Guide d'implémentation Fr Core
2.2.0-ballot - ballot

Guide d'implémentation Fr Core - Downloaded Version 2.2.0-ballot See the Directory of published versions

## Resource Profile: FR Core Patient INS Profile

Official URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins | Version: 2.2.0-ballot
Active as of 2025-11-17 | Computable Name: FRCorePatientINSProfile

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

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

### Usage

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

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

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

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

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

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

Usages:

- Examples for this Profile: Patient/FRCorePatientExample

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

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

#### Terminology Bindings

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

#### Constraints

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

This structure is derived from FRCorePatientProfile

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

#### Terminology Bindings (Differential)

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

#### Constraints

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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | FRCorePatientProfile | Information about an individual or animal receiving health care services Constraints: fr-core-1, fr-core-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
profile:fr-ins-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nationality |  | 0..1 | (Complex) | Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
extension:identityReliability |  | 0..* | (Complex) | Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:methodCollection |  | 0..1 | Extension | The way the INS identity is collected | Mode d'obtention de l'INS (SM, CV, INSI, ...)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "methodCollection"
value[x] |  | 0..1 | Coding | Value of extension Binding: FR Core ValueSet Identity method collection (extensible)
extension:dateCollection |  | 0..1 | Extension | INS collection date| date d'interrogation du téléservice INSi
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "dateCollection"
value[x] |  | 0..1 | date | Value of extension
extension:identityStatus |  | 0..1 | Extension | Il s'agit du statut de l'identité (VALI | PROV | FICT | DOUT | ...). Dans certains cas il peut également être nécessaire de véhiculer, la notion d’attribut d’identité. Les combinaisons autorisées entre statuts et attributs sont décrites dans le Référentiel National d’Identito-Vigilance.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "identityStatus"
value[x] |  | 0..1 | Coding | Value of extension Binding: FR Core ValueSet Identity reliability (extensible)
extension:validationDate |  | 0..1 | Extension | Date de vérification de l'identité
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "validationDate"
value[x] |  | 0..1 | date | Value of extension
extension:validationMode |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "validationMode"
value[x] |  | 0..1 | Coding | Value of extension Binding: FR Core ValueSet Mode validation identity INS (required)
url |  | 1..1 | uri | "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability"
extension:deathPlace |  | 0..1 | string | FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
extension:birthDateUpdateIndicator |  | 0..1 | boolean | FR Core Patient Birthdate Update Indicator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
extension:birthPlace | S | 1..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | FRCoreAddressProfile | Value of extension
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:inseeCode |  | 1..1 | Coding | FR Core Address Insee Code Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code Binding: FR Core ValueSet INSEE code (required)
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Exemple General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Exemple General: both
text | Σ | 0..1 | string | Text representation of the address Exemple General: 137 Nowhere Street, Erewhon 9132
line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Exemple General: 137 Nowhere Street
city | Σ | 0..1 | string | Les communes existantes sont définies ici : https://public.opendatasoft.com/explore/dataset/correspondance-code-insee-code-postal/table. Exemple General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Exemple General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Exemple General: 9132
country | Σ | 0..1 | string | Country (will be ISO 3166 3 letter code; code=FRA for France)
period | Σ | 0..1 | Period | Time period when address was/is in use Exemple General: {"start":"2010-03-23","end":"2010-07-01"}
extension:multipleBirth |  | 0..1 | integer | Rang Gémellaire URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Patient.multipleBirth
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices pour identifier | Σ | 1..* | Identifier | An identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS au statut qualifié, il est nécessaire de respecter la conformité au profil FRCorePatientINS. Les identifiants NIR et NIA ne sont définis que dans le cas du FRCorePatientINS. Slice: Unordered, Open by value:type
identifier:NSS | Σ | 0..1 | Identifier | National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NH
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-C | Σ | 0..* | Identifier | Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-C
display |  | 1..1 | string | Representation defined by the system Fixed Value: Identifiant National de Santé Calculé
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.2
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:NDP | Σ | 0..1 | Identifier | French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NDP
display |  | 1..1 | string | Representation defined by the system Fixed Value: Identifiant du patient au Dossier Pharmaceutique
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.176.1.2
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:PI | Σ | 0..* | Identifier | Hospital assigned patient identifier | Identifiant Patient Permanent (IPP).
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: FR Core ValueSet Patient identifier use PI (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PI
display |  | 1..1 | string | Representation defined by the system Fixed Value: Patient internal identifier
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:RRI | Σ | 0..* | Identifier | Regional Registry ID | Identifiant régional
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RRI
display |  | 1..1 | string | Representation defined by the system Fixed Value: Regional registry ID
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-NIR | S Σ | 0..* | Identifier | INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | official | old Binding: FR Core ValueSet Patient identifier use INS (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-NIR
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | Autorité d'affectation des INS-NIR Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-NIR-TEST | Σ | 0..* | Identifier | Identifiant INS-NIR du patient fictif de test
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-NIR-TEST
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | Autorité d’affectation des INS-NIR de test Required Pattern: urn:oid:1.2.250.1.213.1.4.10
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-NIR-DEMO | Σ | 0..* | Identifier | Identifiant INS-NIR du patient fictif de démonstration
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-NIR-DEMO
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | Autorité d’affectation des INS-NIR de démonstration Required Pattern: urn:oid:1.2.250.1.213.1.4.11
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-NIA | S Σ | 0..* | Identifier | INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | official | old Binding: FR Core ValueSet Patient identifier use INS (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-NIA
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | Autorité d'affectation des INS-NIA Required Pattern: urn:oid:1.2.250.1.213.1.4.9
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
Slices pour name | Σ | 1..* | FRCoreHumanNameProfile | A name associated with the patient Slice: Unordered, Open by value:use
name:usualName | Σ | 0..* | HumanName | Name of a human | Nom utilisé
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: usual
text | Σ | 0..1 | string | Text representation of the full name
family | Σ | 0..1 | string | Family name (often called 'Surname')
given | Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
name:officialName | S Σ | 1..1 | HumanName | Name of a human | Nom de naissance
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birth-list-given-name | S | 1..1 | string | Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces. URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
text | Σ | 0..1 | string | Text representation of the full name
family | Σ | 1..1 | string | Family name (often called 'Surname')
given | Σ | 1..1 | string | Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'. This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | Σ | 0..* | FRCoreContactPointProfile | A contact detail for the individual
gender | S Σ | 1..1 | code | male | female | unknown Binding: FR Core ValueSet Patient gender (required)
birthDate | S Σ | 1..1 | date | The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | FRCoreAddressProfile | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: FR Core ValueSet Marital Status ValueSet (extensible)
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo |  | 0..* | Attachment | Image of the patient
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:contactIdentifier |  | 0..1 | Identifier | FR Core Patient Contact Identifier Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier
extension:comment |  | 0..1 | string | Comment on element Patient.contact | Commentaire sur l'élément Patient.contact URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices pour relationship |  | 0..* | CodeableConcept | The kind of relationship Slice: Unordered, Open by value:$this Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
relationship:role |  | 0..1 | CodeableConcept | The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ... Binding: FR Core ValueSet Patient contact role (extensible)
relationship:relationType |  | 0..1 | CodeableConcept | The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: FR Core ValueSet relation type (extensible)
name |  | 0..1 | FRCoreHumanNameProfile | A name associated with the contact person
telecom |  | 0..* | FRCoreContactPointProfile | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(FR Core Organization Profile | Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

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

#### Constraints

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

This structure is derived from FRCorePatientProfile

Résumé

Mandatory: 11 elements(16 nested mandatory elements)
Must-Support: 7 elements

Key Elements View

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

#### Terminology Bindings

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

#### Constraints

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

Differential View

This structure is derived from FRCorePatientProfile

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

#### Terminology Bindings (Differential)

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

#### Constraints

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

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Patient | C | 0..* | FRCorePatientProfile | Information about an individual or animal receiving health care services Constraints: fr-core-1, fr-core-2
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
Slices pour profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
profile:fr-ins-canonical | Σ | 0..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:nationality |  | 0..1 | (Complex) | Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
extension:identityReliability |  | 0..* | (Complex) | Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:methodCollection |  | 0..1 | Extension | The way the INS identity is collected | Mode d'obtention de l'INS (SM, CV, INSI, ...)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "methodCollection"
value[x] |  | 0..1 | Coding | Value of extension Binding: FR Core ValueSet Identity method collection (extensible)
extension:dateCollection |  | 0..1 | Extension | INS collection date| date d'interrogation du téléservice INSi
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "dateCollection"
value[x] |  | 0..1 | date | Value of extension
extension:identityStatus |  | 0..1 | Extension | Il s'agit du statut de l'identité (VALI | PROV | FICT | DOUT | ...). Dans certains cas il peut également être nécessaire de véhiculer, la notion d’attribut d’identité. Les combinaisons autorisées entre statuts et attributs sont décrites dans le Référentiel National d’Identito-Vigilance.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "identityStatus"
value[x] |  | 0..1 | Coding | Value of extension Binding: FR Core ValueSet Identity reliability (extensible)
extension:validationDate |  | 0..1 | Extension | Date de vérification de l'identité
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "validationDate"
value[x] |  | 0..1 | date | Value of extension
extension:validationMode |  | 0..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "validationMode"
value[x] |  | 0..1 | Coding | Value of extension Binding: FR Core ValueSet Mode validation identity INS (required)
url |  | 1..1 | uri | "https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability"
extension:deathPlace |  | 0..1 | string | FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
extension:birthDateUpdateIndicator |  | 0..1 | boolean | FR Core Patient Birthdate Update Indicator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
extension:birthPlace | S | 1..1 | (Complex) | Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x] |  | 1..1 | FRCoreAddressProfile | Value of extension
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:inseeCode |  | 1..1 | Coding | FR Core Address Insee Code Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code Binding: FR Core ValueSet INSEE code (required)
use | ?!Σ | 0..1 | code | home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Exemple General: home
type | Σ | 0..1 | code | postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Exemple General: both
text | Σ | 0..1 | string | Text representation of the address Exemple General: 137 Nowhere Street, Erewhon 9132
line | Σ | 0..* | string | Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Exemple General: 137 Nowhere Street
city | Σ | 0..1 | string | Les communes existantes sont définies ici : https://public.opendatasoft.com/explore/dataset/correspondance-code-insee-code-postal/table. Exemple General: Erewhon
district | Σ | 0..1 | string | District name (aka county) Exemple General: Madison
state | Σ | 0..1 | string | Sub-unit of country (abbreviations ok)
postalCode | Σ | 0..1 | string | Postal code for area Exemple General: 9132
country | Σ | 0..1 | string | Country (will be ISO 3166 3 letter code; code=FRA for France)
period | Σ | 0..1 | Period | Time period when address was/is in use Exemple General: {"start":"2010-03-23","end":"2010-07-01"}
extension:multipleBirth |  | 0..1 | integer | Rang Gémellaire URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Patient.multipleBirth
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices pour identifier | Σ | 1..* | Identifier | An identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS au statut qualifié, il est nécessaire de respecter la conformité au profil FRCorePatientINS. Les identifiants NIR et NIA ne sont définis que dans le cas du FRCorePatientINS. Slice: Unordered, Open by value:type
identifier:NSS | Σ | 0..1 | Identifier | National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NH
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-C | Σ | 0..* | Identifier | Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-C
display |  | 1..1 | string | Representation defined by the system Fixed Value: Identifiant National de Santé Calculé
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.2
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:NDP | Σ | 0..1 | Identifier | French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: NDP
display |  | 1..1 | string | Representation defined by the system Fixed Value: Identifiant du patient au Dossier Pharmaceutique
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.176.1.2
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:PI | Σ | 0..* | Identifier | Hospital assigned patient identifier | Identifiant Patient Permanent (IPP).
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: FR Core ValueSet Patient identifier use PI (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PI
display |  | 1..1 | string | Representation defined by the system Fixed Value: Patient internal identifier
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:RRI | Σ | 0..* | Identifier | Regional Registry ID | Identifiant régional
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: FR Core ValueSet Patient identifier type (extensible) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: RRI
display |  | 1..1 | string | Representation defined by the system Fixed Value: Regional registry ID
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-NIR | S Σ | 0..* | Identifier | INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | official | old Binding: FR Core ValueSet Patient identifier use INS (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-NIR
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | Autorité d'affectation des INS-NIR Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-NIR-TEST | Σ | 0..* | Identifier | Identifiant INS-NIR du patient fictif de test
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-NIR-TEST
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | Autorité d’affectation des INS-NIR de test Required Pattern: urn:oid:1.2.250.1.213.1.4.10
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-NIR-DEMO | Σ | 0..* | Identifier | Identifiant INS-NIR du patient fictif de démonstration
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-NIR-DEMO
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | Autorité d’affectation des INS-NIR de démonstration Required Pattern: urn:oid:1.2.250.1.213.1.4.11
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier:INS-NIA | S Σ | 0..* | Identifier | INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | official | old Binding: FR Core ValueSet Patient identifier use INS (required)
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INS-NIA
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
system | Σ | 1..1 | uri | Autorité d'affectation des INS-NIA Required Pattern: urn:oid:1.2.250.1.213.1.4.9
value | Σ | 1..1 | string | The value that is unique Exemple General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
active | ?!Σ | 0..1 | boolean | Whether this patient's record is in active use
Slices pour name | Σ | 1..* | FRCoreHumanNameProfile | A name associated with the patient Slice: Unordered, Open by value:use
name:usualName | Σ | 0..* | HumanName | Name of a human | Nom utilisé
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: usual
text | Σ | 0..1 | string | Text representation of the full name
family | Σ | 0..1 | string | Family name (often called 'Surname')
given | Σ | 0..* | string | Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
name:officialName | S Σ | 1..1 | HumanName | Name of a human | Nom de naissance
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:birth-list-given-name | S | 1..1 | string | Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces. URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
use | ?!Σ | 1..1 | code | usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
text | Σ | 0..1 | string | Text representation of the full name
family | Σ | 1..1 | string | Family name (often called 'Surname')
given | Σ | 1..1 | string | Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'. This repeating element order: Given Names appear in the correct order for presenting the name
prefix | Σ | 0..* | string | Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix | Σ | 0..* | string | Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period | Σ | 0..1 | Period | Time period when name was/is in use
telecom | Σ | 0..* | FRCoreContactPointProfile | A contact detail for the individual
gender | S Σ | 1..1 | code | male | female | unknown Binding: FR Core ValueSet Patient gender (required)
birthDate | S Σ | 1..1 | date | The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
deceased[x] | ?!Σ | 0..1 |  | Indicates if the individual is deceased or not
deceasedBoolean |  |  | boolean |
deceasedDateTime |  |  | dateTime |
address | Σ | 0..* | FRCoreAddressProfile | An address for the individual
maritalStatus |  | 0..1 | CodeableConcept | Marital (civil) status of a patient Binding: FR Core ValueSet Marital Status ValueSet (extensible)
multipleBirth[x] |  | 0..1 |  | Whether patient is part of a multiple birth
multipleBirthBoolean |  |  | boolean |
multipleBirthInteger |  |  | integer |
photo |  | 0..* | Attachment | Image of the patient
contact | C | 0..* | BackboneElement | A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:contactIdentifier |  | 0..1 | Identifier | FR Core Patient Contact Identifier Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier
extension:comment |  | 0..1 | string | Comment on element Patient.contact | Commentaire sur l'élément Patient.contact URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices pour relationship |  | 0..* | CodeableConcept | The kind of relationship Slice: Unordered, Open by value:$this Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
relationship:role |  | 0..1 | CodeableConcept | The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ... Binding: FR Core ValueSet Patient contact role (extensible)
relationship:relationType |  | 0..1 | CodeableConcept | The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: FR Core ValueSet relation type (extensible)
name |  | 0..1 | FRCoreHumanNameProfile | A name associated with the contact person
telecom |  | 0..* | FRCoreContactPointProfile | A contact detail for the person
address |  | 0..1 | Address | Address for the contact person
gender |  | 0..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization | C | 0..1 | Reference(Organization) | Organization that is associated with the contact
period |  | 0..1 | Period | The period during which this contact person or organization is valid to be contacted relating to this patient
communication |  | 0..* | BackboneElement | A language which may be used to communicate with the patient about his or her health
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
language |  | 1..1 | CodeableConcept | The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
preferred |  | 0..1 | boolean | Language preference indicator
generalPractitioner |  | 0..* | Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole) | Patient's nominated primary care provider
managingOrganization | Σ | 0..1 | Reference(FR Core Organization Profile | Organization) | Organization that is the custodian of the patient record
link | ?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
other | Σ | 1..1 | Reference(Patient | RelatedPerson) | The other patient or related person resource that the link refers to
type | Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

#### Terminology Bindings

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

#### Constraints

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

This structure is derived from FRCorePatientProfile

Résumé

Mandatory: 11 elements(16 nested mandatory elements)
Must-Support: 7 elements

Other representations of profile: CSV, Excel, Schematron