Narratif généré : DéfinitionStructure as-practitioner Nom Drapeaux Card. Type Description et contraintes Practitioner 0..* FRCorePractitionerProfile A person with a formal responsibility in the provisioning of healthcare or related services #xD; Slices pour extension Contenu/Règles pour toutes les slices #xD; extension:as-ext-registration 0..* (Complexe) InscriptionOrdre : Eléments permettant de retrouver les informations d'inscription à un ordre par rapport à la profession de la personne physique sur une période et un département donné. URL: https://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-registration #xD; Slices pour extension Contenu/Règles pour toutes les slices #xD; extension:registeringOrganization 0..1 Extension Extension #xD; extension:period 0..1 Extension Extension #xD; value[x] #xD; start 0..1 dateTime dateDebutInscription : Date d’inscription de la personne au tableau de l’ordre. #xD; end 0..1 dateTime dateRadiation : Date à partir de laquelle la personne n’est plus autorisée à exercer la profession pour laquelle elle a été inscrite. #xD; extension:status 0..1 Extension Extension #xD; extension:hostingDepartment 0..1 Extension Extension #xD; extension:as-ext-frpractitioner-authorization 0..* (Complexe) AutorisationExercice : Il s'agit d'une autorisation délivrée par le Ministère de la Santé ou par l'Ordre au professionnel pour accès à l'exercice de la profession. URL: https://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-practitioner-authorization #xD; Slices pour extension Contenu/Règles pour toutes les slices #xD; extension:type 0..1 Extension Extension #xD; extension:period 0..1 Extension Extension #xD; value[x] #xD; start 0..1 dateTime dateDebutAutorisation : Date à partir de laquelle l’autorisation s’applique. #xD; end 0..1 dateTime dateFinAutorisation : Date de fin de validité de l'autorisation. #xD; extension:field 0..1 Extension Extension #xD; extension:profession 0..1 Extension Extension #xD; extension:as-ext-smartcard 0..* (Complexe) CarteProfessionnel : Données descriptives du moyen d’identification des personnes physiques via une carte de professionnel.#xD; La carte est rattachée à l’exercice d’une profession donnée et non au professionnel lui-même, un professionnel exerçant simultanément deux professions a deux cartes. URL: https://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-smartcard #xD; Slices pour extension Contenu/Règles pour toutes les slices #xD; extension:type 0..1 Extension Extension #xD; extension:number 0..1 Extension Extension #xD; extension:period 0..1 Extension Extension #xD; value[x] #xD; start 0..1 dateTime dateDebutValidite : Date de début de validité de la carte #xD; end 0..1 dateTime dateFinValidite : Date de fin de validité de la carte #xD; extension:oppositionDate 0..1 Extension Extension #xD; extension:as-ext-digital-certificate 0..* (Complexe) AS Digital Certificate Extension URL: https://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-digital-certificate #xD; identifier 0..* Identifier An identifier for the person as this agent #xD; type 0..1 CodeableConcept Type d’identifiant national de la personne physique (typeIdNat_PP),#xD; Les codes RPPS et IDNPS proviennent du system https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203 ; Les codes 1, 3, 4, 5, 6 proviennent du system : https://mos.esante.gouv.fr/NOS/TRE_G08-TypeIdentifiantPersonne/FHIR/TRE-G08-TypeIdentifiantPersonne #xD; Slices pour identifier Contenu/Règles pour toutes les slices #xD; identifier:idNatPs 0..1 Identifier Identifiant national des PS. Cet identifiant est notamment utilisé dans le cadre du DMP et de la CPS. Cet identifiant est préfixé selon source de provenance de l'identifiant (cf Annexe Transverse – Source des données métier pour les professionnels et les structures du CI-SIS.) #xD; type 1..1 CodeableConcept Type d’identifiant national de la personne physique (typeIdNat_PP),#xD; Les codes ADELI, RPPS et IDNPS proviennent du system https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203 ; Les codes 1, 3, 4, 5, 6 proviennent du system : https://mos.esante.gouv.fr/NOS/TRE_G08-TypeIdentifiantPersonne/FHIR/TRE-G08-TypeIdentifiantPersonne #xD; identifier:rpps 0..* Identifier Numéro RPPS (11 chiffres) #xD; type 1..1 CodeableConcept Description of identifier #xD; identifier:adeli 0..0 Numéro ADELI (9 chiffres) #xD; active S 0..1 boolean Cette ressource est-elle active ? true par défaut; false pour indiquer que la ressource a été supprimée #xD; name S 0..* FRCoreHumanNameProfile Nom sous lequel exerce le professionnel. #xD; family S 0..1 string Nom sous lequel exerce le professionnel (nomExercice). #xD; given S 0..* string Prénom sous lequel exerce le professionnel (prenom). #xD; suffix S 0..* string Civilité d’exercice du professionnel (civilite). #xD; Slices pour telecom S 0..* FRCoreContactPointProfile [Donnée restreinte] : telecommunication. Différentes instances pour les téléphones, la télécopie et l’adresse mail. Slice: Non ordonné, Ouvert par value:system, exists:extension('https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-contact-point-email-type') #xD; telecom:Toutes les slices Contenu/Règles pour toutes les slices #xD; system 1..1 code « phone » pour Téléphone et Téléphone 2 ; « fax » pour Télécopie ; « email » pour adresse e-mail #xD; use 0..1 code home | work | temp | old | mobile - purpose of this contact point #xD; telecom:mailbox-mss 0..* AsMailboxMSSProfile Details of a Technology mediated contact point (phone, fax, email, etc.) #xD; address S 0..* AsAddressExtendedProfile [Donnée restreinte] : Adresse(s) de correspondance permettant de contacter le professionnel (adresseCorrespondance). #xD; qualification 0..* BackboneElement Qualifications obtained by training and certification | Diplômes. Les différents diplômes sont : les diplômes d'état français, les commissions de qualification, les diplômes d'études spécialisées, les DESC groupe 1 et 2, les capacités, les diplômes d'un pays de l'EEE, les diplômes d'université (DU) ou Inter-Universitaire, les certificats d'étude spéciale, les attestations, les diplômes européens d'études spécialisées, les diplômes de 2ème cycle non qualifiant et les autres types de diplômes. Pour plus d'informations, consulter le jeu de valeurs associé. #xD; code 1..1 CodeableConcept Coded representation of the qualification #xD; Slices pour qualification Contenu/Règles pour toutes les slices #xD; qualification:degree 0..* BackboneElement Diplôme et type de diplôme, par exemple : DE, DES, CES, etc. (typeDiplome) #xD; Slices pour extension 0..* Extension Extension Slice: Non ordonné, Ouvert par value:url #xD; extension:as-ext-education-level S 0..* (Complexe) niveauFormation URL: https://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-education-level #xD; Slices pour extension Contenu/Règles pour toutes les slices #xD; extension:academicDegree 0..1 Extension Extension #xD; extension:achievedLevel 0..1 Extension Extension #xD; extension:academicYear 0..1 Extension Extension #xD; code #xD; Slices pour coding Contenu/Règles pour toutes les slices #xD; coding:degreeType S 0..1 Coding Code defined by a terminology system #xD; coding:degree S 0..1 Coding Code defined by a terminology system #xD; period 0..1 Period [Donnée restreinte] : Période durant laquelle le niveau de formation est actif. #xD; start 0..1 dateTime dateDebut : Date d’obtention du diplôme (dateDiplome) cette date est renseignée par l’ordre à la clôture de l’exercice professionnel. #xD; end 0..1 dateTime dateFin : Date à laquelle le niveau de formation n’est plus actif (non visible hormis dans les données historisées). #xD; issuer 0..1 Reference(AS Organization Profile | FR Core Organization Profile) [Donnée restreinte] : Lieu de formation pour l'obtention du diplôme (lieuFormation). #xD; qualification:exercicePro 0..1 BackboneElement exercicePro : exercice professionnel décrivant la profession exercée, l'identité d'exercice d'un professionnel et le cadre de son exercice (civil, militaire, etc.). #xD; code #xD; Slices pour coding Contenu/Règles pour toutes les slices #xD; coding:categorieProfession S 0..1 Coding Catégorie professionnelle indiquant si le professionnel exerce sa profession en tant que Militaire, Civil, Fonctionnaire ou Etudiant (categorieProfessionnelle). #xD; coding:profession S 0..1 Coding Profession exercée : de santé (professionSante) TRE G15, du social (professionSocial) TRE R94, à usage de titre professionnel (usagerTitre) TRE R95, ou autre profession (autreProfession) TRE R291 #xD; period S 0..1 Period Period during which the qualification is valid #xD; start 0..1 dateTime [Donnée restreinte] : Date à partir de laquelle le professionnel exerce cette profession (dateEffetExercice). #xD; end 0..1 dateTime [Donnée restreinte] : Date à partir de laquelle le professionnel n’exerce plus cette profession (dateFinEffetExercice). #xD; qualification:savoirFaire 0..* BackboneElement savoirFaire : Prérogatives d'exercice d'un professionnel reconnues par une autorité d'enregistrement sur une période donnée de son exercice professionnel, par exemple les spécialités ordinales, etc. #xD; code 1..1 CodeableConcept Coded representation of the qualification #xD; Slices pour coding Contenu/Règles pour toutes les slices #xD; coding:typeSavoirFaire S 0..1 Coding Le type de savoir-faire (qualifications/autres attributions). typeSavoirFaire #xD; coding:savoirFaire S 0..1 Coding Compétence acquise par le professionnel (competence) R39 ou Compétence exclusive exercée par le professionnel à titre exclusif (competenceExclusive) R40 ou Diplôme d'études spécialisées complémentaires (DESC)DESCnonQualifian R42 ou Capacité (savoir-faire)de médecine (capaciteSavoirFaire) R43 ou Qualification de praticien adjoint contractuel (qualificationPAC) R44 ou Fonction qualifiée (Synonyme: fonctionQualifiee) R45 ou Droit d'exercice complémentaire (Synonyme: droitExerciceComplementaire) R97 ou Orientation particulière (Synonyme: orientationParticuliere) G13 ou Activité ponctuelle du professionnel de type expertise (attributionParticuliere) G13. #xD; period #xD; start 0..1 dateTime Starting time with inclusive boundary #xD; end 0..1 dateTime End time with inclusive boundary, if not ongoing #xD; communication S 0..* AsCodeableConceptTimedProfile Langue parlée (langueParlee). Binding: JDV_J82-Langue-RASS (required) #xD; Documentation pour ce format
Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris
Profil générique créé à partir de FrPractitioner dans le contexte de l'Annuaire Santé pour décrire les données liées à l'exercice professionnel d'un professionnel (professions à ordre, professions sans ordre, professionnels à rôle).
AsPractitionerProfile to MOS - SavoirFaire
AsPractitionerProfile to MOS - ExerciceProfessionnel
AsPractitionerProfile to MOS - InscriptionOrdre
AsPractitionerProfile to MOS - Professionnel
AsPractitionerProfile to MOS - AutorisationExercice
AsPractitionerProfile to MOS - CarteProfessionnel
A person with a formal responsibility in the provisioning of healthcare or related services
A person who is directly or indirectly involved in the provisioning of healthcare.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
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.
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.
When the resource last changed - e.g. when the version changed.
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](http://hl7.org/fhir/R4/http.html#read) interaction.
Identifies where the resource comes from
A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) 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.
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.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
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.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
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.
Security Labels from the Healthcare Privacy and Security Classification System.
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.
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.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
A set of rules under which this content was created
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.
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.
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
The base language in which the resource is written.
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).
Text summary of the resource, for human interpretation
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.
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.
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.
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.
FR Core Practitioner Specialty Extension
This extension adds the element "specialty" to the FHIR Practitioner resource. http://esante.gouv.fr/sites/NOS/TABS/TRE_R38-SpecialiteOrdinale.tabs
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
InscriptionOrdre : Eléments permettant de retrouver les informations d'inscription à un ordre par rapport à la profession de la personne physique sur une période et un département donné.
Extension créée dans le cadre de l'Annuaire Santé pour prise en compte de la première inscription si "isFirst = true". Ces données sont uniquement accessibles en accès restreint.
Source of the definition for the extension code - a logical name or a URL.
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.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).
conseilDepartemental : Département du Conseil départemental.
dateDebutInscription : Date d’inscription de la personne au tableau de l’ordre.
The start of the period. The boundary is inclusive.
If the low element is missing, the meaning is that the low boundary is not known.
dateRadiation : Date à partir de laquelle la personne n’est plus autorisée à exercer la profession pour laquelle elle a été inscrite.
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
If the end of the period is missing, it means that the period is ongoing
Indicateur de la première inscription. Si 1ère inscription => practitionerRole-registration.isFirst= « true » Sinon, practitionerRole-registration.isFirst= « false »
AutorisationExercice : Il s'agit d'une autorisation délivrée par le Ministère de la Santé ou par l'Ordre au professionnel pour accès à l'exercice de la profession.
Extension créée dans le cadre de l'Annuaire Santé pour prise en compte de l'autorisation d'exercice du professionnel (AutorisationExercice).
dateDebutAutorisation : Date à partir de laquelle l’autorisation s’applique.
dateFinAutorisation : Date de fin de validité de l'autorisation.
CarteProfessionnel : Données descriptives du moyen d’identification des personnes physiques via une carte de professionnel. La carte est rattachée à l’exercice d’une profession donnée et non au professionnel lui-même, un professionnel exerçant simultanément deux professions a deux cartes.
Extension créée dans le cadre de l'Annuaire Santé pour décrire les informations de la carte CPx utilisée comme moyen d’identification des personnes physiques.
dateDebutValidite : Date de début de validité de la carte
dateFinValidite : Date de fin de validité de la carte
Extension créée dans le cadre de l'Annuaire Santé pour décrire les certificats utilisés par les professionnels et les structures comme moyen d'identification.
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Slice based on the identifier.system pattern
An identifier for the person as this agent
An identifier that applies to this person in this role.
Often, specific identities are assigned for the agent.
usual | official | temp | secondary | old (If known)
Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Identifies the purpose for this identifier, if known .
Type d’identifiant national de la personne physique (typeIdNat_PP), Les codes RPPS et IDNPS proviennent du system https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203 ; Les codes 1, 3, 4, 5, 6 proviennent du system : https://mos.esante.gouv.fr/NOS/TRE_G08-TypeIdentifiantPersonne/FHIR/TRE-G08-TypeIdentifiantPersonne
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
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.
Allows users to make use of identifiers when the identifier system is not known.
A reference to a code defined by a terminology system.
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Allows for alternative encodings within a code system, and translations to other code systems.
fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
The identification of the code system that defines the meaning of the symbol in the code.
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Need to be unambiguous about the source of the definition of the symbol.
CodeSystem HL7v2 (PAM) pour un type d'identifiant PS
CodeSystem ASIP pour un type d'identifiant d'un employé dans une structure
fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Need to refer to a particular code in the system.
fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
A representation of the meaning of the code in the system, following the rules of the system.
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
C*E.2 - but note this is not well followed
fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
If this coding was chosen directly by the user
Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
Plain text representation of the concept
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Very often the text is the same as a displayName of one of the codings.
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
C*E.9. But note many systems use C*E.2 for this
fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Establishes the namespace for the value - that is, a OID that describes a set values that are unique. the namespace for the practitioner identifier value is fixed in France. Pour un PS identifié à partir de sa carte CPS, OID = 1.2.250.1.71.4.2.1 Pour un employé identifié au sein de sa structure, OID de l'établissement, branche de gestion des employés ou http://hopitalTest.fr/fhir/namingsystem/employes
Identifier.system is always case sensitive.
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.
The portion of the identifier typically relevant to the user and which is unique within the context of the system.
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](http://hl7.org/fhir/R4/extension-rendered-value.html). 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.
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Time period when id is/was valid for use
Time period during which identifier is/was valid for use.
Role.effectiveTime or implied by context
Organization that issued id (may be just text)
Organization that issued/manages the identifier.
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.
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
Identifiant national des PS. Cet identifiant est notamment utilisé dans le cadre du DMP et de la CPS. Cet identifiant est préfixé selon source de provenance de l'identifiant (cf Annexe Transverse – Source des données métier pour les professionnels et les structures du CI-SIS.)
Type d’identifiant national de la personne physique (typeIdNat_PP), Les codes ADELI, RPPS et IDNPS proviennent du system https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203 ; Les codes 1, 3, 4, 5, 6 proviennent du system : https://mos.esante.gouv.fr/NOS/TRE_G08-TypeIdentifiantPersonne/FHIR/TRE-G08-TypeIdentifiantPersonne
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Identifiant national de la personne physique. 0 + ADELI ou 8 + RPPSidPP, Personne/Identifiant PP si l’instance correspond à un identifiant RPPS ou ADELI, sinon Personne/identification nationale PP.
Cette ressource est-elle active ? true par défaut; false pour indiquer que la ressource a été supprimée
Whether this practitioner's record is in active use.
If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.
Need to be able to mark a practitioner record as not to be used because it was created in error.
This resource is generally assumed to be active if no value is provided for the active element
Nom sous lequel exerce le professionnel.
A human's name with the ability to identify parts and usage.
Names may be changed, or repudiated, or people may have different names in different contexts. Names may be divided into parts of different type that have variable significance depending on context, though the division into parts does not always matter. With personal names, the different parts might or might not be imbued with some implicit meaning; various cultures associate different importance with the name parts and the degree to which systems must care about name parts around the world varies widely.
The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.
A code that represents the preferred display order of the components of this human name.
usual | official | temp | nickname | anonymous | old | maiden
Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Allows the appropriate name for a particular context of use to be selected from among a set of names.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
XPN.7, but often indicated by which field contains the name
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.
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.
Nom sous lequel exerce le professionnel (nomExercice).
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.
Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Prénom sous lequel exerce le professionnel (prenom).
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.
Given Names appear in the correct order for presenting the name
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.
Prefixes appear in the correct order for presenting the name
Civilités des personnes physiques du RASS
Civilité d’exercice du professionnel (civilite).
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.
Suffixes appear in the correct order for presenting the name
Civilités d'exercice d'un professionnel du RASS
Indicates the period of time when this name was valid for the named person.
Allows names to be placed in historical context.
[Donnée restreinte] : telecommunication. Différentes instances pour les téléphones, la télécopie et l’adresse mail.
Details for all kinds of technology mediated contact points for a person or organization, including telephone, email, etc.
Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and to help with identification. These typically will have home numbers, or mobile numbers that are not role specific.
Need to know how to reach a practitioner independent to any roles the practitioner may have.
A system is required if a value is provided.
not(exists(f:value)) or exists(f:system)
Type of email | type de messagerie électronique
Extension on the ContactPoint datatype. This extension allows to specify the type of mail used to contact the person (MSSsanté|Apicrypt|OSM|Autre).
« phone » pour Téléphone et Téléphone 2 ; « fax » pour Télécopie ; « email » pour adresse e-mail
Telecommunications form for contact point - what communications system is required to make use of the contact.
Telecommunications form for contact point.
The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Need to support legacy numbers that are not in a tightly controlled format.
home | work | temp | old | mobile - purpose of this contact point
Identifies the purpose for the contact point.
« old » si les coordonnées de correspondance ont une date de fin
Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Specify preferred order of use (1 = highest)
Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Time period when the contact point was/is in use
Time period when the contact point was/is in use.
Details of a Technology mediated contact point (phone, fax, email, etc.)
Les attributs 'responsible' et 'phone' ne sont pas disponibles en accès libre.
Extension contenant les métadonnées de la mailbox mss.
typeBAL : Type de boîte aux lettres. Valeurs possibles : ORG | APP | PER | CAB
responsable : Texte libre donnant les coordonnées de la (ou des) personne(s) responsable(s) au niveau opérationnel de la boîte aux lettres. Non renseigné pour les types de boîte aux lettres "PER".
telephone : Coordonnées téléphoniques spécifiques à l’usage de la boîte aux lettres MSSanté.
[Donnée restreinte] : Adresse(s) de correspondance permettant de contacter le professionnel (adresseCorrespondance).
An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.
Note: address is intended to describe postal addresses for administrative purposes, not to describe absolute geographical coordinates. Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).
The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.
Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.
The gender of a person used for administrative purposes.
The date on which the practitioner was born
Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.
./ImageURI (only supports the URI reference)
Qualifications obtained by training and certification | Diplômes. Les différents diplômes sont : les diplômes d'état français, les commissions de qualification, les diplômes d'études spécialisées, les DESC groupe 1 et 2, les capacités, les diplômes d'un pays de l'EEE, les diplômes d'université (DU) ou Inter-Universitaire, les certificats d'étude spéciale, les attestations, les diplômes européens d'études spécialisées, les diplômes de 2ème cycle non qualifiant et les autres types de diplômes. Pour plus d'informations, consulter le jeu de valeurs associé.
The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner. For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.
Extensions that cannot be ignored even if unrecognized
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).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
An identifier for this qualification for the practitioner
An identifier that applies to this person's qualification in this role.
Often, specific identities are assigned for the qualification.
Coded representation of the qualification
Coded representation of the qualification.
Specific qualification the practitioner has to provide a service.
Period during which the qualification is valid
Period during which the qualification is valid.
Qualifications are often for a limited period of time, and can be revoked.
./Qualifications.StartDate and ./Qualifications.EndDate
Organization that regulates and issues the qualification
Organization that regulates and issues the qualification.
Diplôme et type de diplôme, par exemple : DE, DES, CES, etc. (typeDiplome)
[Donnée restreinte] : Période durant laquelle le niveau de formation est actif.
dateDebut : Date d’obtention du diplôme (dateDiplome) cette date est renseignée par l’ordre à la clôture de l’exercice professionnel.
dateFin : Date à laquelle le niveau de formation n’est plus actif (non visible hormis dans les données historisées).
[Donnée restreinte] : Lieu de formation pour l'obtention du diplôme (lieuFormation).
exercicePro : exercice professionnel décrivant la profession exercée, l'identité d'exercice d'un professionnel et le cadre de son exercice (civil, militaire, etc.).
Catégorie professionnelle indiquant si le professionnel exerce sa profession en tant que Militaire, Civil, Fonctionnaire ou Etudiant (categorieProfessionnelle).
Profession exercée : de santé (professionSante) TRE G15, du social (professionSocial) TRE R94, à usage de titre professionnel (usagerTitre) TRE R95, ou autre profession (autreProfession) TRE R291
[Donnée restreinte] : Date à partir de laquelle le professionnel exerce cette profession (dateEffetExercice).
[Donnée restreinte] : Date à partir de laquelle le professionnel n’exerce plus cette profession (dateFinEffetExercice).
savoirFaire : Prérogatives d'exercice d'un professionnel reconnues par une autorité d'enregistrement sur une période donnée de son exercice professionnel, par exemple les spécialités ordinales, etc.
Le type de savoir-faire (qualifications/autres attributions). typeSavoirFaire
Compétence acquise par le professionnel (competence) R39 ou Compétence exclusive exercée par le professionnel à titre exclusif (competenceExclusive) R40 ou Diplôme d'études spécialisées complémentaires (DESC)DESCnonQualifian R42 ou Capacité (savoir-faire)de médecine (capaciteSavoirFaire) R43 ou Qualification de praticien adjoint contractuel (qualificationPAC) R44 ou Fonction qualifiée (Synonyme: fonctionQualifiee) R45 ou Droit d'exercice complémentaire (Synonyme: droitExerciceComplementaire) R97 ou Orientation particulière (Synonyme: orientationParticuliere) G13 ou Activité ponctuelle du professionnel de type expertise (attributionParticuliere) G13.
End time with inclusive boundary, if not ongoing
A language the practitioner can use in patient communication.
The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
Knowing which language a practitioner speaks can help in facilitating communication with patients.