Guide d'implémentation Fr Core
2.0.0-ballot - trial-use France flag

This page is part of the Guide d'implémentation Fr Core (v2.0.0-ballot: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: FR Core Patient Profile

Official URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient Version: 2.0.0-ballot
Draft as of 2024-02-20 Computable Name: FRCorePatientProfile

Profile of the Patient resource for France Profil de la ressource Patient pour l’usage en France
This profile specifies the patient’s identifiers for France. It uses international extensions (birtplace and nationality) and adds specific French extensions Ce profil spécifie les identifiants de patient utilisés en France. Il utilise des extensions internationales (birthplace et nationalité) et ajoute des extensions propres à la France.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient Patient
... meta
.... Slices for profile 0..*canonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:fr-canonical 0..1canonical(StructureDefinition)Profiles this resource claims to conform to
Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... nationality 0..1(Complex)Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
... deathPlace 0..1stringFR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
... birthdateUpdateIndicator 0..1booleanFR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
.... value[x] 1..1FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... Slices for identifier 0..*IdentifierAn identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS.
Slice: Unordered, Open by value:type
.... identifier:All Slices Content/Rules for all slices
..... type 0..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
.... identifier:INS-C 0..*IdentifierAn identifier for this patient
..... use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: secondary
..... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: INS-C
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant National de Santé Calculé
..... system 0..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.213.1.4.2
..... value 1..1stringThe value that is unique
.... identifier:NDP 0..1IdentifierFrench pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: secondary
..... type 1..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: NDP
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant du patient au Dossier Pharmaceutique
..... system 1..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.176.1.2
..... value 1..1stringThe value that is unique
.... identifier:PI 0..1IdentifierHospital assigned patient identifier | IPP
..... use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: usual
..... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PI
....... display1..1stringRepresentation defined by the system
Fixed Value: Patient internal identifier
..... system 1..1uriThe namespace for the identifier value
..... value 1..1stringThe value that is unique
.... identifier:RRI 0..*IdentifierRegional Registry ID | Identifiant régional
..... use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: secondary
..... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RRI
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional registry ID
..... system 1..1uriThe namespace for the identifier value
..... value 1..1stringThe value that is unique
... Slices for name 0..*FRCoreHumanNameProfileA name associated with the patient
Slice: Unordered, Open by value:use
.... name:usualName 0..*HumanNameName of a human | Nom utilisé
..... use 1..1codeusual | official | temp | nickname | anonymous | old | maiden
Required Pattern: usual
.... name:officialName 0..*HumanNameName of a human | Nom de naissance
..... birth-list-given-name 0..1stringDans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use 1..1codeusual | official | temp | nickname | anonymous | old | maiden
Required Pattern: official
..... family 1..1stringFamily name (often called 'Surname')
..... given 1..1stringGiven names (not always 'first'). Includes middle names
... telecom 0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
... gender 0..1codemale | female | other | unknown
... birthDate 0..1dateThe date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... address 0..*FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: FR Core ValueSet Patient gender INS ValueSet (extensible)
... contact
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... contactIdentifier 0..1IdentifierContact identifier in the patient resource | Identifiant de contact dans la ressource Patient
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier
.... comment 0..1stringComment on a dataElement | Commentaire sur un dataElement
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
.... Slices for relationship 1..1CodeableConceptThe kind of relationship
Slice: Unordered, Open by value:coding.system
..... relationship:RolePerson 0..1CodeableConceptThe nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ...
Binding: FR Core ValueSet Related person role (extensible)
..... relationship:RelatedPerson 0..1CodeableConceptThe nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ...
Binding: FR Core ValueSet Related person role (extensible)
.... name 0..1FRCoreHumanNameProfileName of a human - parts and usage
.... telecom 0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
... generalPractitioner 0..*Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole)Patient's nominated primary care provider
... managingOrganization 0..1Reference(FR Core Organization Profile)Organization that is the custodian of the patient record

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Patient.identifier.typeextensibleFRCoreValueSetPatientIdentifierType
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:NDP.typeextensiblePattern: NDP("Identifiant du patient au Dossier Pharmaceutique")
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.maritalStatusextensibleFRCoreValueSetMaritalStatus
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status
from this IG
Patient.contact.relationship:RolePersonextensibleFRCoreValueSetRelatedPersonRole
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-related-person-role
from this IG
Patient.contact.relationship:RelatedPersonextensibleFRCoreValueSetRelatedPerson
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-related-person
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... nationality 0..1(Complex)Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
... deathPlace 0..1stringFR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
... birthdateUpdateIndicator 0..1booleanFR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
.... value[x] 1..1FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierAn identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS.
Slice: Unordered, Open by value:type
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
.... identifier:INS-C Σ0..*IdentifierAn identifier for this patient
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: INS-C
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant National de Santé Calculé
..... system Σ0..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.213.1.4.2
..... value Σ1..1stringThe value that is unique
Example General: 123456
.... identifier:NDP Σ0..1IdentifierFrench pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: NDP
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant du patient au Dossier Pharmaceutique
..... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.176.1.2
..... value Σ1..1stringThe value that is unique
Example General: 123456
.... identifier:PI Σ0..1IdentifierHospital assigned patient identifier | IPP
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: usual
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PI
....... display1..1stringRepresentation defined by the system
Fixed Value: Patient internal identifier
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
.... identifier:RRI Σ0..*IdentifierRegional Registry ID | Identifiant régional
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RRI
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional registry ID
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name Σ0..*FRCoreHumanNameProfileA name associated with the patient
Slice: Unordered, Open by value:use
.... name:usualName Σ0..*HumanNameName of a human | Nom utilisé
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: usual
.... name:officialName Σ0..*HumanNameName of a human | Nom de naissance
..... birth-list-given-name 0..1stringDans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: official
..... family Σ1..1stringFamily name (often called 'Surname')
..... given Σ1..1stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom C0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address 0..*FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: FR Core ValueSet Patient gender INS ValueSet (extensible)
... generalPractitioner 0..*Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(FR Core Organization Profile)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleFRCoreValueSetPatientIdentifierType
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:INS-C.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:INS-C.typeextensiblePattern: INS-C("Identifiant National de Santé Calculé")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:NDP.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:NDP.typeextensiblePattern: NDP("Identifiant du patient au Dossier Pharmaceutique")
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:PI.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:PI.typeextensiblePattern: PI("Patient internal identifier")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:RRI.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:RRI.typeextensiblePattern: RRI("Regional registry ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.name:usualName.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.name:officialName.userequiredPattern: official
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleFRCoreValueSetMaritalStatus
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status
from this IG
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpt-2errorPatient.telecomA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... Slices for profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:fr-canonical Σ0..1canonical(StructureDefinition)Profiles this resource claims to conform to

Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... nationality 0..1(Complex)Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
... identityReliability 0..*(Complex)Reliabilility of the identity | Fiabilité de l'identité
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
... deathPlace 0..1stringFR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
... birthdateUpdateIndicator 0..1booleanFR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
.... value[x] 1..1FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierAn identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS.
Slice: Unordered, Open by value:type
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:INS-C Σ0..*IdentifierAn identifier for this patient
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: INS-C
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant National de Santé Calculé
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.213.1.4.2
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:NDP Σ0..1IdentifierFrench pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: NDP
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant du patient au Dossier Pharmaceutique
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.176.1.2
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:PI Σ0..1IdentifierHospital assigned patient identifier | IPP
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: usual
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PI
....... display1..1stringRepresentation defined by the system
Fixed Value: Patient internal identifier
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:RRI Σ0..*IdentifierRegional Registry ID | Identifiant régional
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RRI
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional registry ID
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name Σ0..*FRCoreHumanNameProfileA name associated with the patient
Slice: Unordered, Open by value:use
.... name:usualName Σ0..*HumanNameName of a human | Nom utilisé
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: usual
..... text Σ0..1stringText representation of the full name
..... family Σ0..1stringFamily name (often called 'Surname')
..... given Σ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
.... name:officialName Σ0..*HumanNameName of a human | Nom de naissance
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... birth-list-given-name 0..1stringDans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: official
..... text Σ0..1stringText representation of the full name
..... family Σ1..1stringFamily name (often called 'Surname')
..... given Σ1..1stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
... telecom C0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address 0..*FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: FR Core ValueSet Patient gender INS ValueSet (extensible)
... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... contactIdentifier 0..1IdentifierContact identifier in the patient resource | Identifiant de contact dans la ressource Patient
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier
.... comment 0..1stringComment on a dataElement | Commentaire sur un dataElement
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Slices for relationship 1..1CodeableConceptThe kind of relationship
Slice: Unordered, Open by value:coding.system
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


..... relationship:RolePerson 0..1CodeableConceptThe nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ...
Binding: FR Core ValueSet Related person role (extensible)
..... relationship:RelatedPerson 0..1CodeableConceptThe nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ...
Binding: FR Core ValueSet Related person role (extensible)
.... name 0..1FRCoreHumanNameProfileName of a human - parts and usage
.... telecom C0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
.... address 0..1AddressAddress for the contact person
.... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization C0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
.... preferred 0..1booleanLanguage preference indicator
... generalPractitioner 0..*Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(FR Core Organization Profile)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Patient.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleFRCoreValueSetPatientIdentifierType
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:INS-C.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:INS-C.typeextensiblePattern: INS-C("Identifiant National de Santé Calculé")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:NDP.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:NDP.typeextensiblePattern: NDP("Identifiant du patient au Dossier Pharmaceutique")
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:PI.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:PI.typeextensiblePattern: PI("Patient internal identifier")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:RRI.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:RRI.typeextensiblePattern: RRI("Regional registry ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.name:usualName.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.name:officialName.userequiredPattern: official
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleFRCoreValueSetMaritalStatus
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status
from this IG
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.relationship:RolePersonextensibleFRCoreValueSetRelatedPersonRole
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-related-person-role
from this IG
Patient.contact.relationship:RelatedPersonextensibleFRCoreValueSetRelatedPerson
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-related-person
from this IG
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpt-2errorPatient.telecom, Patient.contact.telecomA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 0 element (16 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Patient.meta.profile is sliced based on the value of value:$this
  • The element Patient.identifier is sliced based on the value of value:type
  • The element Patient.name is sliced based on the value of value:use
  • The element Patient.contact.relationship is sliced based on the value of value:coding.system

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient Patient
... meta
.... Slices for profile 0..*canonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:fr-canonical 0..1canonical(StructureDefinition)Profiles this resource claims to conform to
Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... nationality 0..1(Complex)Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
... deathPlace 0..1stringFR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
... birthdateUpdateIndicator 0..1booleanFR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
.... value[x] 1..1FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... Slices for identifier 0..*IdentifierAn identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS.
Slice: Unordered, Open by value:type
.... identifier:All Slices Content/Rules for all slices
..... type 0..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
.... identifier:INS-C 0..*IdentifierAn identifier for this patient
..... use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: secondary
..... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: INS-C
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant National de Santé Calculé
..... system 0..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.213.1.4.2
..... value 1..1stringThe value that is unique
.... identifier:NDP 0..1IdentifierFrench pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: secondary
..... type 1..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: NDP
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant du patient au Dossier Pharmaceutique
..... system 1..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.176.1.2
..... value 1..1stringThe value that is unique
.... identifier:PI 0..1IdentifierHospital assigned patient identifier | IPP
..... use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: usual
..... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PI
....... display1..1stringRepresentation defined by the system
Fixed Value: Patient internal identifier
..... system 1..1uriThe namespace for the identifier value
..... value 1..1stringThe value that is unique
.... identifier:RRI 0..*IdentifierRegional Registry ID | Identifiant régional
..... use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: secondary
..... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RRI
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional registry ID
..... system 1..1uriThe namespace for the identifier value
..... value 1..1stringThe value that is unique
... Slices for name 0..*FRCoreHumanNameProfileA name associated with the patient
Slice: Unordered, Open by value:use
.... name:usualName 0..*HumanNameName of a human | Nom utilisé
..... use 1..1codeusual | official | temp | nickname | anonymous | old | maiden
Required Pattern: usual
.... name:officialName 0..*HumanNameName of a human | Nom de naissance
..... birth-list-given-name 0..1stringDans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use 1..1codeusual | official | temp | nickname | anonymous | old | maiden
Required Pattern: official
..... family 1..1stringFamily name (often called 'Surname')
..... given 1..1stringGiven names (not always 'first'). Includes middle names
... telecom 0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
... gender 0..1codemale | female | other | unknown
... birthDate 0..1dateThe date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... address 0..*FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: FR Core ValueSet Patient gender INS ValueSet (extensible)
... contact
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... contactIdentifier 0..1IdentifierContact identifier in the patient resource | Identifiant de contact dans la ressource Patient
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier
.... comment 0..1stringComment on a dataElement | Commentaire sur un dataElement
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
.... Slices for relationship 1..1CodeableConceptThe kind of relationship
Slice: Unordered, Open by value:coding.system
..... relationship:RolePerson 0..1CodeableConceptThe nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ...
Binding: FR Core ValueSet Related person role (extensible)
..... relationship:RelatedPerson 0..1CodeableConceptThe nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ...
Binding: FR Core ValueSet Related person role (extensible)
.... name 0..1FRCoreHumanNameProfileName of a human - parts and usage
.... telecom 0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
... generalPractitioner 0..*Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole)Patient's nominated primary care provider
... managingOrganization 0..1Reference(FR Core Organization Profile)Organization that is the custodian of the patient record

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Patient.identifier.typeextensibleFRCoreValueSetPatientIdentifierType
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:NDP.typeextensiblePattern: NDP("Identifiant du patient au Dossier Pharmaceutique")
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.maritalStatusextensibleFRCoreValueSetMaritalStatus
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status
from this IG
Patient.contact.relationship:RolePersonextensibleFRCoreValueSetRelatedPersonRole
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-related-person-role
from this IG
Patient.contact.relationship:RelatedPersonextensibleFRCoreValueSetRelatedPerson
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-related-person
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... nationality 0..1(Complex)Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
... deathPlace 0..1stringFR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
... birthdateUpdateIndicator 0..1booleanFR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
.... value[x] 1..1FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierAn identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS.
Slice: Unordered, Open by value:type
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
.... identifier:INS-C Σ0..*IdentifierAn identifier for this patient
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: INS-C
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant National de Santé Calculé
..... system Σ0..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.213.1.4.2
..... value Σ1..1stringThe value that is unique
Example General: 123456
.... identifier:NDP Σ0..1IdentifierFrench pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: NDP
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant du patient au Dossier Pharmaceutique
..... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.176.1.2
..... value Σ1..1stringThe value that is unique
Example General: 123456
.... identifier:PI Σ0..1IdentifierHospital assigned patient identifier | IPP
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: usual
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PI
....... display1..1stringRepresentation defined by the system
Fixed Value: Patient internal identifier
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
.... identifier:RRI Σ0..*IdentifierRegional Registry ID | Identifiant régional
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RRI
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional registry ID
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name Σ0..*FRCoreHumanNameProfileA name associated with the patient
Slice: Unordered, Open by value:use
.... name:usualName Σ0..*HumanNameName of a human | Nom utilisé
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: usual
.... name:officialName Σ0..*HumanNameName of a human | Nom de naissance
..... birth-list-given-name 0..1stringDans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: official
..... family Σ1..1stringFamily name (often called 'Surname')
..... given Σ1..1stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom C0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address 0..*FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: FR Core ValueSet Patient gender INS ValueSet (extensible)
... generalPractitioner 0..*Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(FR Core Organization Profile)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleFRCoreValueSetPatientIdentifierType
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:INS-C.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:INS-C.typeextensiblePattern: INS-C("Identifiant National de Santé Calculé")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:NDP.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:NDP.typeextensiblePattern: NDP("Identifiant du patient au Dossier Pharmaceutique")
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:PI.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:PI.typeextensiblePattern: PI("Patient internal identifier")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:RRI.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:RRI.typeextensiblePattern: RRI("Regional registry ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.name:usualName.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.name:officialName.userequiredPattern: official
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleFRCoreValueSetMaritalStatus
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status
from this IG
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpt-2errorPatient.telecomA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..*PatientInformation about an individual or animal receiving health care services
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... Slices for profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:fr-canonical Σ0..1canonical(StructureDefinition)Profiles this resource claims to conform to

Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... nationality 0..1(Complex)Nationality
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
... identityReliability 0..*(Complex)Reliabilility of the identity | Fiabilité de l'identité
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
... deathPlace 0..1stringFR Core Patient Death Place Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
... birthdateUpdateIndicator 0..1booleanFR Core Patient Birthdate Update Indicator Extension
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
... birthPlace 0..1AddressPlace of Birth for patient
URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
.... value[x] 1..1FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... Slices for identifier Σ0..*IdentifierAn identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS.
Slice: Unordered, Open by value:type
.... identifier:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ0..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
..... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ0..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:INS-C Σ0..*IdentifierAn identifier for this patient
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: INS-C
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant National de Santé Calculé
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ0..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.213.1.4.2
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:NDP Σ0..1IdentifierFrench pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: FR Core ValueSet Patient identifier type (extensible)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: NDP
....... display1..1stringRepresentation defined by the system
Fixed Value: Identifiant du patient au Dossier Pharmaceutique
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ1..1uriThe namespace for the identifier value
Required Pattern: urn:oid:1.2.250.1.176.1.2
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:PI Σ0..1IdentifierHospital assigned patient identifier | IPP
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: usual
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PI
....... display1..1stringRepresentation defined by the system
Fixed Value: Patient internal identifier
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
.... identifier:RRI Σ0..*IdentifierRegional Registry ID | Identifiant régional
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: secondary
..... type Σ1..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: RRI
....... display1..1stringRepresentation defined by the system
Fixed Value: Regional registry ID
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... active ?!Σ0..1booleanWhether this patient's record is in active use
... Slices for name Σ0..*FRCoreHumanNameProfileA name associated with the patient
Slice: Unordered, Open by value:use
.... name:usualName Σ0..*HumanNameName of a human | Nom utilisé
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: usual
..... text Σ0..1stringText representation of the full name
..... family Σ0..1stringFamily name (often called 'Surname')
..... given Σ0..*stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
.... name:officialName Σ0..*HumanNameName of a human | Nom de naissance
..... id 0..1stringUnique id for inter-element referencing
..... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... birth-list-given-name 0..1stringDans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
..... use ?!Σ1..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.


Required Pattern: official
..... text Σ0..1stringText representation of the full name
..... family Σ1..1stringFamily name (often called 'Surname')
..... given Σ1..1stringGiven names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ0..*stringParts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ0..*stringParts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ0..1PeriodTime period when name was/is in use
... telecom C0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
... gender Σ0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

... birthDate Σ0..1dateThe date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
... deceased[x] ?!Σ0..1Indicates if the individual is deceased or not
.... deceasedBooleanboolean
.... deceasedDateTimedateTime
... address 0..*FRCoreAddressProfileAn address expressed using postal conventions (as opposed to GPS or other location definition formats)
... maritalStatus 0..1CodeableConceptMarital (civil) status of a patient
Binding: FR Core ValueSet Patient gender INS ValueSet (extensible)
... multipleBirth[x] 0..1Whether patient is part of a multiple birth
.... multipleBirthBooleanboolean
.... multipleBirthIntegerinteger
... photo 0..*AttachmentImage of the patient
... contact C0..*BackboneElementA contact party (e.g. guardian, partner, friend) for the patient
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... contactIdentifier 0..1IdentifierContact identifier in the patient resource | Identifiant de contact dans la ressource Patient
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier
.... comment 0..1stringComment on a dataElement | Commentaire sur un dataElement
URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... Slices for relationship 1..1CodeableConceptThe kind of relationship
Slice: Unordered, Open by value:coding.system
Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.


..... relationship:RolePerson 0..1CodeableConceptThe nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ...
Binding: FR Core ValueSet Related person role (extensible)
..... relationship:RelatedPerson 0..1CodeableConceptThe nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ...
Binding: FR Core ValueSet Related person role (extensible)
.... name 0..1FRCoreHumanNameProfileName of a human - parts and usage
.... telecom C0..*FRCoreContactPointProfileDetails of a Technology mediated contact point (phone, fax, email, etc.)
.... address 0..1AddressAddress for the contact person
.... gender 0..1codemale | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.

.... organization C0..1Reference(Organization)Organization that is associated with the contact
.... period 0..1PeriodThe period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..*BackboneElementA language which may be used to communicate with the patient about his or her health
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... language 1..1CodeableConceptThe language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
.... preferred 0..1booleanLanguage preference indicator
... generalPractitioner 0..*Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole)Patient's nominated primary care provider
... managingOrganization Σ0..1Reference(FR Core Organization Profile)Organization that is the custodian of the patient record
... link ?!Σ0..*BackboneElementLink to another patient resource that concerns the same actual person
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... other Σ1..1Reference(Patient | RelatedPerson)The other patient or related person resource that the link refers to
.... type Σ1..1codereplaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Patient.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Patient.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Patient.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier.typeextensibleFRCoreValueSetPatientIdentifierType
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:INS-C.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:INS-C.typeextensiblePattern: INS-C("Identifiant National de Santé Calculé")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:NDP.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:NDP.typeextensiblePattern: NDP("Identifiant du patient au Dossier Pharmaceutique")
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type
from this IG
Patient.identifier:PI.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:PI.typeextensiblePattern: PI("Patient internal identifier")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.identifier:RRI.userequiredPattern: secondary
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Patient.identifier:RRI.typeextensiblePattern: RRI("Regional registry ID")
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Patient.name:usualName.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.name:officialName.userequiredPattern: official
http://hl7.org/fhir/ValueSet/name-use|4.0.1
from the FHIR Standard
Patient.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.maritalStatusextensibleFRCoreValueSetMaritalStatus
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status
from this IG
Patient.contact.relationshipextensiblePatientContactRelationship
http://hl7.org/fhir/ValueSet/patient-contactrelationship
from the FHIR Standard
Patient.contact.relationship:RolePersonextensibleFRCoreValueSetRelatedPersonRole
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-related-person-role
from this IG
Patient.contact.relationship:RelatedPersonextensibleFRCoreValueSetRelatedPerson
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-related-person
from this IG
Patient.contact.genderrequiredAdministrativeGender
http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
from the FHIR Standard
Patient.communication.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Patient.link.typerequiredLinkType
http://hl7.org/fhir/ValueSet/link-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpt-2errorPatient.telecom, Patient.contact.telecomA system is required if a value is provided.
: value.empty() or system.exists()
dom-2errorPatientIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorPatientIf 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-4errorPatientIf 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-5errorPatientIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practicePatientA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
pat-1errorPatient.contactSHALL at least contain a contact's details or a reference to an organization
: name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from Patient

Summary

Mandatory: 0 element (16 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Patient.meta.profile is sliced based on the value of value:$this
  • The element Patient.identifier is sliced based on the value of value:type
  • The element Patient.name is sliced based on the value of value:use
  • The element Patient.contact.relationship is sliced based on the value of value:coding.system

 

Other representations of profile: CSV, Excel, Schematron