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Service d'Accès aux Soins - version de développement local (v1.2.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

Resource Profile: FrPractitionerAgregateur - Detailed Descriptions

Active as of 2025-12-11

Definitions for the FrPractitionerAgregateur resource profile.

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

0. Practitioner
Définition

A person who is directly or indirectly involved in the provisioning of healthcare | Un professionnel impliqué directement ou indirectement dans la prise en charge d'une personne.


A person who is directly or indirectly involved in the provisioning of healthcare.

CourtA person with a formal responsibility in the provisioning of healthcare or related services | Prestataire de santé
Contrôle0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. Practitioner.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
Cet élément est affecté par les invariants suivants : ele-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. Practitioner.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..*
Cet élément est affecté par les invariants suivants : ele-1
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Statut du standardNormative (from Trial Use)
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())
SlicingCet élément introduit un ensemble de slices sur Practitioner.modifierExtension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
  • value @ url
  • 6. Practitioner.identifier
    Définition

    An identifier that applies to this person in this role.

    CourtAn identifier for the person as this agent
    NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
    Contrôle10..*
    Cet élément est affecté par les invariants suivants : ele-1
    TypeIdentifier
    Résumétrue
    Exigences

    Often, specific identities are assigned for the agent.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. Practitioner.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
    Cet élément est affecté par les invariants suivants : ele-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)

    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()))
    10. Practitioner.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.

    Contrôle10..1
    Cet élément est affecté par les invariants suivants : ele-1
    BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de fr-practioner-identifier-typehttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
    (extensible to http://interopsante.org/fhir/ValueSet/fr-practioner-identifier-type)

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

    TypeCodeableConcept
    Résumétrue
    Exigences

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

    Valeur de motif{
      "coding" : [{
        "system" : "http://interopsante.org/fhir/CodeSystem/fr-v2-0203",
        "code" : "IDNPS"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. Practitioner.identifier.type.coding
    Définition

    A reference to a code defined by a terminology system.

    CourtCode defined by a terminology system
    Commentaires

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Contrôle0..1*
    Cet élément est affecté par les invariants suivants : ele-1
    TypeCoding
    Résumétrue
    Exigences

    Allows for alternative encodings within a code system, and translations to other code systems.

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

    Establishes the namespace for the value - that is, a OID that describes a set values that are unique. the namespace for the practitioner identifier value is fixed in France. Pour un PS identifié à partir de sa carte CPS, OID = 1.2.250.1.71.4.2.1 Pour un employé identifié au sein de sa structure, OID de l'établissement, branche de gestion des employés ou http://hopitalTest.fr/fhir/namingsystem/employes


    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
    Cet élément est affecté par les invariants suivants : ele-1
    Typeuri
    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:1.2.250.1.71.4.2.1
    ExempleGeneral: http://www.acme.com/identifiers/patient
    Pour un PS identifié à partir de sa carte CPS: urn:oid:1.2.250.1.71.4.2.1
    Pour un employé identifié au sein de sa structure, OID de l'établissement suivi de la branche de gestion des employés ou: http://hopitalTest.fr/fhir/namingsystem/employes
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Practitioner.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.

    Contrôle10..1
    Cet élément est affecté par les invariants suivants : ele-1
    Typestring
    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()))

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

    0. Practitioner
    2. Practitioner.identifier
    NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
    Contrôle1..?
    4. Practitioner.identifier.type
    Valeur de motif{
      "coding" : [{
        "system" : "http://interopsante.org/fhir/CodeSystem/fr-v2-0203",
        "code" : "IDNPS"
      }]
    }
    6. Practitioner.identifier.type.coding
    Contrôle0..1
    8. Practitioner.identifier.system
    Valeur de motifurn:oid:1.2.250.1.71.4.2.1
    10. Practitioner.name
    12. Practitioner.name.family
    Binding

    Nom d'exercice

    14. Practitioner.name.given
    Binding

    Prénom

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

    0. Practitioner
    Définition

    A person who is directly or indirectly involved in the provisioning of healthcare | Un professionnel impliqué directement ou indirectement dans la prise en charge d'une personne.

    CourtA person with a formal responsibility in the provisioning of healthcare or related services | Prestataire de santé
    Contrôle0..*
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-6: A resource should have narrative for robust management (text.`div`.exists())
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    2. Practitioner.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
    Résumétrue
    4. Practitioner.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
    Cet élément est affecté par les invariants suivants : ele-1
    TypeMeta
    Résumétrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. Practitioner.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
    Cet élément est affecté par les invariants suivants : ele-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()))
    8. Practitioner.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
    Cet élément est affecté par les invariants suivants : ele-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
    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Practitioner.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
    Cet élément est affecté par les invariants suivants : ele-1
    TypeNarrative
    Noms alternatifsnarrative, html, xhtml, display
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. Practitioner.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
    Noms alternatifsinline resources, anonymous resources, contained resources
    14. Practitioner.extension
    Définition

    May be used to represent additional information that is not part of the basic definition of the resource. 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..*
    Cet élément est affecté par les invariants suivants : ele-1
    TypeExtension
    Statut du standardNormative (from Trial Use)
    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 Practitioner.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
    • value @ url
    • 16. Practitioner.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..*
      Cet élément est affecté par les invariants suivants : ele-1
      TypeExtension
      Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Statut du standardNormative (from Trial Use)
      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())
      SlicingCet élément introduit un ensemble de slices sur Practitioner.modifierExtension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
      • value @ url
      • 18. Practitioner.identifier
        Définition

        An identifier that applies to this person in this role.

        CourtAn identifier for the person as this agent
        NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
        Contrôle1..*
        Cet élément est affecté par les invariants suivants : ele-1
        TypeIdentifier
        Résumétrue
        Exigences

        Often, specific identities are assigned for the agent.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        20. Practitioner.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
        Format XMLDans le format XML, cette propriété est représentée comme attribut.
        22. Practitioner.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..*
        Cet élément est affecté par les invariants suivants : ele-1
        TypeExtension
        Statut du standardNormative (from Trial Use)
        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 Practitioner.identifier.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
        • value @ url
        • 24. Practitioner.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
          Cet élément est affecté par les invariants suivants : ele-1
          BindingLes codes DOIVENT (SHALL) être pris de IdentifierUse
          (required to http://hl7.org/fhir/ValueSet/identifier-use)

          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. Practitioner.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.

          Contrôle1..1
          Cet élément est affecté par les invariants suivants : ele-1
          BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de fr-practioner-identifier-type
          (extensible to http://interopsante.org/fhir/ValueSet/fr-practioner-identifier-type)

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

          TypeCodeableConcept
          Résumétrue
          Exigences

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

          Valeur de motif{
            "coding" : [{
              "system" : "http://interopsante.org/fhir/CodeSystem/fr-v2-0203",
              "code" : "IDNPS"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Practitioner.identifier.type.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
          Format XMLDans le format XML, cette propriété est représentée comme attribut.
          30. Practitioner.identifier.type.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..*
          Cet élément est affecté par les invariants suivants : ele-1
          TypeExtension
          Statut du standardNormative (from Trial Use)
          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 Practitioner.identifier.type.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
          • value @ url
          • 32. Practitioner.identifier.type.coding
            Définition

            A reference to a code defined by a terminology system.

            CourtCode defined by a terminology system
            Commentaires

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Contrôle0..1
            Cet élément est affecté par les invariants suivants : ele-1
            TypeCoding
            Résumétrue
            Exigences

            Allows for alternative encodings within a code system, and translations to other code systems.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            34. Practitioner.identifier.type.coding.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
            Format XMLDans le format XML, cette propriété est représentée comme attribut.
            36. Practitioner.identifier.type.coding.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..*
            Cet élément est affecté par les invariants suivants : ele-1
            TypeExtension
            Statut du standardNormative (from Trial Use)
            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 Practitioner.identifier.type.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
            • value @ url
            • 38. Practitioner.identifier.type.coding.system
              Définition

              The identification of the code system that defines the meaning of the symbol in the code.

              CourtIdentity of the terminology system
              Commentaires

              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typeuri
              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
              Résumétrue
              Exigences

              Need to be unambiguous about the source of the definition of the symbol.

              ExempleCodeSystem HL7v2 (PAM) pour un type d'identifiant PS: http://terminology.hl7.org/CodeSystem/v2-0203
              CodeSystem ASIP pour un type d'identifiant d'un employé dans une structure: https://mos.esante.gouv.fr/NOS/TRE_G08-TypeIdentifiantPersonne/FHIR/TRE-G08-TypeIdentifiantPersonne
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. Practitioner.identifier.type.coding.version
              Définition

              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

              CourtVersion of the system - if relevant
              Commentaires

              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

              NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typestring
              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()))
              42. Practitioner.identifier.type.coding.code
              Définition

              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

              CourtSymbol in syntax defined by the system
              Commentaires

              Note that FHIR strings SHALL NOT exceed 1MB in size

              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typecode
              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
              Résumétrue
              Exigences

              Need to refer to a particular code in the system.

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

              A representation of the meaning of the code in the system, following the rules of the system.

              CourtRepresentation defined by the system
              Commentaires

              Note that FHIR strings SHALL NOT exceed 1MB in size

              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typestring
              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
              Résumétrue
              Exigences

              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

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

              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

              CourtIf this coding was chosen directly by the user
              Commentaires

              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typeboolean
              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
              Résumétrue
              Exigences

              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

              CourtPlain text representation of the concept
              Commentaires

              Very often the text is the same as a displayName of one of the codings.

              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typestring
              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
              Résumétrue
              Exigences

              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

              Establishes the namespace for the value - that is, a OID that describes a set values that are unique. the namespace for the practitioner identifier value is fixed in France. Pour un PS identifié à partir de sa carte CPS, OID = 1.2.250.1.71.4.2.1 Pour un employé identifié au sein de sa structure, OID de l'établissement, branche de gestion des employés ou http://hopitalTest.fr/fhir/namingsystem/employes

              CourtThe namespace for the identifier value
              Commentaires

              Identifier.system is always case sensitive.

              Contrôle1..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typeuri
              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:1.2.250.1.71.4.2.1
              ExempleGeneral: http://www.acme.com/identifiers/patient
              Pour un PS identifié à partir de sa carte CPS: urn:oid:1.2.250.1.71.4.2.1
              Pour un employé identifié au sein de sa structure, OID de l'établissement suivi de la branche de gestion des employés ou: http://hopitalTest.fr/fhir/namingsystem/employes
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              52. Practitioner.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.

              Contrôle1..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typestring
              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()))
              54. Practitioner.identifier.period
              Définition

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

              CourtTime period when id is/was valid for use
              Commentaires

              A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

              Period is not used for a duration (a measure of elapsed time). See Duration.

              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              TypePeriod
              Résumétrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
              56. Practitioner.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
              Cet élément est affecté par les invariants suivants : ele-1
              TypeReference(Organization)
              Résumétrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
              58. Practitioner.active
              Définition

              Whether this practitioner's record is in active use.

              CourtWhether this practitioner's record is in active use
              Commentaires

              If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.

              Contrôle0..1
              Cet élément est affecté par les invariants suivants : ele-1
              Typeboolean
              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
              Résumétrue
              Exigences

              Need to be able to mark a practitioner 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()))
              60. Practitioner.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..*
              Cet élément est affecté par les invariants suivants : ele-1
              TypeHumanName(FrHumanName)
              Résumétrue
              Exigences

              The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              62. Practitioner.name.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
              Format XMLDans le format XML, cette propriété est représentée comme attribut.
              64. Practitioner.name.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..*
              Cet élément est affecté par les invariants suivants : ele-1
              TypeExtension
              Statut du standardNormative (from Trial Use)
              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 Practitioner.name.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
              • value @ url
              • 66. Practitioner.name.extension:assemblyOrder
                Nom de la sliceassemblyOrder
                Définition

                A code that represents the preferred display order of the components of this human name.

                CourtPreferred display order of name parts
                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..1
                Cet élément est affecté par les invariants suivants : ele-1
                TypeExtension(Assembly Order) (Type dextension : code)
                Statut du standardNormative (from Trial Use)
                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())
                68. Practitioner.name.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.

                Contrôle0..1
                Cet élément est affecté par les invariants suivants : ele-1
                BindingLes codes DOIVENT (SHALL) être pris de NameUse
                (required to http://hl7.org/fhir/ValueSet/name-use)

                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.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. Practitioner.name.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
                Cet élément est affecté par les invariants suivants : ele-1
                Typestring
                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()))
                72. Practitioner.name.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
                Cet élément est affecté par les invariants suivants : ele-1
                Binding

                Nom d'exercice

                Typestring
                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()))
                74. Practitioner.name.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..*
                Cet élément est affecté par les invariants suivants : ele-1
                Binding

                Prénom

                Typestring
                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()))
                76. Practitioner.name.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
                Commentaires

                Note that FHIR strings SHALL NOT exceed 1MB in size

                Contrôle0..1
                Cet élément est affecté par les invariants suivants : ele-1
                BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de JDV_J78-Civilite-RASS
                (extensible to https://mos.esante.gouv.fr/NOS/JDV_J78-Civilite-RASS/FHIR/JDV-J78-Civilite-RASS)

                Civilités des personnes physiques du RASS

                Typestring
                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()))
                78. Practitioner.name.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.

                Courtjeu de valeurs pour spécifier le titre de la personne
                Commentaires

                Note that FHIR strings SHALL NOT exceed 1MB in size

                Contrôle0..*
                Cet élément est affecté par les invariants suivants : ele-1
                BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de JDV_J79-CiviliteExercice-RASS
                (extensible to https://mos.esante.gouv.fr/NOS/JDV_J79-CiviliteExercice-RASS/FHIR/JDV-J79-CiviliteExercice-RASS)

                Civilités d'exercice d'un professionnel du RASS

                Typestring
                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()))
                80. Practitioner.name.period
                Définition

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

                CourtTime period when name was/is in use
                Commentaires

                A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                Period is not used for a duration (a measure of elapsed time). See Duration.

                Contrôle0..1
                Cet élément est affecté par les invariants suivants : ele-1
                TypePeriod
                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()))
                per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                82. Practitioner.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

                Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.

                Contrôle0..*
                Cet élément est affecté par les invariants suivants : ele-1
                TypeContactPoint(FrContactPoint)
                Résumétrue
                Exigences

                Need to know how to reach a practitioner independent to any roles the practitioner may have.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                84. Practitioner.telecom.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
                Format XMLDans le format XML, cette propriété est représentée comme attribut.
                86. Practitioner.telecom.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..*
                Cet élément est affecté par les invariants suivants : ele-1
                TypeExtension
                Statut du standardNormative (from Trial Use)
                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 Practitioner.telecom.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                • value @ url
                • 88. Practitioner.telecom.extension:emailType
                  Nom de la sliceemailType
                  Définition

                  Optional Extension Element - found in all resources.

                  CourtType of email | type de messagerie électronique
                  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..1
                  Cet élément est affecté par les invariants suivants : ele-1
                  TypeExtension(FrContactPointEmailType) (Type dextension : Coding)
                  Statut du standardNormative (from Trial Use)
                  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())
                  90. Practitioner.telecom.system
                  Définition

                  Telecommunications form for contact point - what communications system is required to make use of the contact.

                  Courtphone | fax | email | pager | url | sms | other
                  Commentaires

                  Note that FHIR strings SHALL NOT exceed 1MB in size

                  Contrôle1..1
                  Cet élément est affecté par les invariants suivants : ele-1, cpt-2
                  BindingLes codes DOIVENT (SHALL) être pris de ContactPointSystem
                  (required to http://hl7.org/fhir/ValueSet/contact-point-system)

                  Telecommunications form for contact point.

                  Typecode
                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                  Résumétrue
                  Exemplele CodeSystem associé au jeu de valeurs: http://hl7.org/fhir/contact-point-system
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  92. Practitioner.telecom.value
                  Définition

                  The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                  CourtThe actual contact point details
                  Commentaires

                  Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                  Contrôle1..1
                  Cet élément est affecté par les invariants suivants : ele-1
                  Typestring
                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                  Résumétrue
                  Exigences

                  Need to support legacy numbers that are not in a tightly controlled format.

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

                  Identifies the purpose for the contact point.

                  Courthome | work | temp | old | mobile - purpose of this contact point
                  Commentaires

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

                  Contrôle0..1
                  Cet élément est affecté par les invariants suivants : ele-1
                  BindingLes codes DOIVENT (SHALL) être pris de ContactPointUse
                  (required to http://hl7.org/fhir/ValueSet/contact-point-use)

                  Use of contact point.

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

                  Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

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

                  Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                  CourtSpecify preferred order of use (1 = highest)
                  Commentaires

                  Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                  Contrôle0..1
                  Cet élément est affecté par les invariants suivants : ele-1
                  TypepositiveInt
                  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()))
                  98. Practitioner.telecom.period
                  Définition

                  Time period when the contact point was/is in use.

                  CourtTime period when the contact point was/is in use
                  Commentaires

                  A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                  Period is not used for a duration (a measure of elapsed time). See Duration.

                  Contrôle0..1
                  Cet élément est affecté par les invariants suivants : ele-1
                  TypePeriod
                  Résumétrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                  100. Practitioner.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(FrAddress)
                  Résumétrue
                  Exigences

                  The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.

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

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

                  Courtmale | female | other | unknown
                  Commentaires

                  Note that FHIR strings SHALL NOT exceed 1MB in size

                  Contrôle0..1
                  Cet élément est affecté par les invariants suivants : ele-1
                  BindingLes codes DOIVENT (SHALL) être pris de AdministrativeGender
                  (required to http://hl7.org/fhir/ValueSet/administrative-gender)

                  The gender of a person used for administrative purposes.

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

                  Needed to address the person correctly.

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

                  The date of birth for the practitioner.

                  CourtThe date on which the practitioner was born
                  Contrôle0..1
                  Cet élément est affecté par les invariants suivants : ele-1
                  Typedate
                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                  Résumétrue
                  Exigences

                  Needed for identification.

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

                  Image of the person.

                  CourtImage of the person
                  Commentaires

                  When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

                  Contrôle0..*
                  Cet élément est affecté par les invariants suivants : ele-1
                  TypeAttachment
                  Exigences

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

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  att-1: If the Attachment has data, it SHALL have a contentType (data.empty() or contentType.exists())
                  108. Practitioner.qualification
                  Définition

                  Qualifications obtained by training and certification/Diplômes obtenus

                  CourtQualifications obtained by training and certification/Diplômes
                  Contrôle0..*
                  Cet élément est affecté par les invariants suivants : ele-1
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  110. Practitioner.qualification.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
                  Format XMLDans le format XML, cette propriété est représentée comme attribut.
                  112. Practitioner.qualification.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..*
                  Cet élément est affecté par les invariants suivants : ele-1
                  TypeExtension
                  Statut du standardNormative (from Trial Use)
                  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 Practitioner.qualification.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                  • value @ url
                  • 114. Practitioner.qualification.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..*
                    Cet élément est affecté par les invariants suivants : ele-1
                    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())
                    116. Practitioner.qualification.identifier
                    Définition

                    An identifier that applies to this person's qualification in this role.

                    CourtAn identifier for this qualification for the practitioner
                    NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
                    Contrôle0..*
                    Cet élément est affecté par les invariants suivants : ele-1
                    TypeIdentifier
                    Exigences

                    Often, specific identities are assigned for the qualification.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    118. Practitioner.qualification.code
                    Définition

                    Coded representation of the qualification.

                    CourtCoded representation of the qualification
                    Commentaires

                    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                    Contrôle1..1
                    Cet élément est affecté par les invariants suivants : ele-1
                    BindingPour des exemples de codes, voir v2 table 0360, Version 2.7
                    (example to http://terminology.hl7.org/ValueSet/v2-2.7-0360)

                    Specific qualification the practitioner has to provide a service.

                    TypeCodeableConcept
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    120. Practitioner.qualification.code.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
                    Format XMLDans le format XML, cette propriété est représentée comme attribut.
                    122. Practitioner.qualification.code.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..*
                    Cet élément est affecté par les invariants suivants : ele-1
                    TypeExtension
                    Statut du standardNormative (from Trial Use)
                    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 Practitioner.qualification.code.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                    • value @ url
                    • 124. Practitioner.qualification.code.coding
                      Définition

                      A reference to a code defined by a terminology system.

                      CourtCode defined by a terminology system
                      Commentaires

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Contrôle0..*
                      Cet élément est affecté par les invariants suivants : ele-1
                      TypeCoding
                      Statut du standardNormative (from Trial Use)
                      Résumétrue
                      Exigences

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      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 Practitioner.qualification.code.coding. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                      • value @ system
                      • 126. Practitioner.qualification.code.coding:degreeR36
                        Nom de la slicedegreeR36
                        Définition

                        A reference to a code defined by a terminology system.

                        CourtCode defined by a terminology system
                        Commentaires

                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                        Contrôle0..*
                        Cet élément est affecté par les invariants suivants : ele-1
                        BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                        (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                        TypeCoding
                        Statut du standardNormative (from Trial Use)
                        Résumétrue
                        Exigences

                        Allows for alternative encodings within a code system, and translations to other code systems.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        128. Practitioner.qualification.code.coding:degreeR36.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
                        Format XMLDans le format XML, cette propriété est représentée comme attribut.
                        130. Practitioner.qualification.code.coding:degreeR36.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..*
                        Cet élément est affecté par les invariants suivants : ele-1
                        TypeExtension
                        Statut du standardNormative (from Trial Use)
                        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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                        • value @ url
                        • 132. Practitioner.qualification.code.coding:degreeR36.system
                          Définition

                          The identification of the code system that defines the meaning of the symbol in the code.

                          CourtAutre diplôme obtenu
                          Commentaires

                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                          Contrôle0..1
                          Cet élément est affecté par les invariants suivants : ele-1
                          Typeuri
                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                          Statut du standardNormative (from Trial Use)
                          Résumétrue
                          Exigences

                          Need to be unambiguous about the source of the definition of the symbol.

                          Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R36-AutreDiplomeObtenu/FHIR/TRE-R36-AutreDiplomeObtenu
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          134. Practitioner.qualification.code.coding:degreeR36.version
                          Définition

                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                          CourtVersion of the system - if relevant
                          Commentaires

                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                          NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                          Contrôle0..1
                          Cet élément est affecté par les invariants suivants : ele-1
                          Typestring
                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                          Statut du standardNormative (from Trial Use)
                          Résumétrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          136. Practitioner.qualification.code.coding:degreeR36.code
                          Définition

                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                          CourtSymbol in syntax defined by the system
                          Commentaires

                          Note that FHIR strings SHALL NOT exceed 1MB in size

                          Contrôle0..1
                          Cet élément est affecté par les invariants suivants : ele-1
                          Typecode
                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                          Statut du standardNormative (from Trial Use)
                          Résumétrue
                          Exigences

                          Need to refer to a particular code in the system.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          138. Practitioner.qualification.code.coding:degreeR36.display
                          Définition

                          A representation of the meaning of the code in the system, following the rules of the system.

                          CourtRepresentation defined by the system
                          Commentaires

                          Note that FHIR strings SHALL NOT exceed 1MB in size

                          Contrôle0..1
                          Cet élément est affecté par les invariants suivants : ele-1
                          Typestring
                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                          Statut du standardNormative (from Trial Use)
                          Résumétrue
                          Exigences

                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          140. Practitioner.qualification.code.coding:degreeR36.userSelected
                          Définition

                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                          CourtIf this coding was chosen directly by the user
                          Commentaires

                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                          Contrôle0..1
                          Cet élément est affecté par les invariants suivants : ele-1
                          Typeboolean
                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                          Statut du standardNormative (from Trial Use)
                          Résumétrue
                          Exigences

                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          142. Practitioner.qualification.code.coding:degreeR47
                          Nom de la slicedegreeR47
                          Définition

                          A reference to a code defined by a terminology system.

                          CourtCode defined by a terminology system
                          Commentaires

                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                          Contrôle0..*
                          Cet élément est affecté par les invariants suivants : ele-1
                          BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                          (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                          TypeCoding
                          Statut du standardNormative (from Trial Use)
                          Résumétrue
                          Exigences

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          144. Practitioner.qualification.code.coding:degreeR47.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
                          Format XMLDans le format XML, cette propriété est représentée comme attribut.
                          146. Practitioner.qualification.code.coding:degreeR47.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..*
                          Cet élément est affecté par les invariants suivants : ele-1
                          TypeExtension
                          Statut du standardNormative (from Trial Use)
                          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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                          • value @ url
                          • 148. Practitioner.qualification.code.coding:degreeR47.system
                            Définition

                            The identification of the code system that defines the meaning of the symbol in the code.

                            CourtCommission de qualification
                            Commentaires

                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                            Contrôle0..1
                            Cet élément est affecté par les invariants suivants : ele-1
                            Typeuri
                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                            Statut du standardNormative (from Trial Use)
                            Résumétrue
                            Exigences

                            Need to be unambiguous about the source of the definition of the symbol.

                            Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R47-CommissionQualification/FHIR/TRE-R47-CommissionQualification
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            150. Practitioner.qualification.code.coding:degreeR47.version
                            Définition

                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                            CourtVersion of the system - if relevant
                            Commentaires

                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                            NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                            Contrôle0..1
                            Cet élément est affecté par les invariants suivants : ele-1
                            Typestring
                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                            Statut du standardNormative (from Trial Use)
                            Résumétrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            152. Practitioner.qualification.code.coding:degreeR47.code
                            Définition

                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                            CourtSymbol in syntax defined by the system
                            Commentaires

                            Note that FHIR strings SHALL NOT exceed 1MB in size

                            Contrôle0..1
                            Cet élément est affecté par les invariants suivants : ele-1
                            Typecode
                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                            Statut du standardNormative (from Trial Use)
                            Résumétrue
                            Exigences

                            Need to refer to a particular code in the system.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            154. Practitioner.qualification.code.coding:degreeR47.display
                            Définition

                            A representation of the meaning of the code in the system, following the rules of the system.

                            CourtRepresentation defined by the system
                            Commentaires

                            Note that FHIR strings SHALL NOT exceed 1MB in size

                            Contrôle0..1
                            Cet élément est affecté par les invariants suivants : ele-1
                            Typestring
                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                            Statut du standardNormative (from Trial Use)
                            Résumétrue
                            Exigences

                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            156. Practitioner.qualification.code.coding:degreeR47.userSelected
                            Définition

                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                            CourtIf this coding was chosen directly by the user
                            Commentaires

                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                            Contrôle0..1
                            Cet élément est affecté par les invariants suivants : ele-1
                            Typeboolean
                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                            Statut du standardNormative (from Trial Use)
                            Résumétrue
                            Exigences

                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            158. Practitioner.qualification.code.coding:degreeR48
                            Nom de la slicedegreeR48
                            Définition

                            A reference to a code defined by a terminology system.

                            CourtCode defined by a terminology system
                            Commentaires

                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                            Contrôle0..*
                            Cet élément est affecté par les invariants suivants : ele-1
                            BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                            (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                            TypeCoding
                            Statut du standardNormative (from Trial Use)
                            Résumétrue
                            Exigences

                            Allows for alternative encodings within a code system, and translations to other code systems.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            160. Practitioner.qualification.code.coding:degreeR48.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
                            Format XMLDans le format XML, cette propriété est représentée comme attribut.
                            162. Practitioner.qualification.code.coding:degreeR48.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..*
                            Cet élément est affecté par les invariants suivants : ele-1
                            TypeExtension
                            Statut du standardNormative (from Trial Use)
                            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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                            • value @ url
                            • 164. Practitioner.qualification.code.coding:degreeR48.system
                              Définition

                              The identification of the code system that defines the meaning of the symbol in the code.

                              CourtDiplôme de l'Etat français
                              Commentaires

                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                              Contrôle0..1
                              Cet élément est affecté par les invariants suivants : ele-1
                              Typeuri
                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                              Statut du standardNormative (from Trial Use)
                              Résumétrue
                              Exigences

                              Need to be unambiguous about the source of the definition of the symbol.

                              Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R48-DiplomeEtatFrancais/FHIR/TRE-R48-DiplomeEtatFrancais
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              166. Practitioner.qualification.code.coding:degreeR48.version
                              Définition

                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                              CourtVersion of the system - if relevant
                              Commentaires

                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                              NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                              Contrôle0..1
                              Cet élément est affecté par les invariants suivants : ele-1
                              Typestring
                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                              Statut du standardNormative (from Trial Use)
                              Résumétrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              168. Practitioner.qualification.code.coding:degreeR48.code
                              Définition

                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                              CourtSymbol in syntax defined by the system
                              Commentaires

                              Note that FHIR strings SHALL NOT exceed 1MB in size

                              Contrôle0..1
                              Cet élément est affecté par les invariants suivants : ele-1
                              Typecode
                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                              Statut du standardNormative (from Trial Use)
                              Résumétrue
                              Exigences

                              Need to refer to a particular code in the system.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              170. Practitioner.qualification.code.coding:degreeR48.display
                              Définition

                              A representation of the meaning of the code in the system, following the rules of the system.

                              CourtRepresentation defined by the system
                              Commentaires

                              Note that FHIR strings SHALL NOT exceed 1MB in size

                              Contrôle0..1
                              Cet élément est affecté par les invariants suivants : ele-1
                              Typestring
                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                              Statut du standardNormative (from Trial Use)
                              Résumétrue
                              Exigences

                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              172. Practitioner.qualification.code.coding:degreeR48.userSelected
                              Définition

                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                              CourtIf this coding was chosen directly by the user
                              Commentaires

                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                              Contrôle0..1
                              Cet élément est affecté par les invariants suivants : ele-1
                              Typeboolean
                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                              Statut du standardNormative (from Trial Use)
                              Résumétrue
                              Exigences

                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              174. Practitioner.qualification.code.coding:degreeR49
                              Nom de la slicedegreeR49
                              Définition

                              A reference to a code defined by a terminology system.

                              CourtCode defined by a terminology system
                              Commentaires

                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                              Contrôle0..*
                              Cet élément est affecté par les invariants suivants : ele-1
                              BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                              TypeCoding
                              Statut du standardNormative (from Trial Use)
                              Résumétrue
                              Exigences

                              Allows for alternative encodings within a code system, and translations to other code systems.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              176. Practitioner.qualification.code.coding:degreeR49.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
                              Format XMLDans le format XML, cette propriété est représentée comme attribut.
                              178. Practitioner.qualification.code.coding:degreeR49.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..*
                              Cet élément est affecté par les invariants suivants : ele-1
                              TypeExtension
                              Statut du standardNormative (from Trial Use)
                              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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                              • value @ url
                              • 180. Practitioner.qualification.code.coding:degreeR49.system
                                Définition

                                Diplôme d'Etudes Spécialisées

                                CourtDiplôme d'Etudes Spécialisées
                                Commentaires

                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                Contrôle0..1
                                Cet élément est affecté par les invariants suivants : ele-1
                                Typeuri
                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                Statut du standardNormative (from Trial Use)
                                Résumétrue
                                Exigences

                                Need to be unambiguous about the source of the definition of the symbol.

                                Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R49-DiplomeEtudeSpecialisee/FHIR/TRE-R49-DiplomeEtudeSpecialisee
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                182. Practitioner.qualification.code.coding:degreeR49.version
                                Définition

                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                CourtVersion of the system - if relevant
                                Commentaires

                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                Contrôle0..1
                                Cet élément est affecté par les invariants suivants : ele-1
                                Typestring
                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                Statut du standardNormative (from Trial Use)
                                Résumétrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                184. Practitioner.qualification.code.coding:degreeR49.code
                                Définition

                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                CourtSymbol in syntax defined by the system
                                Commentaires

                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                Contrôle0..1
                                Cet élément est affecté par les invariants suivants : ele-1
                                Typecode
                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                Statut du standardNormative (from Trial Use)
                                Résumétrue
                                Exigences

                                Need to refer to a particular code in the system.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                186. Practitioner.qualification.code.coding:degreeR49.display
                                Définition

                                A representation of the meaning of the code in the system, following the rules of the system.

                                CourtRepresentation defined by the system
                                Commentaires

                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                Contrôle0..1
                                Cet élément est affecté par les invariants suivants : ele-1
                                Typestring
                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                Statut du standardNormative (from Trial Use)
                                Résumétrue
                                Exigences

                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                188. Practitioner.qualification.code.coding:degreeR49.userSelected
                                Définition

                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                CourtIf this coding was chosen directly by the user
                                Commentaires

                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                Contrôle0..1
                                Cet élément est affecté par les invariants suivants : ele-1
                                Typeboolean
                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                Statut du standardNormative (from Trial Use)
                                Résumétrue
                                Exigences

                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                190. Practitioner.qualification.code.coding:degreeR50
                                Nom de la slicedegreeR50
                                Définition

                                A reference to a code defined by a terminology system.

                                CourtCode defined by a terminology system
                                Commentaires

                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                Contrôle0..*
                                Cet élément est affecté par les invariants suivants : ele-1
                                BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                TypeCoding
                                Statut du standardNormative (from Trial Use)
                                Résumétrue
                                Exigences

                                Allows for alternative encodings within a code system, and translations to other code systems.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                192. Practitioner.qualification.code.coding:degreeR50.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
                                Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                194. Practitioner.qualification.code.coding:degreeR50.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..*
                                Cet élément est affecté par les invariants suivants : ele-1
                                TypeExtension
                                Statut du standardNormative (from Trial Use)
                                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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                • value @ url
                                • 196. Practitioner.qualification.code.coding:degreeR50.system
                                  Définition

                                  The identification of the code system that defines the meaning of the symbol in the code.

                                  CourtDESC Groupe 1 (diplôme)
                                  Commentaires

                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                  Contrôle0..1
                                  Cet élément est affecté par les invariants suivants : ele-1
                                  Typeuri
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Statut du standardNormative (from Trial Use)
                                  Résumétrue
                                  Exigences

                                  Need to be unambiguous about the source of the definition of the symbol.

                                  Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R50-DESCGroupe1Diplome/FHIR/TRE-R50-DESCGroupe1Diplome
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  198. Practitioner.qualification.code.coding:degreeR50.version
                                  Définition

                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                  CourtVersion of the system - if relevant
                                  Commentaires

                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                  NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                  Contrôle0..1
                                  Cet élément est affecté par les invariants suivants : ele-1
                                  Typestring
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Statut du standardNormative (from Trial Use)
                                  Résumétrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  200. Practitioner.qualification.code.coding:degreeR50.code
                                  Définition

                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                  CourtSymbol in syntax defined by the system
                                  Commentaires

                                  Note that FHIR strings SHALL NOT exceed 1MB in size

                                  Contrôle0..1
                                  Cet élément est affecté par les invariants suivants : ele-1
                                  Typecode
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Statut du standardNormative (from Trial Use)
                                  Résumétrue
                                  Exigences

                                  Need to refer to a particular code in the system.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  202. Practitioner.qualification.code.coding:degreeR50.display
                                  Définition

                                  A representation of the meaning of the code in the system, following the rules of the system.

                                  CourtRepresentation defined by the system
                                  Commentaires

                                  Note that FHIR strings SHALL NOT exceed 1MB in size

                                  Contrôle0..1
                                  Cet élément est affecté par les invariants suivants : ele-1
                                  Typestring
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Statut du standardNormative (from Trial Use)
                                  Résumétrue
                                  Exigences

                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  204. Practitioner.qualification.code.coding:degreeR50.userSelected
                                  Définition

                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                  CourtIf this coding was chosen directly by the user
                                  Commentaires

                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                  Contrôle0..1
                                  Cet élément est affecté par les invariants suivants : ele-1
                                  Typeboolean
                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                  Statut du standardNormative (from Trial Use)
                                  Résumétrue
                                  Exigences

                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  206. Practitioner.qualification.code.coding:degreeR51
                                  Nom de la slicedegreeR51
                                  Définition

                                  A reference to a code defined by a terminology system.

                                  CourtCode defined by a terminology system
                                  Commentaires

                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                  Contrôle0..*
                                  Cet élément est affecté par les invariants suivants : ele-1
                                  BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                  (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                  TypeCoding
                                  Statut du standardNormative (from Trial Use)
                                  Résumétrue
                                  Exigences

                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  208. Practitioner.qualification.code.coding:degreeR51.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
                                  Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                  210. Practitioner.qualification.code.coding:degreeR51.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..*
                                  Cet élément est affecté par les invariants suivants : ele-1
                                  TypeExtension
                                  Statut du standardNormative (from Trial Use)
                                  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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                  • value @ url
                                  • 212. Practitioner.qualification.code.coding:degreeR51.system
                                    Définition

                                    The identification of the code system that defines the meaning of the symbol in the code.

                                    CourtDESC Groupe 2 (diplôme)
                                    Commentaires

                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                    Contrôle0..1
                                    Cet élément est affecté par les invariants suivants : ele-1
                                    Typeuri
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Statut du standardNormative (from Trial Use)
                                    Résumétrue
                                    Exigences

                                    Need to be unambiguous about the source of the definition of the symbol.

                                    Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R51-DESCGroupe2Diplome/FHIR/TRE-R51-DESCGroupe2Diplome
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    214. Practitioner.qualification.code.coding:degreeR51.version
                                    Définition

                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                    CourtVersion of the system - if relevant
                                    Commentaires

                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                    NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                    Contrôle0..1
                                    Cet élément est affecté par les invariants suivants : ele-1
                                    Typestring
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Statut du standardNormative (from Trial Use)
                                    Résumétrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    216. Practitioner.qualification.code.coding:degreeR51.code
                                    Définition

                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                    CourtSymbol in syntax defined by the system
                                    Commentaires

                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                    Contrôle0..1
                                    Cet élément est affecté par les invariants suivants : ele-1
                                    Typecode
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Statut du standardNormative (from Trial Use)
                                    Résumétrue
                                    Exigences

                                    Need to refer to a particular code in the system.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    218. Practitioner.qualification.code.coding:degreeR51.display
                                    Définition

                                    A representation of the meaning of the code in the system, following the rules of the system.

                                    CourtRepresentation defined by the system
                                    Commentaires

                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                    Contrôle0..1
                                    Cet élément est affecté par les invariants suivants : ele-1
                                    Typestring
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Statut du standardNormative (from Trial Use)
                                    Résumétrue
                                    Exigences

                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    220. Practitioner.qualification.code.coding:degreeR51.userSelected
                                    Définition

                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                    CourtIf this coding was chosen directly by the user
                                    Commentaires

                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                    Contrôle0..1
                                    Cet élément est affecté par les invariants suivants : ele-1
                                    Typeboolean
                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                    Statut du standardNormative (from Trial Use)
                                    Résumétrue
                                    Exigences

                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    222. Practitioner.qualification.code.coding:degreeR52
                                    Nom de la slicedegreeR52
                                    Définition

                                    A reference to a code defined by a terminology system.

                                    CourtCode defined by a terminology system
                                    Commentaires

                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                    Contrôle0..*
                                    Cet élément est affecté par les invariants suivants : ele-1
                                    BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                    (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                    TypeCoding
                                    Statut du standardNormative (from Trial Use)
                                    Résumétrue
                                    Exigences

                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    224. Practitioner.qualification.code.coding:degreeR52.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
                                    Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                    226. Practitioner.qualification.code.coding:degreeR52.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..*
                                    Cet élément est affecté par les invariants suivants : ele-1
                                    TypeExtension
                                    Statut du standardNormative (from Trial Use)
                                    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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                    • value @ url
                                    • 228. Practitioner.qualification.code.coding:degreeR52.system
                                      Définition

                                      The identification of the code system that defines the meaning of the symbol in the code.

                                      CourtCapacité (diplôme)
                                      Commentaires

                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                      Contrôle0..1
                                      Cet élément est affecté par les invariants suivants : ele-1
                                      Typeuri
                                      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                      Statut du standardNormative (from Trial Use)
                                      Résumétrue
                                      Exigences

                                      Need to be unambiguous about the source of the definition of the symbol.

                                      Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R52-CapaciteDiplome/FHIR/TRE-R52-CapaciteDiplome
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      230. Practitioner.qualification.code.coding:degreeR52.version
                                      Définition

                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                      CourtVersion of the system - if relevant
                                      Commentaires

                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                      NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                      Contrôle0..1
                                      Cet élément est affecté par les invariants suivants : ele-1
                                      Typestring
                                      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                      Statut du standardNormative (from Trial Use)
                                      Résumétrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      232. Practitioner.qualification.code.coding:degreeR52.code
                                      Définition

                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                      CourtSymbol in syntax defined by the system
                                      Commentaires

                                      Note that FHIR strings SHALL NOT exceed 1MB in size

                                      Contrôle0..1
                                      Cet élément est affecté par les invariants suivants : ele-1
                                      Typecode
                                      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                      Statut du standardNormative (from Trial Use)
                                      Résumétrue
                                      Exigences

                                      Need to refer to a particular code in the system.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      234. Practitioner.qualification.code.coding:degreeR52.display
                                      Définition

                                      A representation of the meaning of the code in the system, following the rules of the system.

                                      CourtRepresentation defined by the system
                                      Commentaires

                                      Note that FHIR strings SHALL NOT exceed 1MB in size

                                      Contrôle0..1
                                      Cet élément est affecté par les invariants suivants : ele-1
                                      Typestring
                                      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                      Statut du standardNormative (from Trial Use)
                                      Résumétrue
                                      Exigences

                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      236. Practitioner.qualification.code.coding:degreeR52.userSelected
                                      Définition

                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                      CourtIf this coding was chosen directly by the user
                                      Commentaires

                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                      Contrôle0..1
                                      Cet élément est affecté par les invariants suivants : ele-1
                                      Typeboolean
                                      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                      Statut du standardNormative (from Trial Use)
                                      Résumétrue
                                      Exigences

                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      238. Practitioner.qualification.code.coding:degreeR53
                                      Nom de la slicedegreeR53
                                      Définition

                                      A reference to a code defined by a terminology system.

                                      CourtCode defined by a terminology system
                                      Commentaires

                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                      Contrôle0..*
                                      Cet élément est affecté par les invariants suivants : ele-1
                                      BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                      (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                      TypeCoding
                                      Statut du standardNormative (from Trial Use)
                                      Résumétrue
                                      Exigences

                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      240. Practitioner.qualification.code.coding:degreeR53.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
                                      Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                      242. Practitioner.qualification.code.coding:degreeR53.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..*
                                      Cet élément est affecté par les invariants suivants : ele-1
                                      TypeExtension
                                      Statut du standardNormative (from Trial Use)
                                      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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                      • value @ url
                                      • 244. Practitioner.qualification.code.coding:degreeR53.system
                                        Définition

                                        The identification of the code system that defines the meaning of the symbol in the code.

                                        CourtDiplôme d'un pays de l'EEE
                                        Commentaires

                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                        Contrôle0..1
                                        Cet élément est affecté par les invariants suivants : ele-1
                                        Typeuri
                                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                        Statut du standardNormative (from Trial Use)
                                        Résumétrue
                                        Exigences

                                        Need to be unambiguous about the source of the definition of the symbol.

                                        Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R53-DiplomePaysEEE/FHIR/TRE-R53-DiplomePaysEEE
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        246. Practitioner.qualification.code.coding:degreeR53.version
                                        Définition

                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                        CourtVersion of the system - if relevant
                                        Commentaires

                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                        NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                        Contrôle0..1
                                        Cet élément est affecté par les invariants suivants : ele-1
                                        Typestring
                                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                        Statut du standardNormative (from Trial Use)
                                        Résumétrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        248. Practitioner.qualification.code.coding:degreeR53.code
                                        Définition

                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                        CourtSymbol in syntax defined by the system
                                        Commentaires

                                        Note that FHIR strings SHALL NOT exceed 1MB in size

                                        Contrôle0..1
                                        Cet élément est affecté par les invariants suivants : ele-1
                                        Typecode
                                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                        Statut du standardNormative (from Trial Use)
                                        Résumétrue
                                        Exigences

                                        Need to refer to a particular code in the system.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        250. Practitioner.qualification.code.coding:degreeR53.display
                                        Définition

                                        A representation of the meaning of the code in the system, following the rules of the system.

                                        CourtRepresentation defined by the system
                                        Commentaires

                                        Note that FHIR strings SHALL NOT exceed 1MB in size

                                        Contrôle0..1
                                        Cet élément est affecté par les invariants suivants : ele-1
                                        Typestring
                                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                        Statut du standardNormative (from Trial Use)
                                        Résumétrue
                                        Exigences

                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        252. Practitioner.qualification.code.coding:degreeR53.userSelected
                                        Définition

                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                        CourtIf this coding was chosen directly by the user
                                        Commentaires

                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                        Contrôle0..1
                                        Cet élément est affecté par les invariants suivants : ele-1
                                        Typeboolean
                                        Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                        Statut du standardNormative (from Trial Use)
                                        Résumétrue
                                        Exigences

                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        254. Practitioner.qualification.code.coding:degreeR54
                                        Nom de la slicedegreeR54
                                        Définition

                                        A reference to a code defined by a terminology system.

                                        CourtCode defined by a terminology system
                                        Commentaires

                                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                        Contrôle0..*
                                        Cet élément est affecté par les invariants suivants : ele-1
                                        BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                        (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                        TypeCoding
                                        Statut du standardNormative (from Trial Use)
                                        Résumétrue
                                        Exigences

                                        Allows for alternative encodings within a code system, and translations to other code systems.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        256. Practitioner.qualification.code.coding:degreeR54.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
                                        Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                        258. Practitioner.qualification.code.coding:degreeR54.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..*
                                        Cet élément est affecté par les invariants suivants : ele-1
                                        TypeExtension
                                        Statut du standardNormative (from Trial Use)
                                        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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                        • value @ url
                                        • 260. Practitioner.qualification.code.coding:degreeR54.system
                                          Définition

                                          Diplôme d'Université ou Inter-Universitaire

                                          CourtDiplôme d'Université ou Inter-Universitaire
                                          Commentaires

                                          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                          Contrôle0..1
                                          Cet élément est affecté par les invariants suivants : ele-1
                                          Typeuri
                                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                          Statut du standardNormative (from Trial Use)
                                          Résumétrue
                                          Exigences

                                          Need to be unambiguous about the source of the definition of the symbol.

                                          Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R54-DiplomeUniversiteInterUniversitaire/FHIR/TRE-R54-DiplomeUniversiteInterUniversitare
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          262. Practitioner.qualification.code.coding:degreeR54.version
                                          Définition

                                          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                          CourtVersion of the system - if relevant
                                          Commentaires

                                          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                          NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                          Contrôle0..1
                                          Cet élément est affecté par les invariants suivants : ele-1
                                          Typestring
                                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                          Statut du standardNormative (from Trial Use)
                                          Résumétrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          264. Practitioner.qualification.code.coding:degreeR54.code
                                          Définition

                                          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                          CourtSymbol in syntax defined by the system
                                          Commentaires

                                          Note that FHIR strings SHALL NOT exceed 1MB in size

                                          Contrôle0..1
                                          Cet élément est affecté par les invariants suivants : ele-1
                                          Typecode
                                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                          Statut du standardNormative (from Trial Use)
                                          Résumétrue
                                          Exigences

                                          Need to refer to a particular code in the system.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          266. Practitioner.qualification.code.coding:degreeR54.display
                                          Définition

                                          A representation of the meaning of the code in the system, following the rules of the system.

                                          CourtRepresentation defined by the system
                                          Commentaires

                                          Note that FHIR strings SHALL NOT exceed 1MB in size

                                          Contrôle0..1
                                          Cet élément est affecté par les invariants suivants : ele-1
                                          Typestring
                                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                          Statut du standardNormative (from Trial Use)
                                          Résumétrue
                                          Exigences

                                          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          268. Practitioner.qualification.code.coding:degreeR54.userSelected
                                          Définition

                                          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                          CourtIf this coding was chosen directly by the user
                                          Commentaires

                                          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                          Contrôle0..1
                                          Cet élément est affecté par les invariants suivants : ele-1
                                          Typeboolean
                                          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                          Statut du standardNormative (from Trial Use)
                                          Résumétrue
                                          Exigences

                                          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          270. Practitioner.qualification.code.coding:degreeR55
                                          Nom de la slicedegreeR55
                                          Définition

                                          A reference to a code defined by a terminology system.

                                          CourtCode defined by a terminology system
                                          Commentaires

                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                          Contrôle0..*
                                          Cet élément est affecté par les invariants suivants : ele-1
                                          BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                          (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                          TypeCoding
                                          Statut du standardNormative (from Trial Use)
                                          Résumétrue
                                          Exigences

                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          272. Practitioner.qualification.code.coding:degreeR55.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
                                          Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                          274. Practitioner.qualification.code.coding:degreeR55.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..*
                                          Cet élément est affecté par les invariants suivants : ele-1
                                          TypeExtension
                                          Statut du standardNormative (from Trial Use)
                                          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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                          • value @ url
                                          • 276. Practitioner.qualification.code.coding:degreeR55.system
                                            Définition

                                            Certificat d'Etude Spéciale

                                            CourtCertificat d'Etude Spéciale
                                            Commentaires

                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                            Contrôle0..1
                                            Cet élément est affecté par les invariants suivants : ele-1
                                            Typeuri
                                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                            Statut du standardNormative (from Trial Use)
                                            Résumétrue
                                            Exigences

                                            Need to be unambiguous about the source of the definition of the symbol.

                                            Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R55-CertificatEtudeSpeciale/FHIR/TRE-R55-CertificatEtudeSpeciale
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            278. Practitioner.qualification.code.coding:degreeR55.version
                                            Définition

                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                            CourtVersion of the system - if relevant
                                            Commentaires

                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                            NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                            Contrôle0..1
                                            Cet élément est affecté par les invariants suivants : ele-1
                                            Typestring
                                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                            Statut du standardNormative (from Trial Use)
                                            Résumétrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            280. Practitioner.qualification.code.coding:degreeR55.code
                                            Définition

                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                            CourtSymbol in syntax defined by the system
                                            Commentaires

                                            Note that FHIR strings SHALL NOT exceed 1MB in size

                                            Contrôle0..1
                                            Cet élément est affecté par les invariants suivants : ele-1
                                            Typecode
                                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                            Statut du standardNormative (from Trial Use)
                                            Résumétrue
                                            Exigences

                                            Need to refer to a particular code in the system.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            282. Practitioner.qualification.code.coding:degreeR55.display
                                            Définition

                                            A representation of the meaning of the code in the system, following the rules of the system.

                                            CourtRepresentation defined by the system
                                            Commentaires

                                            Note that FHIR strings SHALL NOT exceed 1MB in size

                                            Contrôle0..1
                                            Cet élément est affecté par les invariants suivants : ele-1
                                            Typestring
                                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                            Statut du standardNormative (from Trial Use)
                                            Résumétrue
                                            Exigences

                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            284. Practitioner.qualification.code.coding:degreeR55.userSelected
                                            Définition

                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                            CourtIf this coding was chosen directly by the user
                                            Commentaires

                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                            Contrôle0..1
                                            Cet élément est affecté par les invariants suivants : ele-1
                                            Typeboolean
                                            Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                            Statut du standardNormative (from Trial Use)
                                            Résumétrue
                                            Exigences

                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            286. Practitioner.qualification.code.coding:degreeR56
                                            Nom de la slicedegreeR56
                                            Définition

                                            A reference to a code defined by a terminology system.

                                            CourtCode defined by a terminology system
                                            Commentaires

                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                            Contrôle0..*
                                            Cet élément est affecté par les invariants suivants : ele-1
                                            BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                            (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                            TypeCoding
                                            Statut du standardNormative (from Trial Use)
                                            Résumétrue
                                            Exigences

                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            288. Practitioner.qualification.code.coding:degreeR56.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
                                            Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                            290. Practitioner.qualification.code.coding:degreeR56.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..*
                                            Cet élément est affecté par les invariants suivants : ele-1
                                            TypeExtension
                                            Statut du standardNormative (from Trial Use)
                                            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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                            • value @ url
                                            • 292. Practitioner.qualification.code.coding:degreeR56.system
                                              Définition

                                              The identification of the code system that defines the meaning of the symbol in the code.

                                              CourtAttestation
                                              Commentaires

                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                              Contrôle0..1
                                              Cet élément est affecté par les invariants suivants : ele-1
                                              Typeuri
                                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                              Statut du standardNormative (from Trial Use)
                                              Résumétrue
                                              Exigences

                                              Need to be unambiguous about the source of the definition of the symbol.

                                              Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R56-Attestation/FHIR/TRE-R56-Attestation
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              294. Practitioner.qualification.code.coding:degreeR56.version
                                              Définition

                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                              CourtVersion of the system - if relevant
                                              Commentaires

                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                              NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                              Contrôle0..1
                                              Cet élément est affecté par les invariants suivants : ele-1
                                              Typestring
                                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                              Statut du standardNormative (from Trial Use)
                                              Résumétrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              296. Practitioner.qualification.code.coding:degreeR56.code
                                              Définition

                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                              CourtSymbol in syntax defined by the system
                                              Commentaires

                                              Note that FHIR strings SHALL NOT exceed 1MB in size

                                              Contrôle0..1
                                              Cet élément est affecté par les invariants suivants : ele-1
                                              Typecode
                                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                              Statut du standardNormative (from Trial Use)
                                              Résumétrue
                                              Exigences

                                              Need to refer to a particular code in the system.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              298. Practitioner.qualification.code.coding:degreeR56.display
                                              Définition

                                              A representation of the meaning of the code in the system, following the rules of the system.

                                              CourtRepresentation defined by the system
                                              Commentaires

                                              Note that FHIR strings SHALL NOT exceed 1MB in size

                                              Contrôle0..1
                                              Cet élément est affecté par les invariants suivants : ele-1
                                              Typestring
                                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                              Statut du standardNormative (from Trial Use)
                                              Résumétrue
                                              Exigences

                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              300. Practitioner.qualification.code.coding:degreeR56.userSelected
                                              Définition

                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                              CourtIf this coding was chosen directly by the user
                                              Commentaires

                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                              Contrôle0..1
                                              Cet élément est affecté par les invariants suivants : ele-1
                                              Typeboolean
                                              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                              Statut du standardNormative (from Trial Use)
                                              Résumétrue
                                              Exigences

                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              302. Practitioner.qualification.code.coding:degreeR57
                                              Nom de la slicedegreeR57
                                              Définition

                                              A reference to a code defined by a terminology system.

                                              CourtCode defined by a terminology system
                                              Commentaires

                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                              Contrôle0..*
                                              Cet élément est affecté par les invariants suivants : ele-1
                                              BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                              (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                              TypeCoding
                                              Statut du standardNormative (from Trial Use)
                                              Résumétrue
                                              Exigences

                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              304. Practitioner.qualification.code.coding:degreeR57.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
                                              Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                              306. Practitioner.qualification.code.coding:degreeR57.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..*
                                              Cet élément est affecté par les invariants suivants : ele-1
                                              TypeExtension
                                              Statut du standardNormative (from Trial Use)
                                              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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                              • value @ url
                                              • 308. Practitioner.qualification.code.coding:degreeR57.system
                                                Définition

                                                Diplôme Européen d'Etudes Spécialisées

                                                CourtDiplôme Européen d'Etudes Spécialisées
                                                Commentaires

                                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                Contrôle0..1
                                                Cet élément est affecté par les invariants suivants : ele-1
                                                Typeuri
                                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                Statut du standardNormative (from Trial Use)
                                                Résumétrue
                                                Exigences

                                                Need to be unambiguous about the source of the definition of the symbol.

                                                Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R57-DiplomeEuropeenEtudeSpecialisee/FHIR/TRE-R57-DiplomeEuropeenEtudeSpecialisee
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                310. Practitioner.qualification.code.coding:degreeR57.version
                                                Définition

                                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                CourtVersion of the system - if relevant
                                                Commentaires

                                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                                Contrôle0..1
                                                Cet élément est affecté par les invariants suivants : ele-1
                                                Typestring
                                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                Statut du standardNormative (from Trial Use)
                                                Résumétrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                312. Practitioner.qualification.code.coding:degreeR57.code
                                                Définition

                                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                CourtSymbol in syntax defined by the system
                                                Commentaires

                                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                                Contrôle0..1
                                                Cet élément est affecté par les invariants suivants : ele-1
                                                Typecode
                                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                Statut du standardNormative (from Trial Use)
                                                Résumétrue
                                                Exigences

                                                Need to refer to a particular code in the system.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                314. Practitioner.qualification.code.coding:degreeR57.display
                                                Définition

                                                A representation of the meaning of the code in the system, following the rules of the system.

                                                CourtRepresentation defined by the system
                                                Commentaires

                                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                                Contrôle0..1
                                                Cet élément est affecté par les invariants suivants : ele-1
                                                Typestring
                                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                Statut du standardNormative (from Trial Use)
                                                Résumétrue
                                                Exigences

                                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                316. Practitioner.qualification.code.coding:degreeR57.userSelected
                                                Définition

                                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                CourtIf this coding was chosen directly by the user
                                                Commentaires

                                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                Contrôle0..1
                                                Cet élément est affecté par les invariants suivants : ele-1
                                                Typeboolean
                                                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                Statut du standardNormative (from Trial Use)
                                                Résumétrue
                                                Exigences

                                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                318. Practitioner.qualification.code.coding:degreeR58
                                                Nom de la slicedegreeR58
                                                Définition

                                                A reference to a code defined by a terminology system.

                                                CourtCode defined by a terminology system
                                                Commentaires

                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                Contrôle0..*
                                                Cet élément est affecté par les invariants suivants : ele-1
                                                BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                                (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                                TypeCoding
                                                Statut du standardNormative (from Trial Use)
                                                Résumétrue
                                                Exigences

                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                320. Practitioner.qualification.code.coding:degreeR58.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
                                                Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                                322. Practitioner.qualification.code.coding:degreeR58.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..*
                                                Cet élément est affecté par les invariants suivants : ele-1
                                                TypeExtension
                                                Statut du standardNormative (from Trial Use)
                                                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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                                • value @ url
                                                • 324. Practitioner.qualification.code.coding:degreeR58.system
                                                  Définition

                                                  Autre type de diplôme

                                                  CourtAutre type de diplôme
                                                  Commentaires

                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                  Contrôle0..1
                                                  Cet élément est affecté par les invariants suivants : ele-1
                                                  Typeuri
                                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                  Statut du standardNormative (from Trial Use)
                                                  Résumétrue
                                                  Exigences

                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                  Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R58-AutreTypeDiplome/FHIR/TRE-R58-AutreTypeDiplome
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  326. Practitioner.qualification.code.coding:degreeR58.version
                                                  Définition

                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                  CourtVersion of the system - if relevant
                                                  Commentaires

                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                  NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                                  Contrôle0..1
                                                  Cet élément est affecté par les invariants suivants : ele-1
                                                  Typestring
                                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                  Statut du standardNormative (from Trial Use)
                                                  Résumétrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  328. Practitioner.qualification.code.coding:degreeR58.code
                                                  Définition

                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                  CourtSymbol in syntax defined by the system
                                                  Commentaires

                                                  Note that FHIR strings SHALL NOT exceed 1MB in size

                                                  Contrôle0..1
                                                  Cet élément est affecté par les invariants suivants : ele-1
                                                  Typecode
                                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                  Statut du standardNormative (from Trial Use)
                                                  Résumétrue
                                                  Exigences

                                                  Need to refer to a particular code in the system.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  330. Practitioner.qualification.code.coding:degreeR58.display
                                                  Définition

                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                  CourtRepresentation defined by the system
                                                  Commentaires

                                                  Note that FHIR strings SHALL NOT exceed 1MB in size

                                                  Contrôle0..1
                                                  Cet élément est affecté par les invariants suivants : ele-1
                                                  Typestring
                                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                  Statut du standardNormative (from Trial Use)
                                                  Résumétrue
                                                  Exigences

                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  332. Practitioner.qualification.code.coding:degreeR58.userSelected
                                                  Définition

                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                  CourtIf this coding was chosen directly by the user
                                                  Commentaires

                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                  Contrôle0..1
                                                  Cet élément est affecté par les invariants suivants : ele-1
                                                  Typeboolean
                                                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                  Statut du standardNormative (from Trial Use)
                                                  Résumétrue
                                                  Exigences

                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  334. Practitioner.qualification.code.coding:degreeR226
                                                  Nom de la slicedegreeR226
                                                  Définition

                                                  A reference to a code defined by a terminology system.

                                                  CourtCode defined by a terminology system
                                                  Commentaires

                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                  Contrôle0..*
                                                  Cet élément est affecté par les invariants suivants : ele-1
                                                  BindingLes codes DOIVENT (SHALL) être pris de JDV_J105-EnsembleDiplome-RASS
                                                  (required to https://mos.esante.gouv.fr/NOS/JDV_J105-EnsembleDiplome-RASS/FHIR/JDV-J105-EnsembleDiplome-RASS)
                                                  TypeCoding
                                                  Statut du standardNormative (from Trial Use)
                                                  Résumétrue
                                                  Exigences

                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  336. Practitioner.qualification.code.coding:degreeR226.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
                                                  Format XMLDans le format XML, cette propriété est représentée comme attribut.
                                                  338. Practitioner.qualification.code.coding:degreeR226.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..*
                                                  Cet élément est affecté par les invariants suivants : ele-1
                                                  TypeExtension
                                                  Statut du standardNormative (from Trial Use)
                                                  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 Practitioner.qualification.code.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                                                  • value @ url
                                                  • 340. Practitioner.qualification.code.coding:degreeR226.system
                                                    Définition

                                                    The identification of the code system that defines the meaning of the symbol in the code.

                                                    CourtDiplôme de 2ième cycle non qualifiant
                                                    Commentaires

                                                    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                    Contrôle0..1
                                                    Cet élément est affecté par les invariants suivants : ele-1
                                                    Typeuri
                                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                    Statut du standardNormative (from Trial Use)
                                                    Résumétrue
                                                    Exigences

                                                    Need to be unambiguous about the source of the definition of the symbol.

                                                    Valeur fixehttps://mos.esante.gouv.fr/NOS/TRE_R226-Dip2iemeCycleNQ/FHIR/TRE-R226-Dip2iemeCycleNQ
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    342. Practitioner.qualification.code.coding:degreeR226.version
                                                    Définition

                                                    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                    CourtVersion of the system - if relevant
                                                    Commentaires

                                                    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                    NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
                                                    Contrôle0..1
                                                    Cet élément est affecté par les invariants suivants : ele-1
                                                    Typestring
                                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                    Statut du standardNormative (from Trial Use)
                                                    Résumétrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    344. Practitioner.qualification.code.coding:degreeR226.code
                                                    Définition

                                                    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                    CourtSymbol in syntax defined by the system
                                                    Commentaires

                                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                                    Contrôle0..1
                                                    Cet élément est affecté par les invariants suivants : ele-1
                                                    Typecode
                                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                    Statut du standardNormative (from Trial Use)
                                                    Résumétrue
                                                    Exigences

                                                    Need to refer to a particular code in the system.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    346. Practitioner.qualification.code.coding:degreeR226.display
                                                    Définition

                                                    A representation of the meaning of the code in the system, following the rules of the system.

                                                    CourtRepresentation defined by the system
                                                    Commentaires

                                                    Note that FHIR strings SHALL NOT exceed 1MB in size

                                                    Contrôle0..1
                                                    Cet élément est affecté par les invariants suivants : ele-1
                                                    Typestring
                                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                    Statut du standardNormative (from Trial Use)
                                                    Résumétrue
                                                    Exigences

                                                    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    348. Practitioner.qualification.code.coding:degreeR226.userSelected
                                                    Définition

                                                    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                    CourtIf this coding was chosen directly by the user
                                                    Commentaires

                                                    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                    Contrôle0..1
                                                    Cet élément est affecté par les invariants suivants : ele-1
                                                    Typeboolean
                                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                    Statut du standardNormative (from Trial Use)
                                                    Résumétrue
                                                    Exigences

                                                    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    350. Practitioner.qualification.code.text
                                                    Définition

                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                    CourtPlain text representation of the concept
                                                    Commentaires

                                                    Very often the text is the same as a displayName of one of the codings.

                                                    Contrôle0..1
                                                    Cet élément est affecté par les invariants suivants : ele-1
                                                    Typestring
                                                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                                                    Résumétrue
                                                    Exigences

                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    352. Practitioner.qualification.period
                                                    Définition

                                                    Period during which the qualification is valid.

                                                    CourtPeriod during which the qualification is valid
                                                    Commentaires

                                                    A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                                                    Period is not used for a duration (a measure of elapsed time). See Duration.

                                                    Contrôle0..1
                                                    Cet élément est affecté par les invariants suivants : ele-1
                                                    TypePeriod
                                                    Exigences

                                                    Qualifications are often for a limited period of time, and can be revoked.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                    354. Practitioner.qualification.issuer
                                                    Définition

                                                    Organization that regulates and issues the qualification.

                                                    CourtOrganization that regulates and issues the qualification
                                                    Commentaires

                                                    References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                                                    Contrôle0..1
                                                    Cet élément est affecté par les invariants suivants : ele-1
                                                    TypeReference(Organization)
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                                    356. Practitioner.communication
                                                    Définition

                                                    A language the practitioner can use in patient communication.

                                                    CourtA language the practitioner can use in patient communication
                                                    Commentaires

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

                                                    Contrôle0..*
                                                    Cet élément est affecté par les invariants suivants : ele-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
                                                    Exigences

                                                    Knowing which language a practitioner speaks can help in facilitating communication with patients.

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