Guide d'implémentation Fr Core
2.2.0-ballot - ballot

Guide d'implémentation Fr Core, published by Interop'Santé. This guide is not an authorized publication; it is the continuous build for version 2.2.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Interop-Sante/hl7.fhir.fr.core/ and changes regularly. See the Directory of published versions

## Resource Profile: FRCorePatientProfile - Detailed Descriptions

Active as of 2025-11-18

Definitions for the fr-core-patient resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. Patient
Définition | Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Short | Information about an individual or animal receiving health care services
Control | 0..*
Is Modifier | false
Résumé | false
Alternate Names | SubjectOfCare Client Resident
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Patient.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Patient.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
6. Patient.extension:nationality
Nom de la slice | nationality
Définition | The nationality of the patient.
Short | Nationality
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(FR Core Nationality Extension) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
8. Patient.extension:identityReliability
Nom de la slice | identityReliability
Définition | Précision sur le degré de fiabilité de l'identité du patient (si provisoire, validé... avec la justification : quelle type de pièce d'identité ?) accompagné de la méthode de collection. Reliabilility of the patient's identity
Short | Reliabilility of the identity | Fiabilité de l'identité
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(FR Core Patient Ident Reliability Extension) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
10. Patient.extension:deathPlace
Nom de la slice | deathPlace
Définition | Précise le lieu de décès du patient (hôpital, sur la voie publique, au domicile, etc.). Carries the death place of the patient
Short | FR Core Patient Death Place Extension
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(FR Core Patient Death Place Extension) (Extension Type: string)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Patient.extension:birthDateUpdateIndicator
Nom de la slice | birthDateUpdateIndicator
Définition | Indicateur booléen de mise à jour de la date de naissance
Short | FR Core Patient Birthdate Update Indicator Extension
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(FR Core Patient Birthdate Update Indicator Extension) (Extension Type: boolean)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Patient.extension:birthPlace
Nom de la slice | birthPlace
Définition | The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.
Short | Place of Birth for patient
Control | 0..1
Type | Extension(Patient Birth Place) (Extension Type: Address)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Patient.extension:birthPlace.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..0*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Patient.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
18. Patient.extension:birthPlace.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/patient-birthPlace`
20. Patient.extension:birthPlace.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 10..1 This element is affected by the following invariants: ext-1
Type | Address(FR Core Address Profile), date, Meta, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Patient.extension:multipleBirth
Nom de la slice | multipleBirth
Définition | Extension créée pour exprimer le rang gémellaire, notamment utile dans le cadre des attestations de droits à l'assurance maladie. Cette extension implemente l'élément PatientMultipleBirth de R5 https://www.hl7.org/fhir/patient-definitions.html#Patient.multipleBirth_x.
Short | Rang Gémellaire
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Rang Gémellaire) (Extension Type: integer)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
24. Patient.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. Patient.identifier
Définition | An identifier for this patient.
Short | 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.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Patient.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ type
28. Patient.identifier.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Patient.identifier.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Patient.identifier:NSS
Nom de la slice | NSS
Définition | An identifier for this patient.
Short | 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).An identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Patient.identifier:NSS.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 10..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Patient.identifier:NSS.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NH" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Patient.identifier:NSS.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `urn:oid:1.2.250.1.213.1.4.8`
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Patient.identifier:NSS.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Patient.identifier:INS-C
Nom de la slice | INS-C
Définition | An identifier for this patient.
Short | Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitaleAn identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Patient.identifier:INS-C.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 10..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `secondary`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Patient.identifier:INS-C.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203", "code" : "INS-C", "display" : "Identifiant National de Santé Calculé" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Patient.identifier:INS-C.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `urn:oid:1.2.250.1.213.1.4.2`
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Patient.identifier:INS-C.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Patient.identifier:NDP
Nom de la slice | NDP
Définition | An identifier for this patient.
Short | French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.An identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Patient.identifier:NDP.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 10..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `secondary`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Patient.identifier:NDP.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203", "code" : "NDP", "display" : "Identifiant du patient au Dossier Pharmaceutique" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Patient.identifier:NDP.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `urn:oid:1.2.250.1.176.1.2`
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Patient.identifier:NDP.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Patient.identifier:PI
Nom de la slice | PI
Définition | An identifier for this patient.
Short | Hospital assigned patient identifier | Identifiant Patient Permanent (IPP).An identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Patient.identifier:PI.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | La valeur old permet d'identifier des IPP désactivés (en cas de fusion d'identité pour résoudre des problèmes de doublonnage par exemple) Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 10..1
Binding | The codes SHALL be taken from FR Core ValueSet Patient identifier use PI http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-use-pi` )
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Patient.identifier:PI.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PI", "display" : "Patient internal identifier" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Patient.identifier:PI.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. Patient.identifier:PI.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Patient.identifier:RRI
Nom de la slice | RRI
Définition | An identifier for this patient.
Short | Regional Registry ID | Identifiant régionalAn identifier for this patient
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Patient.identifier:RRI.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 10..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `secondary`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. Patient.identifier:RRI.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 10..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "RRI", "display" : "Regional registry ID" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. Patient.identifier:RRI.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. Patient.identifier:RRI.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. Patient.active
Définition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Short | Whether this patient's record is in active use
Commentaires | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Control | 0..1
Type | boolean
Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Need to be able to mark a patient record as not to be used because it was created in error.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. Patient.name
Définition | A name associated with the individual.
Short | A name associated with the patient
Commentaires | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 0..*
Type | HumanName(FR Core Human Name Profile)
Is Modifier | false
Résumé | true
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Patient.name`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ use
86. Patient.name:usualName
Nom de la slice | usualName
Définition | A human's name with the ability to identify parts and usage | Le nom utilisé (usual) n’est transmis que s’il est défini (par exemple nom marital du conjoint). A name associated with the individual.
Short | Name of a human | Nom utiliséA name associated with the patient
Commentaires | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 0..*
Type | HumanName
Is Modifier | false
Résumé | true
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. Patient.name:usualName.use
Définition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Commentaires | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 10..1
Binding | The codes SHALL be taken from NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value | `usual`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. Patient.name:officialName
Nom de la slice | officialName
Définition | A human's name with the ability to identify parts and usage | Le nom de naissance (official) est obligatoire dans le cas où l’on véhicule l’INS et que l’identité est qualifiée (celui-ci ne doit pas être altéré). A name associated with the individual.
Short | Name of a human | Nom de naissanceA name associated with the patient
Commentaires | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 0..*
Type | HumanName
Is Modifier | false
Résumé | true
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. Patient.name:officialName.extension:birth-list-given-name
Nom de la slice | birth-list-given-name
Définition | Prénoms de l'acte de naissance
Short | 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.
Control | 0..1
Type | Extension(FR Core Patient Birth List Given name Extension) (Extension Type: string)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
94. Patient.name:officialName.use
Définition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Commentaires | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 10..1
Binding | The codes SHALL be taken from NameUse http://hl7.org/fhir/ValueSet/name-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. Patient.name:officialName.family
Définition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short | Family name (often called 'Surname')
Commentaires | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Alternate Names | surname
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. Patient.name:officialName.given
Définition | Given name.
Short | Given names (not always 'first'). Includes middle names
Commentaires | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control | 10..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Alternate Names | first name, middle name
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. Patient.telecom
Définition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Short | A contact detail for the individual
Commentaires | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
Control | 0..*
Type | ContactPoint(FR Core Contact Point Profile)
Is Modifier | false
Résumé | true
Requirements | People have (primary) ways to contact them in some way such as phone, email.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. Patient.gender
Définition | French patient's gender checked with the INSi teleservice | Genre administratif du patient. Dans le cas d'une identité récupérée par le téléservice INSi, les valeurs M ou F issues du téléservice sont à adapter à FHIR (male | female | unknown). Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
Short | male | female | unknownmale | female | other | unknown
Commentaires | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.
Control | 0..1
Binding | The codes SHALL be taken from FR Core ValueSet Patient gender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 (required to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-gender` )
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Needed for identification of the individual, in combination with (at least) name and birth date.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. Patient.birthDate
Définition | The date of birth for the individual.
Short | 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.The date of birth for the individual
Commentaires | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
Control | 0..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Age of the individual drives many clinical processes.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
LOINC Code | 21112-8
106. Patient.deceased[x]
Définition | Indicates if the individual is deceased or not.
Short | Indicates if the individual is deceased or not
Commentaires | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
Control | 0..1
Type | Choice of: boolean, dateTime
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
108. Patient.address
Définition | An address for the individual.
Short | An address for the individual
Commentaires | Patient may have multiple addresses with different uses or applicable periods.
Control | 0..*
Type | Address(FR Core Address Profile)
Is Modifier | false
Résumé | true
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
110. Patient.maritalStatus
Définition | This field contains a patient's most recent marital (civil) status.
Short | Marital (civil) status of a patient
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Marital Status ValueSet http://hl7.org/fhir/ValueSet/marital-status|4.0.1 (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status` )
Type | CodeableConcept
Is Modifier | false
Résumé | false
Requirements | Most, if not all systems capture it.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. Patient.generalPractitioner
Définition | Patient's nominated care provider.
Short | Patient's nominated primary care provider
Commentaires | This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.
Control | 0..*
Type | Reference(FR Core Practitioner Profile, FR Core Organization Profile, PractitionerRole, Organization, Practitioner, PractitionerRole)
Is Modifier | false
Résumé | false
Alternate Names | careProvider
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. Patient.managingOrganization
Définition | Organization that is the custodian of the patient record.
Short | Organization that is the custodian of the patient record
Commentaires | There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).
Control | 0..1
Type | Reference(FR Core Organization Profile, Organization, Organization)
Is Modifier | false
Résumé | true
Requirements | Need to know who recognizes this patient record, manages and updates it.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
116. Patient.link
Définition | Link to another patient resource that concerns the same actual patient.
Short | Link to another patient resource that concerns the same actual person
Commentaires | There is no assumption that linked patient records have mutual links.
Control | 0..*
Type | BackboneElement
Is Modifier | true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Résumé | true
Requirements | There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
118. Patient.link.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
120. Patient.link.other
Définition | The other patient resource that the link refers to.
Short | The other patient or related person resource that the link refers to
Commentaires | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Control | 1..1
Type | Reference(Patient, RelatedPerson)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
122. Patient.link.type
Définition | The type of link between this patient resource and another patient resource.
Short | replaced-by | replaces | refer | seealso
Control | 1..1
Binding | The codes SHALL be taken from LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) The type of link between this patient resource and another patient resource.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. Patient
2. Patient.meta
4. Patient.meta.profile
Slicing | This element introduces a set of slices on `Patient.meta.profile`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
6. Patient.meta.profile:fr-canonical
Nom de la slice | fr-canonical
Control | 0..1
Pattern Value | `https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient`
8. Patient.extension
Slicing | This element introduces a set of slices on `Patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. Patient.extension:nationality
Nom de la slice | nationality
Control | 0..1
Type | Extension(FR Core Nationality Extension) (Complex Extension)
12. Patient.extension:identityReliability
Nom de la slice | identityReliability
Control | 0..*
Type | Extension(FR Core Patient Ident Reliability Extension) (Complex Extension)
14. Patient.extension:deathPlace
Nom de la slice | deathPlace
Control | 0..1
Type | Extension(FR Core Patient Death Place Extension) (Extension Type: string)
16. Patient.extension:birthDateUpdateIndicator
Nom de la slice | birthDateUpdateIndicator
Control | 0..1
Type | Extension(FR Core Patient Birthdate Update Indicator Extension) (Extension Type: boolean)
18. Patient.extension:birthPlace
Nom de la slice | birthPlace
Control | 0..1
Type | Extension(Patient Birth Place) (Extension Type: Address)
20. Patient.extension:birthPlace.value[x]
Type | Address(FR Core Address Profile)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
22. Patient.extension:multipleBirth
Nom de la slice | multipleBirth
Control | 0..1
Type | Extension(Rang Gémellaire) (Extension Type: integer)
24. Patient.identifier
Short | 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.
Note | This is a business identifier, not a resource identifier (see discussion)
Slicing | This element introduces a set of slices on `Patient.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ type
26. Patient.identifier.type
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
28. Patient.identifier:NSS
Nom de la slice | NSS
Short | 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).
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
30. Patient.identifier:NSS.use
Control | 1..?
Pattern Value | `official`
32. Patient.identifier:NSS.type
Control | 1..?
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NH" }] }`
34. Patient.identifier:NSS.system
Control | 1..?
Pattern Value | `urn:oid:1.2.250.1.213.1.4.8`
36. Patient.identifier:NSS.value
Control | 1..?
38. Patient.identifier:INS-C
Nom de la slice | INS-C
Short | Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
40. Patient.identifier:INS-C.use
Control | 1..?
Pattern Value | `secondary`
42. Patient.identifier:INS-C.type
Control | 1..?
Pattern Value | `{ "coding" : [{ "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203", "code" : "INS-C", "display" : "Identifiant National de Santé Calculé" }] }`
44. Patient.identifier:INS-C.system
Control | 1..?
Pattern Value | `urn:oid:1.2.250.1.213.1.4.2`
46. Patient.identifier:INS-C.value
Control | 1..?
48. Patient.identifier:NDP
Nom de la slice | NDP
Short | French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
50. Patient.identifier:NDP.use
Control | 1..?
Pattern Value | `secondary`
52. Patient.identifier:NDP.type
Control | 1..?
Pattern Value | `{ "coding" : [{ "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203", "code" : "NDP", "display" : "Identifiant du patient au Dossier Pharmaceutique" }] }`
54. Patient.identifier:NDP.system
Control | 1..?
Pattern Value | `urn:oid:1.2.250.1.176.1.2`
56. Patient.identifier:NDP.value
Control | 1..?
58. Patient.identifier:PI
Nom de la slice | PI
Short | Hospital assigned patient identifier | Identifiant Patient Permanent (IPP).
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
60. Patient.identifier:PI.use
Commentaires | La valeur old permet d'identifier des IPP désactivés (en cas de fusion d'identité pour résoudre des problèmes de doublonnage par exemple)
Control | 1..?
Binding | The codes SHALL be taken from FR Core ValueSet Patient identifier use PI (required to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-use-pi` )
62. Patient.identifier:PI.type
Control | 1..?
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PI", "display" : "Patient internal identifier" }] }`
64. Patient.identifier:PI.system
Control | 1..?
66. Patient.identifier:PI.value
Control | 1..?
68. Patient.identifier:RRI
Nom de la slice | RRI
Short | Regional Registry ID | Identifiant régional
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
70. Patient.identifier:RRI.use
Control | 1..?
Pattern Value | `secondary`
72. Patient.identifier:RRI.type
Control | 1..?
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "RRI", "display" : "Regional registry ID" }] }`
74. Patient.identifier:RRI.system
Control | 1..?
76. Patient.identifier:RRI.value
Control | 1..?
78. Patient.name
Type | HumanName(FR Core Human Name Profile)
Slicing | This element introduces a set of slices on `Patient.name`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ use
80. Patient.name:usualName
Nom de la slice | usualName
Définition | A human's name with the ability to identify parts and usage | Le nom utilisé (usual) n’est transmis que s’il est défini (par exemple nom marital du conjoint).
Short | Name of a human | Nom utilisé
Control | 0..*
82. Patient.name:usualName.use
Control | 1..?
Pattern Value | `usual`
84. Patient.name:officialName
Nom de la slice | officialName
Définition | A human's name with the ability to identify parts and usage | Le nom de naissance (official) est obligatoire dans le cas où l’on véhicule l’INS et que l’identité est qualifiée (celui-ci ne doit pas être altéré).
Short | Name of a human | Nom de naissance
Control | 0..*
86. Patient.name:officialName.extension:birth-list-given-name
Nom de la slice | birth-list-given-name
Control | 0..1
Type | Extension(FR Core Patient Birth List Given name Extension) (Extension Type: string)
88. Patient.name:officialName.use
Control | 1..?
Pattern Value | `official`
90. Patient.name:officialName.family
Control | 1..?
92. Patient.name:officialName.given
Control | 1..?
94. Patient.telecom
Type | ContactPoint(FR Core Contact Point Profile)
96. Patient.gender
Définition | French patient's gender checked with the INSi teleservice | Genre administratif du patient. Dans le cas d'une identité récupérée par le téléservice INSi, les valeurs M ou F issues du téléservice sont à adapter à FHIR (male | female | unknown).
Short | male | female | unknown
Binding | The codes SHALL be taken from FR Core ValueSet Patient gender (required to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-gender` )
98. Patient.birthDate
Short | 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.
LOINC Code |
100. Patient.address
Type | Address(FR Core Address Profile)
102. Patient.maritalStatus
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Marital Status ValueSet (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status` )
104. Patient.contact
106. Patient.contact.extension
Slicing | This element introduces a set of slices on `Patient.contact.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
108. Patient.contact.extension:contactIdentifier
Nom de la slice | contactIdentifier
Control | 0..1
Type | Extension(FR Core Patient Contact Identifier Extension) (Extension Type: Identifier)
110. Patient.contact.extension:comment
Nom de la slice | comment
Control | 0..1
Type | Extension(FR Core Comment Extension) (Extension Type: string)
112. Patient.contact.relationship
Slicing | This element introduces a set of slices on `Patient.contact.relationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
114. Patient.contact.relationship:role
Nom de la slice | role
Short | The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ...
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient contact role (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-contact-role` )
116. Patient.contact.relationship:relationType
Nom de la slice | relationType
Short | The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ...
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet relation type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-relation-type` )
118. Patient.contact.name
Type | HumanName(FR Core Human Name Profile)
120. Patient.contact.telecom
Type | ContactPoint(FR Core Contact Point Profile)
122. Patient.generalPractitioner
Type | Reference(FR Core Practitioner Profile, FR Core Organization Profile, PractitionerRole)
124. Patient.managingOrganization
Type | Reference(FR Core Organization Profile, Organization)

Guidance on how to interpret the contents of this table can be foundhere

0. Patient
Définition | Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Short | Information about an individual or animal receiving health care services
Control | 0..*
Is Modifier | false
Résumé | false
Alternate Names | SubjectOfCare Client Resident
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. Patient.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Commentaires | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Résumé | true
4. Patient.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Patient.meta.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
8. Patient.meta.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.meta.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. Patient.meta.versionId
Définition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Short | Version specific identifier
Commentaires | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Control | 0..1
Type | id
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Patient.meta.lastUpdated
Définition | When the resource last changed - e.g. when the version changed.
Short | When the resource version last changed
Commentaires | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Control | 0..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. Patient.meta.source
Définition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Short | Identifies where the resource comes from
Commentaires | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Patient.meta.profile
Définition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Short | Profiles this resource claims to conform to
Commentaires | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 0..*
Type | canonical(StructureDefinition)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Patient.meta.profile`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
18. Patient.meta.profile:fr-canonical
Nom de la slice | fr-canonical
Définition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Short | Profiles this resource claims to conform to
Commentaires | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 0..1
Type | canonical(StructureDefinition)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Pattern Value | `https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Patient.meta.security
Définition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Short | Security Labels applied to this resource
Commentaires | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` ) Security Labels from the Healthcare Privacy and Security Classification System.
Type | Coding
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Patient.meta.tag
Définition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Short | Tags applied to this resource
Commentaires | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | For example codes, see CommonTags (example to `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Type | Coding
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Patient.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Patient.language
Définition | The base language in which the resource is written.
Short | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Patient.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Commentaires | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1
Type | Narrative
Is Modifier | false
Résumé | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Patient.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Commentaires | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Résumé | false
Alternate Names | inline resources, anonymous resources, contained resources
32. Patient.extension
Définition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
34. Patient.extension:nationality
Nom de la slice | nationality
Définition | The nationality of the patient.
Short | Nationality
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(FR Core Nationality Extension) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
36. Patient.extension:identityReliability
Nom de la slice | identityReliability
Définition | Précision sur le degré de fiabilité de l'identité du patient (si provisoire, validé... avec la justification : quelle type de pièce d'identité ?) accompagné de la méthode de collection. Reliabilility of the patient's identity
Short | Reliabilility of the identity | Fiabilité de l'identité
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(FR Core Patient Ident Reliability Extension) (Complex Extension)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
38. Patient.extension:deathPlace
Nom de la slice | deathPlace
Définition | Précise le lieu de décès du patient (hôpital, sur la voie publique, au domicile, etc.). Carries the death place of the patient
Short | FR Core Patient Death Place Extension
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(FR Core Patient Death Place Extension) (Extension Type: string)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
40. Patient.extension:birthDateUpdateIndicator
Nom de la slice | birthDateUpdateIndicator
Définition | Indicateur booléen de mise à jour de la date de naissance
Short | FR Core Patient Birthdate Update Indicator Extension
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(FR Core Patient Birthdate Update Indicator Extension) (Extension Type: boolean)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
42. Patient.extension:birthPlace
Nom de la slice | birthPlace
Définition | The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements.
Short | Place of Birth for patient
Control | 0..1
Type | Extension(Patient Birth Place) (Extension Type: Address)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
44. Patient.extension:birthPlace.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1 This element is affected by the following invariants: ele-1
Type | id
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
46. Patient.extension:birthPlace.extension
Définition | An Extension
Short | Extension
Control | 0..0
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.extension.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
48. Patient.extension:birthPlace.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Short | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Control | 1..1
Type | uri
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
Fixed Value | `http://hl7.org/fhir/StructureDefinition/patient-birthPlace`
50. Patient.extension:birthPlace.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Short | Value of extension
Control | 1..1 This element is affected by the following invariants: ext-1
Type | Address(FR Core Address Profile)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Patient.extension:multipleBirth
Nom de la slice | multipleBirth
Définition | Extension créée pour exprimer le rang gémellaire, notamment utile dans le cadre des attestations de droits à l'assurance maladie. Cette extension implemente l'élément PatientMultipleBirth de R5 https://www.hl7.org/fhir/patient-definitions.html#Patient.multipleBirth_x.
Short | Rang Gémellaire
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(Rang Gémellaire) (Extension Type: integer)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
54. Patient.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
56. Patient.identifier
Définition | An identifier for this patient.
Short | 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.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Patient.identifier`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ type
58. Patient.identifier.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
60. Patient.identifier.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
62. Patient.identifier.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Patient.identifier.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Patient.identifier.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Patient.identifier.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Patient.identifier.period
Définition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Patient.identifier.assigner
Définition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Patient.identifier:NSS
Nom de la slice | NSS
Définition | An identifier for this patient.
Short | 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).
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Patient.identifier:NSS.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
78. Patient.identifier:NSS.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
80. Patient.identifier:NSS.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 1..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Patient.identifier:NSS.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NH" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Patient.identifier:NSS.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `urn:oid:1.2.250.1.213.1.4.8`
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Patient.identifier:NSS.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Patient.identifier:NSS.period
Définition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. Patient.identifier:NSS.assigner
Définition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Patient.identifier:INS-C
Nom de la slice | INS-C
Définition | An identifier for this patient.
Short | Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Patient.identifier:INS-C.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
96. Patient.identifier:INS-C.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
98. Patient.identifier:INS-C.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 1..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `secondary`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Patient.identifier:INS-C.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203", "code" : "INS-C", "display" : "Identifiant National de Santé Calculé" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Patient.identifier:INS-C.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `urn:oid:1.2.250.1.213.1.4.2`
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Patient.identifier:INS-C.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Patient.identifier:INS-C.period
Définition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Patient.identifier:INS-C.assigner
Définition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Patient.identifier:NDP
Nom de la slice | NDP
Définition | An identifier for this patient.
Short | French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Patient.identifier:NDP.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
114. Patient.identifier:NDP.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
116. Patient.identifier:NDP.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 1..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `secondary`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Patient.identifier:NDP.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203", "code" : "NDP", "display" : "Identifiant du patient au Dossier Pharmaceutique" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Patient.identifier:NDP.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `urn:oid:1.2.250.1.176.1.2`
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Patient.identifier:NDP.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Patient.identifier:NDP.period
Définition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Patient.identifier:NDP.assigner
Définition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. Patient.identifier:PI
Nom de la slice | PI
Définition | An identifier for this patient.
Short | Hospital assigned patient identifier | Identifiant Patient Permanent (IPP).
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Patient.identifier:PI.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
132. Patient.identifier:PI.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
134. Patient.identifier:PI.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | La valeur old permet d'identifier des IPP désactivés (en cas de fusion d'identité pour résoudre des problèmes de doublonnage par exemple)
Control | 1..1
Binding | The codes SHALL be taken from FR Core ValueSet Patient identifier use PI (required to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-use-pi` )
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Patient.identifier:PI.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PI", "display" : "Patient internal identifier" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. Patient.identifier:PI.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. Patient.identifier:PI.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Patient.identifier:PI.period
Définition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Patient.identifier:PI.assigner
Définition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Patient.identifier:RRI
Nom de la slice | RRI
Définition | An identifier for this patient.
Short | Regional Registry ID | Identifiant régional
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Résumé | true
Requirements | Patients are almost always assigned specific numerical identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. Patient.identifier:RRI.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
150. Patient.identifier:RRI.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
152. Patient.identifier:RRI.use
Définition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 1..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value | `secondary`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. Patient.identifier:RRI.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient identifier type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-identifier-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "RRI", "display" : "Regional registry ID" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. Patient.identifier:RRI.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. Patient.identifier:RRI.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. Patient.identifier:RRI.period
Définition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. Patient.identifier:RRI.assigner
Définition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. Patient.active
Définition | Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Short | Whether this patient's record is in active use
Commentaires | If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Control | 0..1
Type | boolean
Is Modifier | true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Need to be able to mark a patient record as not to be used because it was created in error.
Meaning if Missing | This resource is generally assumed to be active if no value is provided for the active element
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. Patient.name
Définition | A name associated with the individual.
Short | A name associated with the patient
Commentaires | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 0..*
Type | HumanName(FR Core Human Name Profile)
Is Modifier | false
Résumé | true
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Patient.name`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ use
168. Patient.name:usualName
Nom de la slice | usualName
Définition | A human's name with the ability to identify parts and usage | Le nom utilisé (usual) n’est transmis que s’il est défini (par exemple nom marital du conjoint).
Short | Name of a human | Nom utilisé
Commentaires | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 0..*
Type | HumanName
Is Modifier | false
Résumé | true
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. Patient.name:usualName.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
172. Patient.name:usualName.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.name.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
174. Patient.name:usualName.use
Définition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Commentaires | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 1..1
Binding | The codes SHALL be taken from NameUse (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value | `usual`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
176. Patient.name:usualName.text
Définition | Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Short | Text representation of the full name
Commentaires | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | A renderable, unencoded form.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
178. Patient.name:usualName.family
Définition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short | Family name (often called 'Surname')
Commentaires | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Alternate Names | surname
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. Patient.name:usualName.given
Définition | Given name.
Short | Given names (not always 'first'). Includes middle names
Commentaires | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Alternate Names | first name, middle name
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Patient.name:usualName.prefix
Définition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Short | Parts that come before the name
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
184. Patient.name:usualName.suffix
Définition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Short | Parts that come after the name
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. Patient.name:usualName.period
Définition | Indicates the period of time when this name was valid for the named person.
Short | Time period when name was/is in use
Control | 0..1
Type | Period
Is Modifier | false
Résumé | true
Requirements | Allows names to be placed in historical context.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. Patient.name:officialName
Nom de la slice | officialName
Définition | A human's name with the ability to identify parts and usage | Le nom de naissance (official) est obligatoire dans le cas où l’on véhicule l’INS et que l’identité est qualifiée (celui-ci ne doit pas être altéré).
Short | Name of a human | Nom de naissance
Commentaires | A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control | 0..*
Type | HumanName
Is Modifier | false
Résumé | true
Requirements | Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. Patient.name:officialName.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
192. Patient.name:officialName.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.name.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
194. Patient.name:officialName.extension:birth-list-given-name
Nom de la slice | birth-list-given-name
Définition | Prénoms de l'acte de naissance
Short | 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.
Control | 0..1
Type | Extension(FR Core Patient Birth List Given name Extension) (Extension Type: string)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
196. Patient.name:officialName.use
Définition | Identifies the purpose for this name.
Short | usual | official | temp | nickname | anonymous | old | maiden
Commentaires | Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control | 1..1
Binding | The codes SHALL be taken from NameUse (required to `http://hl7.org/fhir/ValueSet/name-use|4.0.1` ) The use of a human name.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value | `official`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. Patient.name:officialName.text
Définition | Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Short | Text representation of the full name
Commentaires | Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | A renderable, unencoded form.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
200. Patient.name:officialName.family
Définition | The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short | Family name (often called 'Surname')
Commentaires | Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Alternate Names | surname
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. Patient.name:officialName.given
Définition | Given name.
Short | Given names (not always 'first'). Includes middle names
Commentaires | If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control | 1..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Alternate Names | first name, middle name
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
204. Patient.name:officialName.prefix
Définition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Short | Parts that come before the name
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. Patient.name:officialName.suffix
Définition | Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Short | Parts that come after the name
Control | 0..*
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
208. Patient.name:officialName.period
Définition | Indicates the period of time when this name was valid for the named person.
Short | Time period when name was/is in use
Control | 0..1
Type | Period
Is Modifier | false
Résumé | true
Requirements | Allows names to be placed in historical context.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
210. Patient.telecom
Définition | A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Short | A contact detail for the individual
Commentaires | A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
Control | 0..*
Type | ContactPoint(FR Core Contact Point Profile)
Is Modifier | false
Résumé | true
Requirements | People have (primary) ways to contact them in some way such as phone, email.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
212. Patient.gender
Définition | French patient's gender checked with the INSi teleservice | Genre administratif du patient. Dans le cas d'une identité récupérée par le téléservice INSi, les valeurs M ou F issues du téléservice sont à adapter à FHIR (male | female | unknown).
Short | male | female | unknown
Commentaires | The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.
Control | 0..1
Binding | The codes SHALL be taken from FR Core ValueSet Patient gender (required to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-gender` )
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Needed for identification of the individual, in combination with (at least) name and birth date.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
214. Patient.birthDate
Définition | The date of birth for the individual.
Short | 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.
Commentaires | At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
Control | 0..1
Type | date
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | Age of the individual drives many clinical processes.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
LOINC Code | 21112-8
216. Patient.deceased[x]
Définition | Indicates if the individual is deceased or not.
Short | Indicates if the individual is deceased or not
Commentaires | If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
Control | 0..1
Type | Choice of: boolean, dateTime
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Requirements | The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
218. Patient.address
Définition | An address for the individual.
Short | An address for the individual
Commentaires | Patient may have multiple addresses with different uses or applicable periods.
Control | 0..*
Type | Address(FR Core Address Profile)
Is Modifier | false
Résumé | true
Requirements | May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
220. Patient.maritalStatus
Définition | This field contains a patient's most recent marital (civil) status.
Short | Marital (civil) status of a patient
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Marital Status ValueSet (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status` )
Type | CodeableConcept
Is Modifier | false
Résumé | false
Requirements | Most, if not all systems capture it.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
222. Patient.multipleBirth[x]
Définition | Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).
Short | Whether patient is part of a multiple birth
Commentaires | Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).
Control | 0..1
Type | Choice of: boolean, integer
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Requirements | For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
224. Patient.photo
Définition | Image of the patient.
Short | Image of the patient
Commentaires | Guidelines: Use id photos, not clinical photos. Limit dimensions to thumbnail. Keep byte count low to ease resource updates.
Control | 0..*
Type | Attachment
Is Modifier | false
Résumé | false
Requirements | Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
226. Patient.contact
Définition | A contact party (e.g. guardian, partner, friend) for the patient.
Short | A contact party (e.g. guardian, partner, friend) for the patient
Commentaires | Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Résumé | false
Requirements | Need to track people you can contact about the patient.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) pat-1: SHALL at least contain a contact's details or a reference to an organization (`name.exists() or telecom.exists() or address.exists() or organization.exists()`)
228. Patient.contact.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
230. Patient.contact.extension
Définition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Patient.contact.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
232. Patient.contact.extension:contactIdentifier
Nom de la slice | contactIdentifier
Définition | Identifiant de contact dans la ressource Patient This extension carries the contact identifier in the patient resource
Short | FR Core Patient Contact Identifier Extension
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(FR Core Patient Contact Identifier Extension) (Extension Type: Identifier)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
234. Patient.contact.extension:comment
Nom de la slice | comment
Définition | Ajout d'un commentaire sur un dataElement d'une ressource. Add a comment on a dataElement of a resource
Short | Comment on element Patient.contact | Commentaire sur l'élément Patient.contact
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(FR Core Comment Extension) (Extension Type: string)
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
236. Patient.contact.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
238. Patient.contact.relationship
Définition | The nature of the relationship between the patient and the contact person.
Short | The kind of relationship
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from PatientContactRelationship (extensible to `http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1` ) The nature of the relationship between a patient and a contact person for that patient.
Type | CodeableConcept
Is Modifier | false
Résumé | false
Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Patient.contact.relationship`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
240. Patient.contact.relationship:role
Nom de la slice | role
Définition | The nature of the relationship between the patient and the contact person.
Short | The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ...
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet Patient contact role (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-contact-role` )
Type | CodeableConcept
Is Modifier | false
Résumé | false
Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
242. Patient.contact.relationship:relationType
Nom de la slice | relationType
Définition | The nature of the relationship between the patient and the contact person.
Short | The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ...
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from FR Core ValueSet relation type (extensible to `https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-relation-type` )
Type | CodeableConcept
Is Modifier | false
Résumé | false
Requirements | Used to determine which contact person is the most relevant to approach, depending on circumstances.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
244. Patient.contact.name
Définition | A name associated with the contact person.
Short | A name associated with the contact person
Control | 0..1
Type | HumanName(FR Core Human Name Profile)
Is Modifier | false
Résumé | false
Requirements | Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
246. Patient.contact.telecom
Définition | A contact detail for the person, e.g. a telephone number or an email address.
Short | A contact detail for the person
Commentaires | Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.
Control | 0..*
Type | ContactPoint(FR Core Contact Point Profile)
Is Modifier | false
Résumé | false
Requirements | People have (primary) ways to contact them in some way such as phone, email.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
248. Patient.contact.address
Définition | Address for the contact person.
Short | Address for the contact person
Control | 0..1
Type | Address
Is Modifier | false
Résumé | false
Requirements | Need to keep track where the contact person can be contacted per postal mail or visited.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
250. Patient.contact.gender
Définition | Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.
Short | male | female | other | unknown
Control | 0..1
Binding | The codes SHALL be taken from AdministrativeGender (required to `http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1` ) The gender of a person used for administrative purposes.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Requirements | Needed to address the person correctly.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
252. Patient.contact.organization
Définition | Organization on behalf of which the contact is acting or for which the contact is working.
Short | Organization that is associated with the contact
Control | 0..1 This element is affected by the following invariants: pat-1
Type | Reference(Organization)
Is Modifier | false
Résumé | false
Requirements | For guardians or business related contacts, the organization is relevant.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
254. Patient.contact.period
Définition | The period during which this contact person or organization is valid to be contacted relating to this patient.
Short | The period during which this contact person or organization is valid to be contacted relating to this patient
Control | 0..1
Type | Period
Is Modifier | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
256. Patient.communication
Définition | A language which may be used to communicate with the patient about his or her health.
Short | A language which may be used to communicate with the patient about his or her health
Commentaires | If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
Control | 0..*
Type | BackboneElement
Is Modifier | false
Résumé | false
Requirements | If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
258. Patient.communication.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
260. Patient.communication.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
262. Patient.communication.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
264. Patient.communication.language
Définition | The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.
Short | The language which can be used to communicate with the patient about his or her health
Commentaires | The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
Control | 1..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | CodeableConcept
Is Modifier | false
Résumé | false
Requirements | Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
266. Patient.communication.preferred
Définition | Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).
Short | Language preference indicator
Commentaires | This language is specifically identified for communicating healthcare information.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | false
Requirements | People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
268. Patient.generalPractitioner
Définition | Patient's nominated care provider.
Short | Patient's nominated primary care provider
Commentaires | This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.
Control | 0..*
Type | Reference(FR Core Practitioner Profile, FR Core Organization Profile, PractitionerRole)
Is Modifier | false
Résumé | false
Alternate Names | careProvider
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
270. Patient.managingOrganization
Définition | Organization that is the custodian of the patient record.
Short | Organization that is the custodian of the patient record
Commentaires | There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).
Control | 0..1
Type | Reference(FR Core Organization Profile, Organization)
Is Modifier | false
Résumé | true
Requirements | Need to know who recognizes this patient record, manages and updates it.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
272. Patient.link
Définition | Link to another patient resource that concerns the same actual patient.
Short | Link to another patient resource that concerns the same actual person
Commentaires | There is no assumption that linked patient records have mutual links.
Control | 0..*
Type | BackboneElement
Is Modifier | true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Résumé | true
Requirements | There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
274. Patient.link.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Résumé | false
276. Patient.link.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Résumé | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
278. Patient.link.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
280. Patient.link.other
Définition | The other patient resource that the link refers to.
Short | The other patient or related person resource that the link refers to
Commentaires | Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Control | 1..1
Type | Reference(Patient, RelatedPerson)
Is Modifier | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
282. Patient.link.type
Définition | The type of link between this patient resource and another patient resource.
Short | replaced-by | replaces | refer | seealso
Control | 1..1
Binding | The codes SHALL be taken from LinkType (required to `http://hl7.org/fhir/ValueSet/link-type|4.0.1` ) The type of link between this patient resource and another patient resource.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)