
      Exigences

      Patients are almost always assigned specific numerical identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. Patient.identifier:NDP.use
      Définition

      The purpose of this identifier.

      Courtusual | official | temp | secondary | old (If known)
      Commentaires

      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Contrôle0..1
      BindingLes codes DOIVENT (SHALL) être pris de IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      Valeur de motifsecondary
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. Patient.identifier:NDP.type
      Définition

      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

      CourtDescription of identifier
      Commentaires

      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

      Contrôle10..1
      BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

      TypeCodeableConcept
      Est modificateurfalse
      Résumétrue
      Exigences

      Allows users to make use of identifiers when the identifier system is not known.

      Valeur de motif{
        "coding" : [{
          "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203",
          "code" : "NDP",
          "display" : "Identifiant du patient au Dossier Pharmaceutique"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Patient.identifier:NDP.system
      Définition

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      CourtThe namespace for the identifier value
      Commentaires

      Identifier.system is always case sensitive.

      Contrôle10..1
      Typeuri
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      Valeur de motifurn:oid:1.2.250.1.176.1.2
      ExempleGeneral: http://www.acme.com/identifiers/patient
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. Patient.identifier:NDP.value
      Définition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      CourtThe value that is unique
      Commentaires

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

      Contrôle10..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      ExempleGeneral: 123456
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. Patient.identifier:PI
      Nom de la slicePI
      Définition

      An identifier for this patient.

      CourtHospital assigned patient identifier | IPPAn identifier for this patient
      NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
      Contrôle0..*
      TypeIdentifier
      Est modificateurfalse
      Résumétrue
      Exigences

      Patients are almost always assigned specific numerical identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. Patient.identifier:PI.use
      Définition

      The purpose of this identifier.

      Courtusual | official | temp | secondary | old (If known)
      Commentaires

      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Contrôle0..1
      BindingLes codes DOIVENT (SHALL) être pris de IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      Valeur de motifusual
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. Patient.identifier:PI.type
      Définition

      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

      CourtDescription of identifier
      Commentaires

      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

      Contrôle10..1
      BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

      TypeCodeableConcept
      Est modificateurfalse
      Résumétrue
      Exigences

      Allows users to make use of identifiers when the identifier system is not known.

      Valeur de motif{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "PI",
          "display" : "Patient internal identifier"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. Patient.identifier:PI.system
      Définition

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      CourtThe namespace for the identifier value
      Commentaires

      Identifier.system is always case sensitive.

      Contrôle10..1
      Typeuri
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      ExempleGeneral: http://www.acme.com/identifiers/patient
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. Patient.identifier:PI.value
      Définition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      CourtThe value that is unique
      Commentaires

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

      Contrôle10..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      ExempleGeneral: 123456
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. Patient.identifier:RRI
      Nom de la sliceRRI
      Définition

      An identifier for this patient.

      CourtRegional Registry ID | Identifiant régionalAn identifier for this patient
      NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
      Contrôle0..*
      TypeIdentifier
      Est modificateurfalse
      Résumétrue
      Exigences

      Patients are almost always assigned specific numerical identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. Patient.identifier:RRI.use
      Définition

      The purpose of this identifier.

      Courtusual | official | temp | secondary | old (If known)
      Commentaires

      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Contrôle0..1
      BindingLes codes DOIVENT (SHALL) être pris de IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      Valeur de motifsecondary
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. Patient.identifier:RRI.type
      Définition

      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

      CourtDescription of identifier
      Commentaires

      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

      Contrôle10..1
      BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

      TypeCodeableConcept
      Est modificateurfalse
      Résumétrue
      Exigences

      Allows users to make use of identifiers when the identifier system is not known.

      Valeur de motif{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "RRI",
          "display" : "Regional registry ID"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. Patient.identifier:RRI.system
      Définition

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

      CourtThe namespace for the identifier value
      Commentaires

      Identifier.system is always case sensitive.

      Contrôle10..1
      Typeuri
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

      ExempleGeneral: http://www.acme.com/identifiers/patient
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      74. Patient.identifier:RRI.value
      Définition

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

      CourtThe value that is unique
      Commentaires

      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

      Contrôle10..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      ExempleGeneral: 123456
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. Patient.active
      Définition

      Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

      It is often used to filter patient lists to exclude inactive patients

      Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

      CourtWhether this patient's record is in active use
      Commentaires

      If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

      Contrôle0..1
      Typeboolean
      Est modificateurtrue parce que This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Need to be able to mark a patient record as not to be used because it was created in error.

      Signification si manquantThis resource is generally assumed to be active if no value is provided for the active element
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. Patient.name
      Définition

      A name associated with the individual.

      CourtA name associated with the patient
      Commentaires

      A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

      Contrôle0..*
      TypeHumanName(FR Core Human Name Profile)
      Est modificateurfalse
      Résumétrue
      Exigences

      Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingCet élément introduit un ensemble de slices sur Patient.name. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
      • value @ use
      • 80. Patient.name:usualName
        Nom de la sliceusualName
        Définition

        A human's name with the ability to identify parts and usage | Le nom utilisé (usual) n’est transmis que s’il est défini (par exemple nom marital du conjoint).


        A name associated with the individual.

        CourtName of a human | Nom utiliséA name associated with the patient
        Commentaires

        A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

        Contrôle0..*
        TypeHumanName
        Est modificateurfalse
        Résumétrue
        Exigences

        Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        82. Patient.name:usualName.use
        Définition

        Identifies the purpose for this name.

        Courtusual | official | temp | nickname | anonymous | old | maiden
        Commentaires

        Applications can assume that a name is current unless it explicitly says that it is temporary or old.

        Contrôle10..1
        BindingLes codes DOIVENT (SHALL) être pris de NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
        (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

        The use of a human name.

        Typecode
        Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
        Résumétrue
        Exigences

        Allows the appropriate name for a particular context of use to be selected from among a set of names.

        Valeur de motifusual
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        84. Patient.name:officialName
        Nom de la sliceofficialName
        Définition

        A human's name with the ability to identify parts and usage | Le nom de naissance (official) est obligatoire dans le cas où l’on véhicule l’INS et que l’identité est qualifiée (celui-ci ne doit pas être altéré).


        A name associated with the individual.

        CourtName of a human | Nom de naissanceA name associated with the patient
        Commentaires

        A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

        Contrôle0..*
        TypeHumanName
        Est modificateurfalse
        Résumétrue
        Exigences

        Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        86. Patient.name:officialName.extension:birth-list-given-name
        Nom de la slicebirth-list-given-name
        Définition

        Prénoms de l'acte de naissance

        CourtDans 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.
        Contrôle0..1
        TypeExtension(FR Core Patient Birth List Given name Extension) (Type dextension : string)
        Est modificateurfalse
        Résuméfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        88. Patient.name:officialName.use
        Définition

        Identifies the purpose for this name.

        Courtusual | official | temp | nickname | anonymous | old | maiden
        Commentaires

        Applications can assume that a name is current unless it explicitly says that it is temporary or old.

        Contrôle10..1
        BindingLes codes DOIVENT (SHALL) être pris de NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
        (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

        The use of a human name.

        Typecode
        Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
        Résumétrue
        Exigences

        Allows the appropriate name for a particular context of use to be selected from among a set of names.

        Valeur de motifofficial
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        90. Patient.name:officialName.family
        Définition

        The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

        CourtFamily name (often called 'Surname')
        Commentaires

        Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

        Contrôle10..1
        Typestring
        Est modificateurfalse
        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
        Résumétrue
        Noms alternatifssurname
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        92. Patient.name:officialName.given
        Définition

        Given name.

        CourtGiven names (not always 'first'). Includes middle names
        Commentaires

        If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

        Contrôle10..*
        Typestring
        Est modificateurfalse
        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
        Résumétrue
        Noms alternatifsfirst name, middle name
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        94. Patient.deceased[x]
        Définition

        Indicates if the individual is deceased or not.

        CourtIndicates if the individual is deceased or not
        Commentaires

        If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

        Contrôle0..1
        TypeChoix de : boolean, dateTime
        Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
        Est modificateurtrue parce que This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
        Résumétrue
        Exigences

        The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        96. Patient.link
        Définition

        Link to another patient resource that concerns the same actual patient.

        CourtLink to another patient resource that concerns the same actual person
        Commentaires

        There is no assumption that linked patient records have mutual links.

        Contrôle0..*
        TypeBackboneElement
        Est modificateurtrue parce que This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
        Résumétrue
        Exigences

        There are multiple use cases:

        • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
        • Distribution of patient information across multiple servers.
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        98. Patient.link.modifierExtension
        Définition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        CourtExtensions that cannot be ignored even if unrecognized
        Commentaires

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Contrôle0..*
        TypeExtension
        Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Résumétrue
        Exigences

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Noms alternatifsextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        100. Patient.link.other
        Définition

        The other patient resource that the link refers to.

        CourtThe other patient or related person resource that the link refers to
        Commentaires

        Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

        Contrôle1..1
        TypeReference(Patient, RelatedPerson, Patient, RelatedPerson)
        Est modificateurfalse
        Résumétrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        102. Patient.link.type
        Définition

        The type of link between this patient resource and another patient resource.

        Courtreplaced-by | replaces | refer | seealso
        Contrôle1..1
        BindingLes codes DOIVENT (SHALL) être pris de LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1
        (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)

        The type of link between this patient resource and another patient resource.

        Typecode
        Est modificateurfalse
        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
        Résumétrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

        Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

        0. Patient

        Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

        0. Patient
        Définition

        Demographics and other administrative information about an individual or animal receiving care or other health-related services.

        CourtInformation about an individual or animal receiving health care services
        Contrôle0..*
        Est modificateurfalse
        Résuméfalse
        Noms alternatifsSubjectOfCare Client Resident
        Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
        dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
        dom-6: A resource should have narrative for robust management (text.`div`.exists())
        2. Patient.id
        Définition

        The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

        CourtLogical id of this artifact
        Commentaires

        The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

        Contrôle0..1
        Typeid
        Est modificateurfalse
        Résumétrue
        4. Patient.meta
        Définition

        The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

        CourtMetadata about the resource
        Contrôle0..1
        TypeMeta
        Est modificateurfalse
        Résumétrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        6. Patient.meta.id
        Définition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        CourtUnique id for inter-element referencing
        Contrôle0..1
        Typestring
        Est modificateurfalse
        Format XMLDans le format XML, cette propriété est représentée comme attribut.
        Résuméfalse
        8. Patient.meta.extension
        Définition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        CourtAdditional content defined by implementations
        Commentaires

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Contrôle0..*
        TypeExtension
        Est modificateurfalse
        Résuméfalse
        Noms alternatifsextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingCet élément introduit un ensemble de slices sur Patient.meta.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
        • value @ url
        • 10. Patient.meta.versionId
          Définition

          The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

          CourtVersion specific identifier
          Commentaires

          The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

          Contrôle0..1
          Typeid
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Patient.meta.lastUpdated
          Définition

          When the resource last changed - e.g. when the version changed.

          CourtWhen the resource version last changed
          Commentaires

          This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

          Contrôle0..1
          Typeinstant
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          14. Patient.meta.source
          Définition

          A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

          CourtIdentifies where the resource comes from
          Commentaires

          In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

          This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

          Contrôle0..1
          Typeuri
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. Patient.meta.profile
          Définition

          A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

          CourtProfiles this resource claims to conform to
          Commentaires

          It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

          Contrôle0..*
          Typecanonical(StructureDefinition)
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingCet élément introduit un ensemble de slices sur Patient.meta.profile. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
          • value @ $this
          • 18. Patient.meta.profile:fr-canonical
            Nom de la slicefr-canonical
            Définition

            A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

            CourtProfiles this resource claims to conform to
            Commentaires

            It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

            Contrôle0..1
            Typecanonical(StructureDefinition)
            Est modificateurfalse
            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
            Résumétrue
            Valeur de motifhttps://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. Patient.meta.security
            Définition

            Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

            CourtSecurity Labels applied to this resource
            Commentaires

            The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

            Contrôle0..*
            BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de All Security Labels
            (extensible to http://hl7.org/fhir/ValueSet/security-labels)

            Security Labels from the Healthcare Privacy and Security Classification System.

            TypeCoding
            Est modificateurfalse
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. Patient.meta.tag
            Définition

            Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

            CourtTags applied to this resource
            Commentaires

            The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

            Contrôle0..*
            BindingPour des exemples de codes, voir CommonTags
            (example to http://hl7.org/fhir/ValueSet/common-tags)

            Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

            TypeCoding
            Est modificateurfalse
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. Patient.implicitRules
            Définition

            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

            CourtA set of rules under which this content was created
            Commentaires

            Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

            Contrôle0..1
            Typeuri
            Est modificateurtrue parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Patient.language
            Définition

            The base language in which the resource is written.

            CourtLanguage of the resource content
            Commentaires

            Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

            Contrôle0..1
            BindingLes codes DEVRAIENT (SHOULD) être pris de CommonLanguages
            (preferred to http://hl7.org/fhir/ValueSet/languages)

            A human language.

            Bindings AdditionnelsBut
            AllLanguagesBinding Max
            Typecode
            Est modificateurfalse
            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
            Résuméfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. Patient.text
            Définition

            A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

            CourtText summary of the resource, for human interpretation
            Commentaires

            Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

            Contrôle0..1
            TypeNarrative
            Est modificateurfalse
            Résuméfalse
            Noms alternatifsnarrative, html, xhtml, display
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            30. Patient.contained
            Définition

            These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

            CourtContained, inline Resources
            Commentaires

            This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

            Contrôle0..*
            TypeResource
            Est modificateurfalse
            Résuméfalse
            Noms alternatifsinline resources, anonymous resources, contained resources
            32. Patient.extension
            Définition

            An Extension

            CourtExtension
            Contrôle0..*
            TypeExtension
            Est modificateurfalse
            Résuméfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingCet élément introduit un ensemble de slices sur Patient.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
            • value @ url
            • 34. Patient.extension:nationality
              Nom de la slicenationality
              Définition

              The nationality of the patient.

              CourtNationality
              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              TypeExtension(FR Core Nationality Extension) (Extension complexe)
              Est modificateurfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              36. Patient.extension:identityReliability
              Nom de la sliceidentityReliability
              Définition

              Reliabilility of the patient's identity | Précision sur le degré de fiabilité de l'identité du patient (si provisoire, validé... avec la justification : quelle type de pièce d'identité ?) avec la méthode de collection

              CourtReliabilility of the identity | Fiabilité de l'identité
              Contrôle0..*
              Cet élément est affecté par les invariants suivants : ele-1
              TypeExtension(FR Core Patient Ident Reliability Extension) (Extension complexe)
              Est modificateurfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              38. Patient.extension:deathPlace
              Nom de la slicedeathPlace
              Définition

              Carries the death place of the patient |Précise le lieu de décès du patient (hôpital, sur la voie publique, au domicile, etc.).

              CourtFR Core Patient Death Place Extension
              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              TypeExtension(FR Core Patient Death Place Extension) (Type dextension : string)
              Est modificateurfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              40. Patient.extension:birthdateUpdateIndicator
              Nom de la slicebirthdateUpdateIndicator
              Définition

              An Extension

              CourtFR Core Patient Birthdate Update Indicator Extension
              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              TypeExtension(FR Core Patient Birthdate Update Indicator Extension) (Type dextension : boolean)
              Est modificateurfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              42. Patient.extension:birthPlace
              Nom de la slicebirthPlace
              Définition

              The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.

              CourtPlace of Birth for patient
              Contrôle0..1
              TypeExtension(Patient Birth Place) (Type dextension : Address)
              Est modificateurfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              44. Patient.extension:birthPlace.id
              Définition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              CourtUnique id for inter-element referencing
              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typeid
              Est modificateurfalse
              Format XMLDans le format XML, cette propriété est représentée comme attribut.
              Résuméfalse
              46. Patient.extension:birthPlace.extension
              Définition

              An Extension

              CourtExtension
              Contrôle0..0
              TypeExtension
              Est modificateurfalse
              Résuméfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingCet élément introduit un ensemble de slices sur Patient.extension.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
              • value @ url
              • 48. Patient.extension:birthPlace.url
                Définition

                Source of the definition for the extension code - a logical name or a URL.

                Courtidentifies the meaning of the extension
                Commentaires

                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                Contrôle1..1
                Typeuri
                Est modificateurfalse
                Format XMLDans le format XML, cette propriété est représentée comme attribut.
                Résuméfalse
                Valeur fixehttp://hl7.org/fhir/StructureDefinition/patient-birthPlace
                50. Patient.extension:birthPlace.value[x]
                Définition

                An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.

                CourtAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
                Commentaires

                Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

                Contrôle1..1
                Cet élément est affecté par les invariants suivants : ele-1
                TypeAddress(FR Core Address Profile)
                Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
                Est modificateurfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                52. Patient.modifierExtension
                Définition

                May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                CourtExtensions that cannot be ignored
                Commentaires

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Contrôle0..*
                TypeExtension
                Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                Résuméfalse
                Exigences

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Noms alternatifsextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                54. Patient.identifier
                Définition

                An identifier for this patient.

                CourtAn identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS.
                NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
                Contrôle0..*
                TypeIdentifier
                Est modificateurfalse
                Résumétrue
                Exigences

                Patients are almost always assigned specific numerical identifiers.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingCet élément introduit un ensemble de slices sur Patient.identifier. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                • value @ type
                • 56. Patient.identifier.id
                  Définition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  CourtUnique id for inter-element referencing
                  Contrôle0..1
                  Typestring
                  Est modificateurfalse
                  Format XMLDans le format XML, cette propriété est représentée comme attribut.
                  Résuméfalse
                  58. Patient.identifier.extension
                  Définition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  CourtAdditional content defined by implementations
                  Commentaires

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Contrôle0..*
                  TypeExtension
                  Est modificateurfalse
                  Résuméfalse
                  Noms alternatifsextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingCet élément introduit un ensemble de slices sur Patient.identifier.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                  • value @ url
                  • 60. Patient.identifier.use
                    Définition

                    The purpose of this identifier.

                    Courtusual | official | temp | secondary | old (If known)
                    Commentaires

                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                    Contrôle0..1
                    BindingLes codes DOIVENT (SHALL) être pris de IdentifierUse
                    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                    Identifies the purpose for this identifier, if known .

                    Typecode
                    Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                    Résumétrue
                    Exigences

                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    62. Patient.identifier.type
                    Définition

                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                    CourtDescription of identifier
                    Commentaires

                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                    Contrôle0..1
                    BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FR Core ValueSet Patient identifier type
                    (extensible to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type)
                    TypeCodeableConcept
                    Est modificateurfalse
                    Résumétrue
                    Exigences

                    Allows users to make use of identifiers when the identifier system is not known.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    64. Patient.identifier.system
                    Définition

                    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                    CourtThe namespace for the identifier value
                    Commentaires

                    Identifier.system is always case sensitive.

                    Contrôle0..1
                    Typeuri
                    Est modificateurfalse
                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                    Résumétrue
                    Exigences

                    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                    ExempleGeneral: http://www.acme.com/identifiers/patient
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    66. Patient.identifier.value
                    Définition

                    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                    CourtThe value that is unique
                    Commentaires

                    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                    Contrôle0..1
                    Typestring
                    Est modificateurfalse
                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                    Résumétrue
                    ExempleGeneral: 123456
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    68. Patient.identifier.period
                    Définition

                    Time period during which identifier is/was valid for use.

                    CourtTime period when id is/was valid for use
                    Contrôle0..1
                    TypePeriod
                    Est modificateurfalse
                    Résumétrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    70. Patient.identifier.assigner
                    Définition

                    Organization that issued/manages the identifier.

                    CourtOrganization that issued id (may be just text)
                    Commentaires

                    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                    Contrôle0..1
                    TypeReference(Organization)
                    Est modificateurfalse
                    Résumétrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    72. Patient.identifier:NSS
                    Nom de la sliceNSS
                    Définition

                    An identifier for this patient.

                    CourtNational 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).
                    NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
                    Contrôle0..1
                    TypeIdentifier
                    Est modificateurfalse
                    Résumétrue
                    Exigences

                    Patients are almost always assigned specific numerical identifiers.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    74. Patient.identifier:NSS.id
                    Définition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    CourtUnique id for inter-element referencing
                    Contrôle0..1
                    Typestring
                    Est modificateurfalse
                    Format XMLDans le format XML, cette propriété est représentée comme attribut.
                    Résuméfalse
                    76. Patient.identifier:NSS.extension
                    Définition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    CourtAdditional content defined by implementations
                    Commentaires

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Contrôle0..*
                    TypeExtension
                    Est modificateurfalse
                    Résuméfalse
                    Noms alternatifsextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingCet élément introduit un ensemble de slices sur Patient.identifier.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                    • value @ url
                    • 78. Patient.identifier:NSS.use
                      Définition

                      The purpose of this identifier.

                      Courtusual | official | temp | secondary | old (If known)
                      Commentaires

                      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                      Contrôle0..1
                      BindingLes codes DOIVENT (SHALL) être pris de IdentifierUse
                      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                      Identifies the purpose for this identifier, if known .

                      Typecode
                      Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                      Résumétrue
                      Exigences

                      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                      Valeur de motifofficial
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      80. Patient.identifier:NSS.type
                      Définition

                      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                      CourtDescription of identifier
                      Commentaires

                      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                      Contrôle1..1
                      BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codes
                      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                      TypeCodeableConcept
                      Est modificateurfalse
                      Résumétrue
                      Exigences

                      Allows users to make use of identifiers when the identifier system is not known.

                      Valeur de motif{
                        "coding" : [{
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code" : "NH"
                        }]
                      }
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      82. Patient.identifier:NSS.system
                      Définition

                      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                      CourtThe namespace for the identifier value
                      Commentaires

                      Identifier.system is always case sensitive.

                      Contrôle0..1
                      Typeuri
                      Est modificateurfalse
                      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                      Résumétrue
                      Exigences

                      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                      Valeur de motifurn:oid:1.2.250.1.213.1.4.8
                      ExempleGeneral: http://www.acme.com/identifiers/patient
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      84. Patient.identifier:NSS.value
                      Définition

                      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                      CourtThe value that is unique
                      Commentaires

                      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                      Contrôle1..1
                      Typestring
                      Est modificateurfalse
                      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                      Résumétrue
                      ExempleGeneral: 123456
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      86. Patient.identifier:NSS.period
                      Définition

                      Time period during which identifier is/was valid for use.

                      CourtTime period when id is/was valid for use
                      Contrôle0..1
                      TypePeriod
                      Est modificateurfalse
                      Résumétrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      88. Patient.identifier:NSS.assigner
                      Définition

                      Organization that issued/manages the identifier.

                      CourtOrganization that issued id (may be just text)
                      Commentaires

                      The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                      Contrôle0..1
                      TypeReference(Organization)
                      Est modificateurfalse
                      Résumétrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      90. Patient.identifier:INS-C
                      Nom de la sliceINS-C
                      Définition

                      An identifier for this patient.

                      CourtComputed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
                      NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
                      Contrôle0..*
                      TypeIdentifier
                      Est modificateurfalse
                      Résumétrue
                      Exigences

                      Patients are almost always assigned specific numerical identifiers.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      92. Patient.identifier:INS-C.id
                      Définition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      CourtUnique id for inter-element referencing
                      Contrôle0..1
                      Typestring
                      Est modificateurfalse
                      Format XMLDans le format XML, cette propriété est représentée comme attribut.
                      Résuméfalse
                      94. Patient.identifier:INS-C.extension
                      Définition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      CourtAdditional content defined by implementations
                      Commentaires

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Contrôle0..*
                      TypeExtension
                      Est modificateurfalse
                      Résuméfalse
                      Noms alternatifsextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingCet élément introduit un ensemble de slices sur Patient.identifier.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                      • value @ url
                      • 96. Patient.identifier:INS-C.use
                        Définition

                        The purpose of this identifier.

                        Courtusual | official | temp | secondary | old (If known)
                        Commentaires

                        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                        Contrôle0..1
                        BindingLes codes DOIVENT (SHALL) être pris de IdentifierUse
                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                        Identifies the purpose for this identifier, if known .

                        Typecode
                        Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                        Résumétrue
                        Exigences

                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                        Valeur de motifsecondary
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        98. Patient.identifier:INS-C.type
                        Définition

                        Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale

                        CourtDescription of identifier
                        Commentaires

                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                        Contrôle1..1
                        BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codes
                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                        TypeCodeableConcept
                        Est modificateurfalse
                        Résumétrue
                        Exigences

                        Allows users to make use of identifiers when the identifier system is not known.

                        Valeur de motif{
                          "coding" : [{
                            "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203",
                            "code" : "INS-C",
                            "display" : "Identifiant National de Santé Calculé"
                          }]
                        }
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        100. Patient.identifier:INS-C.system
                        Définition

                        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                        CourtThe namespace for the identifier value
                        Commentaires

                        Identifier.system is always case sensitive.

                        Contrôle0..1
                        Typeuri
                        Est modificateurfalse
                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                        Résumétrue
                        Exigences

                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                        Valeur de motifurn:oid:1.2.250.1.213.1.4.2
                        ExempleGeneral: http://www.acme.com/identifiers/patient
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        102. Patient.identifier:INS-C.value
                        Définition

                        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                        CourtThe value that is unique
                        Commentaires

                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                        Contrôle1..1
                        Typestring
                        Est modificateurfalse
                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                        Résumétrue
                        ExempleGeneral: 123456
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        104. Patient.identifier:INS-C.period
                        Définition

                        Time period during which identifier is/was valid for use.

                        CourtTime period when id is/was valid for use
                        Contrôle0..1
                        TypePeriod
                        Est modificateurfalse
                        Résumétrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        106. Patient.identifier:INS-C.assigner
                        Définition

                        Organization that issued/manages the identifier.

                        CourtOrganization that issued id (may be just text)
                        Commentaires

                        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                        Contrôle0..1
                        TypeReference(Organization)
                        Est modificateurfalse
                        Résumétrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        108. Patient.identifier:NDP
                        Nom de la sliceNDP
                        Définition

                        An identifier for this patient.

                        CourtFrench pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
                        NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
                        Contrôle0..1
                        TypeIdentifier
                        Est modificateurfalse
                        Résumétrue
                        Exigences

                        Patients are almost always assigned specific numerical identifiers.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        110. Patient.identifier:NDP.id
                        Définition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        CourtUnique id for inter-element referencing
                        Contrôle0..1
                        Typestring
                        Est modificateurfalse
                        Format XMLDans le format XML, cette propriété est représentée comme attribut.
                        Résuméfalse
                        112. Patient.identifier:NDP.extension
                        Définition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        CourtAdditional content defined by implementations
                        Commentaires

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Contrôle0..*
                        TypeExtension
                        Est modificateurfalse
                        Résuméfalse
                        Noms alternatifsextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingCet élément introduit un ensemble de slices sur Patient.identifier.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                        • value @ url
                        • 114. Patient.identifier:NDP.use
                          Définition

                          The purpose of this identifier.

                          Courtusual | official | temp | secondary | old (If known)
                          Commentaires

                          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                          Contrôle0..1
                          BindingLes codes DOIVENT (SHALL) être pris de IdentifierUse
                          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                          Identifies the purpose for this identifier, if known .

                          Typecode
                          Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                          Résumétrue
                          Exigences

                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                          Valeur de motifsecondary
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          116. Patient.identifier:NDP.type
                          Définition

                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                          CourtDescription of identifier
                          Commentaires

                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                          Contrôle1..1
                          BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codes
                          (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                          TypeCodeableConcept
                          Est modificateurfalse
                          Résumétrue
                          Exigences

                          Allows users to make use of identifiers when the identifier system is not known.

                          Valeur de motif{
                            "coding" : [{
                              "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203",
                              "code" : "NDP",
                              "display" : "Identifiant du patient au Dossier Pharmaceutique"
                            }]
                          }
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          118. Patient.identifier:NDP.system
                          Définition

                          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                          CourtThe namespace for the identifier value
                          Commentaires

                          Identifier.system is always case sensitive.

                          Contrôle1..1
                          Typeuri
                          Est modificateurfalse
                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                          Résumétrue
                          Exigences

                          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                          Valeur de motifurn:oid:1.2.250.1.176.1.2
                          ExempleGeneral: http://www.acme.com/identifiers/patient
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          120. Patient.identifier:NDP.value
                          Définition

                          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                          CourtThe value that is unique
                          Commentaires

                          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                          Contrôle1..1
                          Typestring
                          Est modificateurfalse
                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                          Résumétrue
                          ExempleGeneral: 123456
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          122. Patient.identifier:NDP.period
                          Définition

                          Time period during which identifier is/was valid for use.

                          CourtTime period when id is/was valid for use
                          Contrôle0..1
                          TypePeriod
                          Est modificateurfalse
                          Résumétrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          124. Patient.identifier:NDP.assigner
                          Définition

                          Organization that issued/manages the identifier.

                          CourtOrganization that issued id (may be just text)
                          Commentaires

                          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                          Contrôle0..1
                          TypeReference(Organization)
                          Est modificateurfalse
                          Résumétrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          126. Patient.identifier:PI
                          Nom de la slicePI
                          Définition

                          An identifier for this patient.

                          CourtHospital assigned patient identifier | IPP
                          NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
                          Contrôle0..*
                          TypeIdentifier
                          Est modificateurfalse
                          Résumétrue
                          Exigences

                          Patients are almost always assigned specific numerical identifiers.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          128. Patient.identifier:PI.id
                          Définition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          CourtUnique id for inter-element referencing
                          Contrôle0..1
                          Typestring
                          Est modificateurfalse
                          Format XMLDans le format XML, cette propriété est représentée comme attribut.
                          Résuméfalse
                          130. Patient.identifier:PI.extension
                          Définition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          CourtAdditional content defined by implementations
                          Commentaires

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Contrôle0..*
                          TypeExtension
                          Est modificateurfalse
                          Résuméfalse
                          Noms alternatifsextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingCet élément introduit un ensemble de slices sur Patient.identifier.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                          • value @ url
                          • 132. Patient.identifier:PI.use
                            Définition

                            The purpose of this identifier.

                            Courtusual | official | temp | secondary | old (If known)
                            Commentaires

                            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                            Contrôle0..1
                            BindingLes codes DOIVENT (SHALL) être pris de IdentifierUse
                            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                            Identifies the purpose for this identifier, if known .

                            Typecode
                            Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                            Résumétrue
                            Exigences

                            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                            Valeur de motifusual
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            134. Patient.identifier:PI.type
                            Définition

                            A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                            CourtDescription of identifier
                            Commentaires

                            This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                            Contrôle1..1
                            BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codes
                            (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                            A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                            TypeCodeableConcept
                            Est modificateurfalse
                            Résumétrue
                            Exigences

                            Allows users to make use of identifiers when the identifier system is not known.

                            Valeur de motif{
                              "coding" : [{
                                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                "code" : "PI",
                                "display" : "Patient internal identifier"
                              }]
                            }
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            136. Patient.identifier:PI.system
                            Définition

                            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                            CourtThe namespace for the identifier value
                            Commentaires

                            Identifier.system is always case sensitive.

                            Contrôle1..1
                            Typeuri
                            Est modificateurfalse
                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                            Résumétrue
                            Exigences

                            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                            ExempleGeneral: http://www.acme.com/identifiers/patient
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            138. Patient.identifier:PI.value
                            Définition

                            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                            CourtThe value that is unique
                            Commentaires

                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                            Contrôle1..1
                            Typestring
                            Est modificateurfalse
                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                            Résumétrue
                            ExempleGeneral: 123456
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            140. Patient.identifier:PI.period
                            Définition

                            Time period during which identifier is/was valid for use.

                            CourtTime period when id is/was valid for use
                            Contrôle0..1
                            TypePeriod
                            Est modificateurfalse
                            Résumétrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            142. Patient.identifier:PI.assigner
                            Définition

                            Organization that issued/manages the identifier.

                            CourtOrganization that issued id (may be just text)
                            Commentaires

                            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                            Contrôle0..1
                            TypeReference(Organization)
                            Est modificateurfalse
                            Résumétrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            144. Patient.identifier:RRI
                            Nom de la sliceRRI
                            Définition

                            An identifier for this patient.

                            CourtRegional Registry ID | Identifiant régional
                            NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
                            Contrôle0..*
                            TypeIdentifier
                            Est modificateurfalse
                            Résumétrue
                            Exigences

                            Patients are almost always assigned specific numerical identifiers.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            146. Patient.identifier:RRI.id
                            Définition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            CourtUnique id for inter-element referencing
                            Contrôle0..1
                            Typestring
                            Est modificateurfalse
                            Format XMLDans le format XML, cette propriété est représentée comme attribut.
                            Résuméfalse
                            148. Patient.identifier:RRI.extension
                            Définition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            CourtAdditional content defined by implementations
                            Commentaires

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Contrôle0..*
                            TypeExtension
                            Est modificateurfalse
                            Résuméfalse
                            Noms alternatifsextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingCet élément introduit un ensemble de slices sur Patient.identifier.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                            • value @ url
                            • 150. Patient.identifier:RRI.use
                              Définition

                              The purpose of this identifier.

                              Courtusual | official | temp | secondary | old (If known)
                              Commentaires

                              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                              Contrôle0..1
                              BindingLes codes DOIVENT (SHALL) être pris de IdentifierUse
                              (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                              Identifies the purpose for this identifier, if known .

                              Typecode
                              Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                              Résumétrue
                              Exigences

                              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                              Valeur de motifsecondary
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              152. Patient.identifier:RRI.type
                              Définition

                              A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                              CourtDescription of identifier
                              Commentaires

                              This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                              Contrôle1..1
                              BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codes
                              (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                              A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                              TypeCodeableConcept
                              Est modificateurfalse
                              Résumétrue
                              Exigences

                              Allows users to make use of identifiers when the identifier system is not known.

                              Valeur de motif{
                                "coding" : [{
                                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                  "code" : "RRI",
                                  "display" : "Regional registry ID"
                                }]
                              }
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              154. Patient.identifier:RRI.system
                              Définition

                              Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                              CourtThe namespace for the identifier value
                              Commentaires

                              Identifier.system is always case sensitive.

                              Contrôle1..1
                              Typeuri
                              Est modificateurfalse
                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                              Résumétrue
                              Exigences

                              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                              ExempleGeneral: http://www.acme.com/identifiers/patient
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              156. Patient.identifier:RRI.value
                              Définition

                              The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                              CourtThe value that is unique
                              Commentaires

                              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                              Contrôle1..1
                              Typestring
                              Est modificateurfalse
                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                              Résumétrue
                              ExempleGeneral: 123456
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              158. Patient.identifier:RRI.period
                              Définition

                              Time period during which identifier is/was valid for use.

                              CourtTime period when id is/was valid for use
                              Contrôle0..1
                              TypePeriod
                              Est modificateurfalse
                              Résumétrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              160. Patient.identifier:RRI.assigner
                              Définition

                              Organization that issued/manages the identifier.

                              CourtOrganization that issued id (may be just text)
                              Commentaires

                              The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                              Contrôle0..1
                              TypeReference(Organization)
                              Est modificateurfalse
                              Résumétrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              162. Patient.active
                              Définition

                              Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

                              It is often used to filter patient lists to exclude inactive patients

                              Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

                              CourtWhether this patient's record is in active use
                              Commentaires

                              If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

                              Contrôle0..1
                              Typeboolean
                              Est modificateurtrue parce que This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                              Résumétrue
                              Exigences

                              Need to be able to mark a patient record as not to be used because it was created in error.

                              Signification si manquantThis resource is generally assumed to be active if no value is provided for the active element
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              164. Patient.name
                              Définition

                              A name associated with the individual.

                              CourtA name associated with the patient
                              Commentaires

                              A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                              Contrôle0..*
                              TypeHumanName(FR Core Human Name Profile)
                              Est modificateurfalse
                              Résumétrue
                              Exigences

                              Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingCet élément introduit un ensemble de slices sur Patient.name. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                              • value @ use
                              • 166. Patient.name:usualName
                                Nom de la sliceusualName
                                Définition

                                A human's name with the ability to identify parts and usage | Le nom utilisé (usual) n’est transmis que s’il est défini (par exemple nom marital du conjoint).

                                CourtName of a human | Nom utilisé
                                Commentaires

                                A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                Contrôle0..*
                                TypeHumanName
                                Est modificateurfalse
                                Résumétrue
                                Exigences

                                Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                168. Patient.name:usualName.id
                                Définition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                CourtUnique id for inter-element referencing
                                Contrôle0..1
                                Typestring
                                Est modificateurfalse
                                Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                Résuméfalse
                                170. Patient.name:usualName.extension
                                Définition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                CourtAdditional content defined by implementations
                                Commentaires

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Contrôle0..*
                                TypeExtension
                                Est modificateurfalse
                                Résuméfalse
                                Noms alternatifsextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingCet élément introduit un ensemble de slices sur Patient.name.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                • value @ url
                                • 172. Patient.name:usualName.use
                                  Définition

                                  Identifies the purpose for this name.

                                  Courtusual | official | temp | nickname | anonymous | old | maiden
                                  Commentaires

                                  Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                  Contrôle1..1
                                  BindingLes codes DOIVENT (SHALL) être pris de NameUse
                                  (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                  The use of a human name.

                                  Typecode
                                  Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Résumétrue
                                  Exigences

                                  Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                  Valeur de motifusual
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  174. Patient.name:usualName.text
                                  Définition

                                  Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                  CourtText representation of the full name
                                  Commentaires

                                  Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                  Contrôle0..1
                                  Typestring
                                  Est modificateurfalse
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Résumétrue
                                  Exigences

                                  A renderable, unencoded form.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  176. Patient.name:usualName.family
                                  Définition

                                  The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                  CourtFamily name (often called 'Surname')
                                  Commentaires

                                  Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                  Contrôle0..1
                                  Typestring
                                  Est modificateurfalse
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Résumétrue
                                  Noms alternatifssurname
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  178. Patient.name:usualName.given
                                  Définition

                                  Given name.

                                  CourtGiven names (not always 'first'). Includes middle names
                                  Commentaires

                                  If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                  Contrôle0..*
                                  Typestring
                                  Est modificateurfalse
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Résumétrue
                                  Noms alternatifsfirst name, middle name
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  180. Patient.name:usualName.prefix
                                  Définition

                                  Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                  CourtParts that come before the name
                                  Contrôle0..*
                                  Typestring
                                  Est modificateurfalse
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Résumétrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  182. Patient.name:usualName.suffix
                                  Définition

                                  Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                  CourtParts that come after the name
                                  Contrôle0..*
                                  Typestring
                                  Est modificateurfalse
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Résumétrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  184. Patient.name:usualName.period
                                  Définition

                                  Indicates the period of time when this name was valid for the named person.

                                  CourtTime period when name was/is in use
                                  Contrôle0..1
                                  TypePeriod
                                  Est modificateurfalse
                                  Résumétrue
                                  Exigences

                                  Allows names to be placed in historical context.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  186. Patient.name:officialName
                                  Nom de la sliceofficialName
                                  Définition

                                  A human's name with the ability to identify parts and usage | Le nom de naissance (official) est obligatoire dans le cas où l’on véhicule l’INS et que l’identité est qualifiée (celui-ci ne doit pas être altéré).

                                  CourtName of a human | Nom de naissance
                                  Commentaires

                                  A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                  Contrôle0..*
                                  TypeHumanName
                                  Est modificateurfalse
                                  Résumétrue
                                  Exigences

                                  Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  188. Patient.name:officialName.id
                                  Définition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  CourtUnique id for inter-element referencing
                                  Contrôle0..1
                                  Typestring
                                  Est modificateurfalse
                                  Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                  Résuméfalse
                                  190. Patient.name:officialName.extension
                                  Définition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  CourtAdditional content defined by implementations
                                  Commentaires

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Contrôle0..*
                                  TypeExtension
                                  Est modificateurfalse
                                  Résuméfalse
                                  Noms alternatifsextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingCet élément introduit un ensemble de slices sur Patient.name.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                  • value @ url
                                  • 192. Patient.name:officialName.extension:birth-list-given-name
                                    Nom de la slicebirth-list-given-name
                                    Définition

                                    Prénoms de l'acte de naissance

                                    CourtDans 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.
                                    Contrôle0..1
                                    TypeExtension(FR Core Patient Birth List Given name Extension) (Type dextension : string)
                                    Est modificateurfalse
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    194. Patient.name:officialName.use
                                    Définition

                                    Identifies the purpose for this name.

                                    Courtusual | official | temp | nickname | anonymous | old | maiden
                                    Commentaires

                                    Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                    Contrôle1..1
                                    BindingLes codes DOIVENT (SHALL) être pris de NameUse
                                    (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                    The use of a human name.

                                    Typecode
                                    Est modificateurtrue parce que This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résumétrue
                                    Exigences

                                    Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                    Valeur de motifofficial
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    196. Patient.name:officialName.text
                                    Définition

                                    Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                    CourtText representation of the full name
                                    Commentaires

                                    Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                    Contrôle0..1
                                    Typestring
                                    Est modificateurfalse
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résumétrue
                                    Exigences

                                    A renderable, unencoded form.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    198. Patient.name:officialName.family
                                    Définition

                                    The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                    CourtFamily name (often called 'Surname')
                                    Commentaires

                                    Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                    Contrôle1..1
                                    Typestring
                                    Est modificateurfalse
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résumétrue
                                    Noms alternatifssurname
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    200. Patient.name:officialName.given
                                    Définition

                                    Given name.

                                    CourtGiven names (not always 'first'). Includes middle names
                                    Commentaires

                                    If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                    Contrôle1..*
                                    Typestring
                                    Est modificateurfalse
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résumétrue
                                    Noms alternatifsfirst name, middle name
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    202. Patient.name:officialName.prefix
                                    Définition

                                    Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                    CourtParts that come before the name
                                    Contrôle0..*
                                    Typestring
                                    Est modificateurfalse
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résumétrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    204. Patient.name:officialName.suffix
                                    Définition

                                    Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                    CourtParts that come after the name
                                    Contrôle0..*
                                    Typestring
                                    Est modificateurfalse
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résumétrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    206. Patient.name:officialName.period
                                    Définition

                                    Indicates the period of time when this name was valid for the named person.

                                    CourtTime period when name was/is in use
                                    Contrôle0..1
                                    TypePeriod
                                    Est modificateurfalse
                                    Résumétrue
                                    Exigences

                                    Allows names to be placed in historical context.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    208. Patient.telecom
                                    Définition

                                    Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                                    CourtDetails of a Technology mediated contact point (phone, fax, email, etc.)
                                    Commentaires

                                    A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                    Contrôle0..*
                                    Cet élément est affecté par les invariants suivants : ele-1
                                    TypeContactPoint(FR Core Contact Point Profile)
                                    Est modificateurfalse
                                    Exigences

                                    People have (primary) ways to contact them in some way such as phone, email.

                                    Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    210. Patient.gender
                                    Définition

                                    French patient's gender checked with the INSi teleservice | Genre du patient. Dans le cas d'une identité récupérée par le téléservice INSi, les valeurs sont M ou F

                                    Courtmale | female | other | unknown
                                    Commentaires

                                    The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

                                    Contrôle0..1
                                    BindingLes codes DOIVENT (SHALL) être pris de AdministrativeGender
                                    (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                    The gender of a person used for administrative purposes.

                                    Typecode
                                    Est modificateurfalse
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résumétrue
                                    Exigences

                                    Needed for identification of the individual, in combination with (at least) name and birth date.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    212. Patient.birthDate
                                    Définition

                                    The date of birth for the individual.

                                    CourtThe 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.
                                    Commentaires

                                    At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

                                    Contrôle0..1
                                    Typedate
                                    Est modificateurfalse
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résumétrue
                                    Exigences

                                    Age of the individual drives many clinical processes.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    Code LOINC21112-8
                                    214. Patient.deceased[x]
                                    Définition

                                    Indicates if the individual is deceased or not.

                                    CourtIndicates if the individual is deceased or not
                                    Commentaires

                                    If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

                                    Contrôle0..1
                                    TypeChoix de : boolean, dateTime
                                    Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
                                    Est modificateurtrue parce que This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résumétrue
                                    Exigences

                                    The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    216. Patient.address
                                    Définition

                                    An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.

                                    CourtAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
                                    Commentaires

                                    Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the Location resource).

                                    Contrôle0..*
                                    Cet élément est affecté par les invariants suivants : ele-1
                                    TypeAddress(FR Core Address Profile)
                                    Est modificateurfalse
                                    Exigences

                                    May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    218. Patient.maritalStatus
                                    Définition

                                    This field contains a patient's most recent marital (civil) status.

                                    CourtMarital (civil) status of a patient
                                    Contrôle0..1
                                    BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FR Core ValueSet Patient gender INS ValueSet
                                    (extensible to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status)
                                    TypeCodeableConcept
                                    Est modificateurfalse
                                    Résuméfalse
                                    Exigences

                                    Most, if not all systems capture it.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    220. Patient.multipleBirth[x]
                                    Définition

                                    Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                                    CourtWhether patient is part of a multiple birth
                                    Commentaires

                                    Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                                    Contrôle0..1
                                    TypeChoix de : boolean, integer
                                    Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
                                    Est modificateurfalse
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Résuméfalse
                                    Exigences

                                    For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    222. Patient.photo
                                    Définition

                                    Image of the patient.

                                    CourtImage of the patient
                                    Commentaires

                                    Guidelines:

                                    • Use id photos, not clinical photos.
                                    • Limit dimensions to thumbnail.
                                    • Keep byte count low to ease resource updates.
                                    Contrôle0..*
                                    TypeAttachment
                                    Est modificateurfalse
                                    Résuméfalse
                                    Exigences

                                    Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    224. Patient.contact
                                    Définition

                                    A contact party (e.g. guardian, partner, friend) for the patient.

                                    CourtA contact party (e.g. guardian, partner, friend) for the patient
                                    Commentaires

                                    Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

                                    Contrôle0..*
                                    TypeBackboneElement
                                    Est modificateurfalse
                                    Résuméfalse
                                    Exigences

                                    Need to track people you can contact about the patient.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    pat-1: 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())
                                    226. Patient.contact.id
                                    Définition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    CourtUnique id for inter-element referencing
                                    Contrôle0..1
                                    Typestring
                                    Est modificateurfalse
                                    Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                    Résuméfalse
                                    228. Patient.contact.extension
                                    Définition

                                    An Extension

                                    CourtExtension
                                    Contrôle0..*
                                    TypeExtension
                                    Est modificateurfalse
                                    Résuméfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingCet élément introduit un ensemble de slices sur Patient.contact.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                    • value @ url
                                    • 230. Patient.contact.extension:contactIdentifier
                                      Nom de la slicecontactIdentifier
                                      Définition

                                      This extension carries the contact identifier in the patient resource | Ajout d'un identifiant de contact dans la ressource Patient

                                      CourtContact identifier in the patient resource | Identifiant de contact dans la ressource Patient
                                      Contrôle0..1
                                      Cet élément est affecté par les invariants suivants : ele-1
                                      TypeExtension(FR Core Patient Contact Identifier Extension) (Type dextension : Identifier)
                                      Est modificateurfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      232. Patient.contact.extension:comment
                                      Nom de la slicecomment
                                      Définition

                                      add a comment on a dataElement of a resource | Ajout d'un commentaire sur un dataElement d'une ressource

                                      CourtComment on a dataElement | Commentaire sur un dataElement
                                      Contrôle0..1
                                      Cet élément est affecté par les invariants suivants : ele-1
                                      TypeExtension(FR Core Comment Extension) (Type dextension : string)
                                      Est modificateurfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      234. Patient.contact.modifierExtension
                                      Définition

                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      CourtExtensions that cannot be ignored even if unrecognized
                                      Commentaires

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Contrôle0..*
                                      TypeExtension
                                      Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Résumétrue
                                      Exigences

                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                      Noms alternatifsextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      236. Patient.contact.relationship
                                      Définition

                                      The nature of the relationship between the patient and the contact person.

                                      CourtThe kind of relationship
                                      Contrôle0..*
                                      BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de PatientContactRelationship
                                      (extensible to http://hl7.org/fhir/ValueSet/patient-contactrelationship)

                                      The nature of the relationship between a patient and a contact person for that patient.

                                      TypeCodeableConcept
                                      Est modificateurfalse
                                      Résuméfalse
                                      Exigences

                                      Used to determine which contact person is the most relevant to approach, depending on circumstances.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingCet élément introduit un ensemble de slices sur Patient.contact.relationship. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                      • value @ coding.system
                                      • 238. Patient.contact.relationship:Role
                                        Nom de la sliceRole
                                        Définition

                                        The nature of the relationship between the patient and the contact person.

                                        CourtThe nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ...
                                        Contrôle0..1
                                        BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FR Core ValueSet Patient contact role
                                        (extensible to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-contact-role)
                                        TypeCodeableConcept
                                        Est modificateurfalse
                                        Résuméfalse
                                        Exigences

                                        Used to determine which contact person is the most relevant to approach, depending on circumstances.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        240. Patient.contact.relationship:RelationType
                                        Nom de la sliceRelationType
                                        Définition

                                        The nature of the relationship between the patient and the contact person.

                                        CourtThe nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ...
                                        Contrôle0..1
                                        BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de FR Core ValueSet relation type
                                        (extensible to https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-relation-type)
                                        TypeCodeableConcept
                                        Est modificateurfalse
                                        Résuméfalse
                                        Exigences

                                        Used to determine which contact person is the most relevant to approach, depending on circumstances.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        242. Patient.contact.name
                                        Définition

                                        A human's name with the ability to identify parts and usage.

                                        CourtName of a human - parts and usage
                                        Commentaires

                                        Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.

                                        Contrôle0..1
                                        Cet élément est affecté par les invariants suivants : ele-1
                                        TypeHumanName(FR Core Human Name Profile)
                                        Est modificateurfalse
                                        Exigences

                                        Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        244. Patient.contact.telecom
                                        Définition

                                        Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.

                                        CourtDetails of a Technology mediated contact point (phone, fax, email, etc.)
                                        Commentaires

                                        Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

                                        Contrôle0..*
                                        Cet élément est affecté par les invariants suivants : ele-1
                                        TypeContactPoint(FR Core Contact Point Profile)
                                        Est modificateurfalse
                                        Exigences

                                        People have (primary) ways to contact them in some way such as phone, email.

                                        Invariantscpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        246. Patient.contact.address
                                        Définition

                                        Address for the contact person.

                                        CourtAddress for the contact person
                                        Contrôle0..1
                                        TypeAddress
                                        Est modificateurfalse
                                        Résuméfalse
                                        Exigences

                                        Need to keep track where the contact person can be contacted per postal mail or visited.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        248. Patient.contact.gender
                                        Définition

                                        Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.

                                        Courtmale | female | other | unknown
                                        Contrôle0..1
                                        BindingLes codes DOIVENT (SHALL) être pris de AdministrativeGender
                                        (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                        The gender of a person used for administrative purposes.

                                        Typecode
                                        Est modificateurfalse
                                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                        Résuméfalse
                                        Exigences

                                        Needed to address the person correctly.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        250. Patient.contact.organization
                                        Définition

                                        Organization on behalf of which the contact is acting or for which the contact is working.

                                        CourtOrganization that is associated with the contact
                                        Contrôle0..1
                                        Cet élément est affecté par les invariants suivants : pat-1
                                        TypeReference(Organization)
                                        Est modificateurfalse
                                        Résuméfalse
                                        Exigences

                                        For guardians or business related contacts, the organization is relevant.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        252. Patient.contact.period
                                        Définition

                                        The period during which this contact person or organization is valid to be contacted relating to this patient.

                                        CourtThe period during which this contact person or organization is valid to be contacted relating to this patient
                                        Contrôle0..1
                                        TypePeriod
                                        Est modificateurfalse
                                        Résuméfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        254. Patient.communication
                                        Définition

                                        A language which may be used to communicate with the patient about his or her health.

                                        CourtA language which may be used to communicate with the patient about his or her health
                                        Commentaires

                                        If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

                                        Contrôle0..*
                                        TypeBackboneElement
                                        Est modificateurfalse
                                        Résuméfalse
                                        Exigences

                                        If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        256. Patient.communication.id
                                        Définition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        CourtUnique id for inter-element referencing
                                        Contrôle0..1
                                        Typestring
                                        Est modificateurfalse
                                        Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                        Résuméfalse
                                        258. Patient.communication.extension
                                        Définition

                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        CourtAdditional content defined by implementations
                                        Commentaires

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Contrôle0..*
                                        TypeExtension
                                        Est modificateurfalse
                                        Résuméfalse
                                        Noms alternatifsextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        260. Patient.communication.modifierExtension
                                        Définition

                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        CourtExtensions that cannot be ignored even if unrecognized
                                        Commentaires

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Contrôle0..*
                                        TypeExtension
                                        Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Résumétrue
                                        Exigences

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Noms alternatifsextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        262. Patient.communication.language
                                        Définition

                                        The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

                                        CourtThe language which can be used to communicate with the patient about his or her health
                                        Commentaires

                                        The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

                                        Contrôle1..1
                                        BindingLes codes DEVRAIENT (SHOULD) être pris de CommonLanguages
                                        (preferred to http://hl7.org/fhir/ValueSet/languages)

                                        A human language.

                                        Bindings AdditionnelsBut
                                        AllLanguagesBinding Max
                                        TypeCodeableConcept
                                        Est modificateurfalse
                                        Résuméfalse
                                        Exigences

                                        Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        264. Patient.communication.preferred
                                        Définition

                                        Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

                                        CourtLanguage preference indicator
                                        Commentaires

                                        This language is specifically identified for communicating healthcare information.

                                        Contrôle0..1
                                        Typeboolean
                                        Est modificateurfalse
                                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                        Résuméfalse
                                        Exigences

                                        People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        266. Patient.generalPractitioner
                                        Définition

                                        Patient's nominated care provider.

                                        CourtPatient's nominated primary care provider
                                        Commentaires

                                        This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

                                        Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

                                        Contrôle0..*
                                        TypeReference(FR Core Practitioner Profile, FR Core Organization Profile, PractitionerRole)
                                        Est modificateurfalse
                                        Résuméfalse
                                        Noms alternatifscareProvider
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        268. Patient.managingOrganization
                                        Définition

                                        Organization that is the custodian of the patient record.

                                        CourtOrganization that is the custodian of the patient record
                                        Commentaires

                                        There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

                                        Contrôle0..1
                                        TypeReference(FR Core Organization Profile)
                                        Est modificateurfalse
                                        Résumétrue
                                        Exigences

                                        Need to know who recognizes this patient record, manages and updates it.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        270. Patient.link
                                        Définition

                                        Link to another patient resource that concerns the same actual patient.

                                        CourtLink to another patient resource that concerns the same actual person
                                        Commentaires

                                        There is no assumption that linked patient records have mutual links.

                                        Contrôle0..*
                                        TypeBackboneElement
                                        Est modificateurtrue parce que This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
                                        Résumétrue
                                        Exigences

                                        There are multiple use cases:

                                        • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                                        • Distribution of patient information across multiple servers.
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        272. Patient.link.id
                                        Définition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        CourtUnique id for inter-element referencing
                                        Contrôle0..1
                                        Typestring
                                        Est modificateurfalse
                                        Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                        Résuméfalse
                                        274. Patient.link.extension
                                        Définition

                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        CourtAdditional content defined by implementations
                                        Commentaires

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Contrôle0..*
                                        TypeExtension
                                        Est modificateurfalse
                                        Résuméfalse
                                        Noms alternatifsextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        276. Patient.link.modifierExtension
                                        Définition

                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        CourtExtensions that cannot be ignored even if unrecognized
                                        Commentaires

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Contrôle0..*
                                        TypeExtension
                                        Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Résumétrue
                                        Exigences

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Noms alternatifsextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        278. Patient.link.other
                                        Définition

                                        The other patient resource that the link refers to.

                                        CourtThe other patient or related person resource that the link refers to
                                        Commentaires

                                        Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

                                        Contrôle1..1
                                        TypeReference(Patient, RelatedPerson)
                                        Est modificateurfalse
                                        Résumétrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        280. Patient.link.type
                                        Définition

                                        The type of link between this patient resource and another patient resource.

                                        Courtreplaced-by | replaces | refer | seealso
                                        Contrôle1..1
                                        BindingLes codes DOIVENT (SHALL) être pris de LinkType
                                        (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)

                                        The type of link between this patient resource and another patient resource.

                                        Typecode
                                        Est modificateurfalse
                                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                        Résumétrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))