FR Document Core (FHIR), published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ansforge/interop-IG-fhir-document-core/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: FR Patient INS Document

Ce profil représente le patient concerné par le document.

Usages:

• Use this Profile: FR Bundle Document
• Refer to this Profile: FR Actor Extension, AllergyIntolerance - FR Allergy and intolerance Document, FR Composition Document, Condition - FR Condition Document... Show 18 more, DiagnosticReport - FR Diagnostic Report BIO chapter Document, DiagnosticReport - FR Diagnostic Report Imaging Document, Encounter - FR Encounter Document, FamilyMemberHistory - FR Family Member History Document, Immunization - FR Immunization Document, Media - FR Media Document, MedicationRequest - FR Medication Request Document, Observation - FR Observation Contra Indications Document, Observation - FR Observation Laboratory Report Results Document, Observation - FR Observation Microorganism Detection Document, Observation - FR Observation Multiresistant Microorganisms Identification Document, Observation - FR Observation Pregnancy Document, Observation - FR Observation Radiation Exposure Document, Observation - FR Observation Result Document, Observation - FR Observation Vital Signs Document, Observation - FR Observation Vital Signs Panel Document, Observation - FR Observation Work Related Accident Document and Procedure - FR Procedure Document

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	FRCorePatientINSProfile(2.1.0)	Information about an individual or animal receiving health care services Constraints: fr-core-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:nationality		0..1	(Complex)	Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality Constraints: ext-1
extension:identityReliability		1..*	(Complex)	Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability Constraints: ext-1
extension:deathPlace		0..1	string	FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place Constraints: ext-1
extension:birthdateUpdateIndicator		0..1	boolean	FR Core Patient Birthdate Update Indicator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator Constraints: ext-1
extension:birthPlace	S	1..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	FRCoreAddressProfile(2.1.0)	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:inseeCode		1..1	Coding	FR Core Address Insee Code Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code Binding: FR Core ValueSet INSEE code (required) Constraints: ext-1
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
extension:sex-for-clinical-use		0..*	(Complex)	Sexe clinique du patient URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS. Slice: Unordered, Open by value:type
identifier:NSS	Σ	0..1	Identifier	National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NH
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-C	Σ	0..*	Identifier	Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-C
display		1..1	string	Representation defined by the system Fixed Value: Identifiant National de Santé Calculé
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.2
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:NDP	Σ	0..1	Identifier	French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NDP
display		1..1	string	Representation defined by the system Fixed Value: Identifiant du patient au Dossier Pharmaceutique
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.176.1.2
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:PI	Σ	0..*	Identifier	Hospital assigned patient identifier | IPP
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PI
display		1..1	string	Representation defined by the system Fixed Value: Patient internal identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:RRI	Σ	0..*	Identifier	Regional Registry ID | Identifiant régional
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RRI
display		1..1	string	Representation defined by the system Fixed Value: Regional registry ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-NIR	SΣ	0..*	Identifier	INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d'affectation des INS-NIR Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-NIR-TEST	Σ	0..*	Identifier	Identifiant INS-NIR du patient fictif de test
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR-TEST
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d’affectation des INS-NIR de test Required Pattern: urn:oid:1.2.250.1.213.1.4.10
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-NIR-DEMO	Σ	0..*	Identifier	Identifiant INS-NIR du patient fictif de démonstration
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR-DEMO
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d’affectation des INS-NIR de démonstration Required Pattern: urn:oid:1.2.250.1.213.1.4.11
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-NIA	SΣ	0..*	Identifier	INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: temp
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIA
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d'affectation des INS-NIA Required Pattern: urn:oid:1.2.250.1.213.1.4.9
value	Σ	1..1	string	The value that is unique Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	Σ	1..*	FRCoreHumanNameProfile(2.1.0)	A name associated with the patient Slice: Unordered, Open by value:use
name:usualName	Σ	0..*	HumanName	Name of a human | Nom utilisé
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: usual
name:officialName	SΣ	1..1	HumanName	Name of a human | Nom de naissance
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:birth-list-given-name	S	1..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces. URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name Constraints: ext-1
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
family	Σ	1..1	string	Family name (often called 'Surname')
given	Σ	1..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'. This repeating element order: Given Names appear in the correct order for presenting the name
gender	SΣ	1..1	code	male | female | unknown Binding: FRCoreValueSetPatientGenderINS (2.1.0) (required)
birthDate	SΣ	1..1	date	The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
generalPractitioner		0..*	Reference(FR Practitioner Document(0.1.0))	Patient's nominated primary care provider
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:birthPlace.​value[x].use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.identifier:NSS.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NSS.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-C.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-C.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:NDP.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NDP.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:PI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:PI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:RRI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:RRI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-TEST.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-TEST.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-DEMO.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-DEMO.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIA.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIA.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name:usualName.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.name:officialName.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	FR Core ValueSet Patient gender INS ValueSet	📍2.1.0	Guide d'implémentation Fr Core v2.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Patient.implicitRules, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:deathPlace, Patient.extension:birthdateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:birthPlace.value[x].use, Patient.extension:sex-for-clinical-use, Patient.modifierExtension, Patient.identifier, Patient.identifier:NSS, Patient.identifier:NSS.use, Patient.identifier:NSS.type, Patient.identifier:NSS.system, Patient.identifier:NSS.value, Patient.identifier:INS-C, Patient.identifier:INS-C.use, Patient.identifier:INS-C.type, Patient.identifier:INS-C.system, Patient.identifier:INS-C.value, Patient.identifier:NDP, Patient.identifier:NDP.use, Patient.identifier:NDP.type, Patient.identifier:NDP.system, Patient.identifier:NDP.value, Patient.identifier:PI, Patient.identifier:PI.use, Patient.identifier:PI.type, Patient.identifier:PI.system, Patient.identifier:PI.value, Patient.identifier:RRI, Patient.identifier:RRI.use, Patient.identifier:RRI.type, Patient.identifier:RRI.system, Patient.identifier:RRI.value, Patient.identifier:INS-NIR, Patient.identifier:INS-NIR.use, Patient.identifier:INS-NIR.type, Patient.identifier:INS-NIR.system, Patient.identifier:INS-NIR.value, Patient.identifier:INS-NIR-TEST, Patient.identifier:INS-NIR-TEST.use, Patient.identifier:INS-NIR-TEST.type, Patient.identifier:INS-NIR-TEST.system, Patient.identifier:INS-NIR-TEST.value, Patient.identifier:INS-NIR-DEMO, Patient.identifier:INS-NIR-DEMO.use, Patient.identifier:INS-NIR-DEMO.type, Patient.identifier:INS-NIR-DEMO.system, Patient.identifier:INS-NIR-DEMO.value, Patient.identifier:INS-NIA, Patient.identifier:INS-NIA.use, Patient.identifier:INS-NIA.type, Patient.identifier:INS-NIA.system, Patient.identifier:INS-NIA.value, Patient.active, Patient.name, Patient.name:usualName, Patient.name:usualName.use, Patient.name:officialName, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.name:officialName.use, Patient.name:officialName.family, Patient.name:officialName.given, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.generalPractitioner, Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:deathPlace, Patient.extension:birthdateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:sex-for-clinical-use, Patient.modifierExtension, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
fr-core-1	error	Patient	If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST]or Patient.identifier[INS-NIR-DEMO] SHALL be present	(extension.where(url= 'https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension.where(url = 'identityStatus').value.code = 'VALI') implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10').exists())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient			FRCorePatientINSProfile(2.1.0)
Slices for extension				Content/Rules for all slices
extension:sex-for-clinical-use		0..*	(Complex)	Sexe clinique du patient URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
contact
Slices for relationship				Content/Rules for all slices
relationship:Role		0..1	CodeableConcept	The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ... Binding: JdvRoleInformateurCisis (20260619134042) (required)
relationship:RelationType		0..1	CodeableConcept	The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: JDV_J11_RelationPatient_CISIS (20200424120000) (required)
name		1..1	FRHumanNameDocument(0.1.0)	Name of a human - parts and usage
generalPractitioner		0..*	Reference(FR Practitioner Document(0.1.0))	Patient's nominated primary care provider
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.contact.relationship:Role	Base	required	Jdv Role Informateur CISIS	📍20260619134042	Terminologies de Santé v1.11
Patient.contact.relationship:RelationType	Base	required	JDV_J11_RelationPatient_CISIS	📍20200424120000	Terminologies de Santé v1.11

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	FRCorePatientINSProfile(2.1.0)	Information about an individual or animal receiving health care services Constraints: fr-core-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient|2.1.0
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:nationality		0..1	(Complex)	Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality Constraints: ext-1
extension:identityReliability		1..*	(Complex)	Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability Constraints: ext-1
extension:deathPlace		0..1	string	FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place Constraints: ext-1
extension:birthdateUpdateIndicator		0..1	boolean	FR Core Patient Birthdate Update Indicator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator Constraints: ext-1
extension:birthPlace	S	1..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	FRCoreAddressProfile(2.1.0)	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:inseeCode		1..1	Coding	FR Core Address Insee Code Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code Binding: FR Core ValueSet INSEE code (required) Constraints: ext-1
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Les communes existantes sont définies ici : https://public.opendatasoft.com/explore/dataset/correspondance-code-insee-code-postal/table. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (will be ISO 3166 3 letter code; code=FRA for France)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
extension:sex-for-clinical-use		0..*	(Complex)	Sexe clinique du patient URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS. Slice: Unordered, Open by value:type
identifier:NSS	Σ	0..1	Identifier	National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NH
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-C	Σ	0..*	Identifier	Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-C
display		1..1	string	Representation defined by the system Fixed Value: Identifiant National de Santé Calculé
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.2
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:NDP	Σ	0..1	Identifier	French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NDP
display		1..1	string	Representation defined by the system Fixed Value: Identifiant du patient au Dossier Pharmaceutique
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.176.1.2
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:PI	Σ	0..*	Identifier	Hospital assigned patient identifier | IPP
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PI
display		1..1	string	Representation defined by the system Fixed Value: Patient internal identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:RRI	Σ	0..*	Identifier	Regional Registry ID | Identifiant régional
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RRI
display		1..1	string	Representation defined by the system Fixed Value: Regional registry ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-NIR	SΣ	0..*	Identifier	INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d'affectation des INS-NIR Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-NIR-TEST	Σ	0..*	Identifier	Identifiant INS-NIR du patient fictif de test
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR-TEST
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d’affectation des INS-NIR de test Required Pattern: urn:oid:1.2.250.1.213.1.4.10
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-NIR-DEMO	Σ	0..*	Identifier	Identifiant INS-NIR du patient fictif de démonstration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR-DEMO
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d’affectation des INS-NIR de démonstration Required Pattern: urn:oid:1.2.250.1.213.1.4.11
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-NIA	SΣ	0..*	Identifier	INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: temp
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIA
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d'affectation des INS-NIA Required Pattern: urn:oid:1.2.250.1.213.1.4.9
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	Σ	1..*	FRCoreHumanNameProfile(2.1.0)	A name associated with the patient Slice: Unordered, Open by value:use
name:usualName	Σ	0..*	HumanName	Name of a human | Nom utilisé
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: usual
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
name:officialName	SΣ	1..1	HumanName	Name of a human | Nom de naissance
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:birth-list-given-name	S	1..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces. URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name Constraints: ext-1
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
text	Σ	0..1	string	Text representation of the full name
family	Σ	1..1	string	Family name (often called 'Surname')
given	Σ	1..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'. This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	C	0..*	FRCoreContactPointProfile(2.1.0)	Details of a Technology mediated contact point (phone, fax, email, etc.) Constraints: cpt-2
gender	SΣ	1..1	code	male | female | unknown Binding: FRCoreValueSetPatientGenderINS (2.1.0) (required)
birthDate	SΣ	1..1	date	The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	FRCoreAddressProfile(2.1.0)	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: FRCoreValueSetMaritalStatus (2.1.0) (extensible)
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:contactIdentifier		0..1	Identifier	Contact identifier in the patient resource | Identifiant de contact dans la ressource Patient URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier Constraints: ext-1
extension:comment		0..1	string	Comment on a dataElement | Commentaire sur un dataElement URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for relationship		0..*	CodeableConcept	The kind of relationship Slice: Unordered, Open by value:coding.system Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
relationship:Role		0..1	CodeableConcept	The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ... Binding: JdvRoleInformateurCisis (20260619134042) (required)
relationship:RelationType		0..1	CodeableConcept	The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: JDV_J11_RelationPatient_CISIS (20200424120000) (required)
name		1..1	FRHumanNameDocument(0.1.0)	Name of a human - parts and usage
telecom	C	0..*	FRCoreContactPointProfile(2.1.0)	Details of a Technology mediated contact point (phone, fax, email, etc.) Constraints: cpt-2
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(FR Practitioner Document(0.1.0))	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(FR Core Organization Profile(2.1.0))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Patient.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.extension:birthPlace.​value[x].use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.extension:birthPlace.​value[x].type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.identifier:NSS.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NSS.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-C.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-C.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:NDP.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NDP.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:PI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:PI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:RRI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:RRI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-TEST.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-TEST.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-DEMO.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-DEMO.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIA.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIA.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name:usualName.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.name:officialName.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	FR Core ValueSet Patient gender INS ValueSet	📍2.1.0	Guide d'implémentation Fr Core v2.1
Patient.maritalStatus	Base	extensible	FR Core ValueSet Patient gender INS ValueSet	📍2.1.0	Guide d'implémentation Fr Core v2.1
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.relationship:Role	Base	required	Jdv Role Informateur CISIS	📍20260619134042	Terminologies de Santé v1.11
Patient.contact.relationship:RelationType	Base	required	JDV_J11_RelationPatient_CISIS	📍20200424120000	Terminologies de Santé v1.11
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided.	value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Patient.meta, Patient.meta.extension, Patient.meta.versionId, Patient.meta.lastUpdated, Patient.meta.source, Patient.meta.profile, Patient.meta.profile:fr-canonical, Patient.meta.security, Patient.meta.tag, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:deathPlace, Patient.extension:birthdateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:birthPlace.value[x].use, Patient.extension:birthPlace.value[x].type, Patient.extension:birthPlace.value[x].text, Patient.extension:birthPlace.value[x].line, Patient.extension:birthPlace.value[x].city, Patient.extension:birthPlace.value[x].district, Patient.extension:birthPlace.value[x].state, Patient.extension:birthPlace.value[x].postalCode, Patient.extension:birthPlace.value[x].country, Patient.extension:birthPlace.value[x].period, Patient.extension:sex-for-clinical-use, Patient.modifierExtension, Patient.identifier, Patient.identifier:NSS, Patient.identifier:NSS.extension, Patient.identifier:NSS.use, Patient.identifier:NSS.type, Patient.identifier:NSS.system, Patient.identifier:NSS.value, Patient.identifier:NSS.period, Patient.identifier:NSS.assigner, Patient.identifier:INS-C, Patient.identifier:INS-C.extension, Patient.identifier:INS-C.use, Patient.identifier:INS-C.type, Patient.identifier:INS-C.system, Patient.identifier:INS-C.value, Patient.identifier:INS-C.period, Patient.identifier:INS-C.assigner, Patient.identifier:NDP, Patient.identifier:NDP.extension, Patient.identifier:NDP.use, Patient.identifier:NDP.type, Patient.identifier:NDP.system, Patient.identifier:NDP.value, Patient.identifier:NDP.period, Patient.identifier:NDP.assigner, Patient.identifier:PI, Patient.identifier:PI.extension, Patient.identifier:PI.use, Patient.identifier:PI.type, Patient.identifier:PI.system, Patient.identifier:PI.value, Patient.identifier:PI.period, Patient.identifier:PI.assigner, Patient.identifier:RRI, Patient.identifier:RRI.extension, Patient.identifier:RRI.use, Patient.identifier:RRI.type, Patient.identifier:RRI.system, Patient.identifier:RRI.value, Patient.identifier:RRI.period, Patient.identifier:RRI.assigner, Patient.identifier:INS-NIR, Patient.identifier:INS-NIR.extension, Patient.identifier:INS-NIR.use, Patient.identifier:INS-NIR.type, Patient.identifier:INS-NIR.system, Patient.identifier:INS-NIR.value, Patient.identifier:INS-NIR.period, Patient.identifier:INS-NIR.assigner, Patient.identifier:INS-NIR-TEST, Patient.identifier:INS-NIR-TEST.extension, Patient.identifier:INS-NIR-TEST.use, Patient.identifier:INS-NIR-TEST.type, Patient.identifier:INS-NIR-TEST.system, Patient.identifier:INS-NIR-TEST.value, Patient.identifier:INS-NIR-TEST.period, Patient.identifier:INS-NIR-TEST.assigner, Patient.identifier:INS-NIR-DEMO, Patient.identifier:INS-NIR-DEMO.extension, Patient.identifier:INS-NIR-DEMO.use, Patient.identifier:INS-NIR-DEMO.type, Patient.identifier:INS-NIR-DEMO.system, Patient.identifier:INS-NIR-DEMO.value, Patient.identifier:INS-NIR-DEMO.period, Patient.identifier:INS-NIR-DEMO.assigner, Patient.identifier:INS-NIA, Patient.identifier:INS-NIA.extension, Patient.identifier:INS-NIA.use, Patient.identifier:INS-NIA.type, Patient.identifier:INS-NIA.system, Patient.identifier:INS-NIA.value, Patient.identifier:INS-NIA.period, Patient.identifier:INS-NIA.assigner, Patient.active, Patient.name, Patient.name:usualName, Patient.name:usualName.extension, Patient.name:usualName.use, Patient.name:usualName.text, Patient.name:usualName.family, Patient.name:usualName.given, Patient.name:usualName.prefix, Patient.name:usualName.suffix, Patient.name:usualName.period, Patient.name:officialName, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.name:officialName.use, Patient.name:officialName.text, Patient.name:officialName.family, Patient.name:officialName.given, Patient.name:officialName.prefix, Patient.name:officialName.suffix, Patient.name:officialName.period, Patient.telecom, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.extension:contactIdentifier, Patient.contact.extension:comment, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.relationship:Role, Patient.contact.relationship:RelationType, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Patient.meta.extension, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:deathPlace, Patient.extension:birthdateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:sex-for-clinical-use, Patient.modifierExtension, Patient.identifier:NSS.extension, Patient.identifier:INS-C.extension, Patient.identifier:NDP.extension, Patient.identifier:PI.extension, Patient.identifier:RRI.extension, Patient.identifier:INS-NIR.extension, Patient.identifier:INS-NIR-TEST.extension, Patient.identifier:INS-NIR-DEMO.extension, Patient.identifier:INS-NIA.extension, Patient.name:usualName.extension, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.contact.extension, Patient.contact.extension:contactIdentifier, Patient.contact.extension:comment, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
fr-core-1	error	Patient	If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST]or Patient.identifier[INS-NIR-DEMO] SHALL be present	(extension.where(url= 'https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension.where(url = 'identityStatus').value.code = 'VALI') implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10').exists())
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()

Summary

Mandatory: 0 element(1 nested mandatory element)

Structures

This structure refers to these other structures:

• FR Human Name Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-human-name-document|0.1.0)
• FR Practitioner Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitioner-document|0.1.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse|5.3.0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	FRCorePatientINSProfile(2.1.0)	Information about an individual or animal receiving health care services Constraints: fr-core-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:nationality		0..1	(Complex)	Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality Constraints: ext-1
extension:identityReliability		1..*	(Complex)	Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability Constraints: ext-1
extension:deathPlace		0..1	string	FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place Constraints: ext-1
extension:birthdateUpdateIndicator		0..1	boolean	FR Core Patient Birthdate Update Indicator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator Constraints: ext-1
extension:birthPlace	S	1..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	FRCoreAddressProfile(2.1.0)	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:inseeCode		1..1	Coding	FR Core Address Insee Code Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code Binding: FR Core ValueSet INSEE code (required) Constraints: ext-1
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
extension:sex-for-clinical-use		0..*	(Complex)	Sexe clinique du patient URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS. Slice: Unordered, Open by value:type
identifier:NSS	Σ	0..1	Identifier	National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NH
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-C	Σ	0..*	Identifier	Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-C
display		1..1	string	Representation defined by the system Fixed Value: Identifiant National de Santé Calculé
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.2
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:NDP	Σ	0..1	Identifier	French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NDP
display		1..1	string	Representation defined by the system Fixed Value: Identifiant du patient au Dossier Pharmaceutique
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.176.1.2
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:PI	Σ	0..*	Identifier	Hospital assigned patient identifier | IPP
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PI
display		1..1	string	Representation defined by the system Fixed Value: Patient internal identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:RRI	Σ	0..*	Identifier	Regional Registry ID | Identifiant régional
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RRI
display		1..1	string	Representation defined by the system Fixed Value: Regional registry ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-NIR	SΣ	0..*	Identifier	INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d'affectation des INS-NIR Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-NIR-TEST	Σ	0..*	Identifier	Identifiant INS-NIR du patient fictif de test
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR-TEST
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d’affectation des INS-NIR de test Required Pattern: urn:oid:1.2.250.1.213.1.4.10
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-NIR-DEMO	Σ	0..*	Identifier	Identifiant INS-NIR du patient fictif de démonstration
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR-DEMO
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d’affectation des INS-NIR de démonstration Required Pattern: urn:oid:1.2.250.1.213.1.4.11
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:INS-NIA	SΣ	0..*	Identifier	INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: temp
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIA
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d'affectation des INS-NIA Required Pattern: urn:oid:1.2.250.1.213.1.4.9
value	Σ	1..1	string	The value that is unique Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	Σ	1..*	FRCoreHumanNameProfile(2.1.0)	A name associated with the patient Slice: Unordered, Open by value:use
name:usualName	Σ	0..*	HumanName	Name of a human | Nom utilisé
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: usual
name:officialName	SΣ	1..1	HumanName	Name of a human | Nom de naissance
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:birth-list-given-name	S	1..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces. URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name Constraints: ext-1
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
family	Σ	1..1	string	Family name (often called 'Surname')
given	Σ	1..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'. This repeating element order: Given Names appear in the correct order for presenting the name
gender	SΣ	1..1	code	male | female | unknown Binding: FRCoreValueSetPatientGenderINS (2.1.0) (required)
birthDate	SΣ	1..1	date	The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
generalPractitioner		0..*	Reference(FR Practitioner Document(0.1.0))	Patient's nominated primary care provider
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.extension:birthPlace.​value[x].use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.identifier:NSS.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NSS.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-C.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-C.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:NDP.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NDP.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:PI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:PI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:RRI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:RRI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-TEST.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-TEST.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-DEMO.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-DEMO.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIA.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIA.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name:usualName.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.name:officialName.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	FR Core ValueSet Patient gender INS ValueSet	📍2.1.0	Guide d'implémentation Fr Core v2.1
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Patient.implicitRules, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:deathPlace, Patient.extension:birthdateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:birthPlace.value[x].use, Patient.extension:sex-for-clinical-use, Patient.modifierExtension, Patient.identifier, Patient.identifier:NSS, Patient.identifier:NSS.use, Patient.identifier:NSS.type, Patient.identifier:NSS.system, Patient.identifier:NSS.value, Patient.identifier:INS-C, Patient.identifier:INS-C.use, Patient.identifier:INS-C.type, Patient.identifier:INS-C.system, Patient.identifier:INS-C.value, Patient.identifier:NDP, Patient.identifier:NDP.use, Patient.identifier:NDP.type, Patient.identifier:NDP.system, Patient.identifier:NDP.value, Patient.identifier:PI, Patient.identifier:PI.use, Patient.identifier:PI.type, Patient.identifier:PI.system, Patient.identifier:PI.value, Patient.identifier:RRI, Patient.identifier:RRI.use, Patient.identifier:RRI.type, Patient.identifier:RRI.system, Patient.identifier:RRI.value, Patient.identifier:INS-NIR, Patient.identifier:INS-NIR.use, Patient.identifier:INS-NIR.type, Patient.identifier:INS-NIR.system, Patient.identifier:INS-NIR.value, Patient.identifier:INS-NIR-TEST, Patient.identifier:INS-NIR-TEST.use, Patient.identifier:INS-NIR-TEST.type, Patient.identifier:INS-NIR-TEST.system, Patient.identifier:INS-NIR-TEST.value, Patient.identifier:INS-NIR-DEMO, Patient.identifier:INS-NIR-DEMO.use, Patient.identifier:INS-NIR-DEMO.type, Patient.identifier:INS-NIR-DEMO.system, Patient.identifier:INS-NIR-DEMO.value, Patient.identifier:INS-NIA, Patient.identifier:INS-NIA.use, Patient.identifier:INS-NIA.type, Patient.identifier:INS-NIA.system, Patient.identifier:INS-NIA.value, Patient.active, Patient.name, Patient.name:usualName, Patient.name:usualName.use, Patient.name:officialName, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.name:officialName.use, Patient.name:officialName.family, Patient.name:officialName.given, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.generalPractitioner, Patient.link, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:deathPlace, Patient.extension:birthdateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:sex-for-clinical-use, Patient.modifierExtension, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
fr-core-1	error	Patient	If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST]or Patient.identifier[INS-NIR-DEMO] SHALL be present	(extension.where(url= 'https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension.where(url = 'identityStatus').value.code = 'VALI') implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10').exists())

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient			FRCorePatientINSProfile(2.1.0)
Slices for extension				Content/Rules for all slices
extension:sex-for-clinical-use		0..*	(Complex)	Sexe clinique du patient URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse
contact
Slices for relationship				Content/Rules for all slices
relationship:Role		0..1	CodeableConcept	The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ... Binding: JdvRoleInformateurCisis (20260619134042) (required)
relationship:RelationType		0..1	CodeableConcept	The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: JDV_J11_RelationPatient_CISIS (20200424120000) (required)
name		1..1	FRHumanNameDocument(0.1.0)	Name of a human - parts and usage
generalPractitioner		0..*	Reference(FR Practitioner Document(0.1.0))	Patient's nominated primary care provider
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Patient.contact.relationship:Role	Base	required	Jdv Role Informateur CISIS	📍20260619134042	Terminologies de Santé v1.11
Patient.contact.relationship:RelationType	Base	required	JDV_J11_RelationPatient_CISIS	📍20200424120000	Terminologies de Santé v1.11

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	FRCorePatientINSProfile(2.1.0)	Information about an individual or animal receiving health care services Constraints: fr-core-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient|2.1.0
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:nationality		0..1	(Complex)	Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality Constraints: ext-1
extension:identityReliability		1..*	(Complex)	Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability Constraints: ext-1
extension:deathPlace		0..1	string	FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place Constraints: ext-1
extension:birthdateUpdateIndicator		0..1	boolean	FR Core Patient Birthdate Update Indicator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator Constraints: ext-1
extension:birthPlace	S	1..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace Constraints: ext-1
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	FRCoreAddressProfile(2.1.0)	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:inseeCode		1..1	Coding	FR Core Address Insee Code Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code Binding: FR Core ValueSet INSEE code (required) Constraints: ext-1
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	Σ	0..1	string	Les communes existantes sont définies ici : https://public.opendatasoft.com/explore/dataset/correspondance-code-insee-code-postal/table. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Example General: 9132
country	Σ	0..1	string	Country (will be ISO 3166 3 letter code; code=FRA for France)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
extension:sex-for-clinical-use		0..*	(Complex)	Sexe clinique du patient URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient | Identifiant patient. Pour modéliser un patient avec une INS validée, il est nécessaire de respecter la conformité au profil FrCorePatientINS. Les identifiants NIR et NIA ne sont définis uniquement dans le cas du FRCorePatientINS. Slice: Unordered, Open by value:type
identifier:NSS	Σ	0..1	Identifier	National Health Plan Identifier | Le Numéro d'Inscription au Répertoire (NIR) de facturation permet de faire transiter le numéro de sécurité social de l’ayant droit ou du bénéfiaire (patient) / le numéro de sécurité sociale de l’ouvrant droit (assuré).
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NH
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-C	Σ	0..*	Identifier	Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-C
display		1..1	string	Representation defined by the system Fixed Value: Identifiant National de Santé Calculé
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.213.1.4.2
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:NDP	Σ	0..1	Identifier	French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NDP
display		1..1	string	Representation defined by the system Fixed Value: Identifiant du patient au Dossier Pharmaceutique
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:oid:1.2.250.1.176.1.2
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:PI	Σ	0..*	Identifier	Hospital assigned patient identifier | IPP
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PI
display		1..1	string	Representation defined by the system Fixed Value: Patient internal identifier
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:RRI	Σ	0..*	Identifier	Regional Registry ID | Identifiant régional
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: RRI
display		1..1	string	Representation defined by the system Fixed Value: Regional registry ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-NIR	SΣ	0..*	Identifier	INS-NIR - The patient national health identifier INS obtained by requesting the national patient identification service (CNAM) called the INSi teleservice. Identifiant national de santé (NIR) du patient INS provenant du téléservice INSi (service national d'identification des patients (CNAM))
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d'affectation des INS-NIR Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-NIR-TEST	Σ	0..*	Identifier	Identifiant INS-NIR du patient fictif de test
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR-TEST
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d’affectation des INS-NIR de test Required Pattern: urn:oid:1.2.250.1.213.1.4.10
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-NIR-DEMO	Σ	0..*	Identifier	Identifiant INS-NIR du patient fictif de démonstration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIR-DEMO
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d’affectation des INS-NIR de démonstration Required Pattern: urn:oid:1.2.250.1.213.1.4.11
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-NIA	SΣ	0..*	Identifier	INS-NIA - The temporary patient health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: temp
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-NIA
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	Autorité d'affectation des INS-NIA Required Pattern: urn:oid:1.2.250.1.213.1.4.9
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	Σ	1..*	FRCoreHumanNameProfile(2.1.0)	A name associated with the patient Slice: Unordered, Open by value:use
name:usualName	Σ	0..*	HumanName	Name of a human | Nom utilisé
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: usual
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
name:officialName	SΣ	1..1	HumanName	Name of a human | Nom de naissance
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Slices for extension				Content/Rules for all slices
extension:birth-list-given-name	S	1..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces. URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name Constraints: ext-1
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
text	Σ	0..1	string	Text representation of the full name
family	Σ	1..1	string	Family name (often called 'Surname')
given	Σ	1..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il est nécessaire d’extraire le premier prénom de la liste des prénoms retournée par le téléservice et de l'inclure dans le champs given. En cas de prénom composé, given peut par exemple contenir 'Anne-sophie' ou 'Anne Sophie'. This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
telecom	C	0..*	FRCoreContactPointProfile(2.1.0)	Details of a Technology mediated contact point (phone, fax, email, etc.) Constraints: cpt-2
gender	SΣ	1..1	code	male | female | unknown Binding: FRCoreValueSetPatientGenderINS (2.1.0) (required)
birthDate	SΣ	1..1	date	The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	FRCoreAddressProfile(2.1.0)	An address expressed using postal conventions (as opposed to GPS or other location definition formats)
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: FRCoreValueSetMaritalStatus (2.1.0) (extensible)
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient Constraints: pat-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:contactIdentifier		0..1	Identifier	Contact identifier in the patient resource | Identifiant de contact dans la ressource Patient URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-contact-identifier Constraints: ext-1
extension:comment		0..1	string	Comment on a dataElement | Commentaire sur un dataElement URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for relationship		0..*	CodeableConcept	The kind of relationship Slice: Unordered, Open by value:coding.system Binding: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
relationship:Role		0..1	CodeableConcept	The nature of the relationship. Rôle de la personne. Ex : personne de confiance, aidant ... Binding: JdvRoleInformateurCisis (20260619134042) (required)
relationship:RelationType		0..1	CodeableConcept	The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: JDV_J11_RelationPatient_CISIS (20200424120000) (required)
name		1..1	FRHumanNameDocument(0.1.0)	Name of a human - parts and usage
telecom	C	0..*	FRCoreContactPointProfile(2.1.0)	Details of a Technology mediated contact point (phone, fax, email, etc.) Constraints: cpt-2
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(FR Practitioner Document(0.1.0))	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(FR Core Organization Profile(2.1.0))	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Patient.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Patient.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Patient.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.extension:birthPlace.​value[x].use	Base	required	AddressUse	📍4.0.1	FHIR Std.
Patient.extension:birthPlace.​value[x].type	Base	required	AddressType	📍4.0.1	FHIR Std.
Patient.identifier:NSS.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NSS.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-C.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-C.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:NDP.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:NDP.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:PI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:PI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:RRI.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:RRI.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-TEST.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-TEST.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-DEMO.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIR-DEMO.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIA.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Patient.identifier:INS-NIA.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Patient.name:usualName.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.name:officialName.​use	Base	required	NameUse	📍4.0.1	FHIR Std.
Patient.gender	Base	required	FR Core ValueSet Patient gender INS ValueSet	📍2.1.0	Guide d'implémentation Fr Core v2.1
Patient.maritalStatus	Base	extensible	FR Core ValueSet Patient gender INS ValueSet	📍2.1.0	Guide d'implémentation Fr Core v2.1
Patient.contact.relationship	Base	extensible	Patient Contact Relationship	📍4.0.1	FHIR Std.
Patient.contact.relationship:Role	Base	required	Jdv Role Informateur CISIS	📍20260619134042	Terminologies de Santé v1.11
Patient.contact.relationship:RelationType	Base	required	JDV_J11_RelationPatient_CISIS	📍20200424120000	Terminologies de Santé v1.11
Patient.contact.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.
Patient.communication.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Patient.link.type	Base	required	LinkType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpt-2	error	Patient.telecom, Patient.contact.telecom	A system is required if a value is provided.	value.empty() or system.exists()
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Patient.meta, Patient.meta.extension, Patient.meta.versionId, Patient.meta.lastUpdated, Patient.meta.source, Patient.meta.profile, Patient.meta.profile:fr-canonical, Patient.meta.security, Patient.meta.tag, Patient.implicitRules, Patient.language, Patient.text, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:deathPlace, Patient.extension:birthdateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x], Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:birthPlace.value[x].use, Patient.extension:birthPlace.value[x].type, Patient.extension:birthPlace.value[x].text, Patient.extension:birthPlace.value[x].line, Patient.extension:birthPlace.value[x].city, Patient.extension:birthPlace.value[x].district, Patient.extension:birthPlace.value[x].state, Patient.extension:birthPlace.value[x].postalCode, Patient.extension:birthPlace.value[x].country, Patient.extension:birthPlace.value[x].period, Patient.extension:sex-for-clinical-use, Patient.modifierExtension, Patient.identifier, Patient.identifier:NSS, Patient.identifier:NSS.extension, Patient.identifier:NSS.use, Patient.identifier:NSS.type, Patient.identifier:NSS.system, Patient.identifier:NSS.value, Patient.identifier:NSS.period, Patient.identifier:NSS.assigner, Patient.identifier:INS-C, Patient.identifier:INS-C.extension, Patient.identifier:INS-C.use, Patient.identifier:INS-C.type, Patient.identifier:INS-C.system, Patient.identifier:INS-C.value, Patient.identifier:INS-C.period, Patient.identifier:INS-C.assigner, Patient.identifier:NDP, Patient.identifier:NDP.extension, Patient.identifier:NDP.use, Patient.identifier:NDP.type, Patient.identifier:NDP.system, Patient.identifier:NDP.value, Patient.identifier:NDP.period, Patient.identifier:NDP.assigner, Patient.identifier:PI, Patient.identifier:PI.extension, Patient.identifier:PI.use, Patient.identifier:PI.type, Patient.identifier:PI.system, Patient.identifier:PI.value, Patient.identifier:PI.period, Patient.identifier:PI.assigner, Patient.identifier:RRI, Patient.identifier:RRI.extension, Patient.identifier:RRI.use, Patient.identifier:RRI.type, Patient.identifier:RRI.system, Patient.identifier:RRI.value, Patient.identifier:RRI.period, Patient.identifier:RRI.assigner, Patient.identifier:INS-NIR, Patient.identifier:INS-NIR.extension, Patient.identifier:INS-NIR.use, Patient.identifier:INS-NIR.type, Patient.identifier:INS-NIR.system, Patient.identifier:INS-NIR.value, Patient.identifier:INS-NIR.period, Patient.identifier:INS-NIR.assigner, Patient.identifier:INS-NIR-TEST, Patient.identifier:INS-NIR-TEST.extension, Patient.identifier:INS-NIR-TEST.use, Patient.identifier:INS-NIR-TEST.type, Patient.identifier:INS-NIR-TEST.system, Patient.identifier:INS-NIR-TEST.value, Patient.identifier:INS-NIR-TEST.period, Patient.identifier:INS-NIR-TEST.assigner, Patient.identifier:INS-NIR-DEMO, Patient.identifier:INS-NIR-DEMO.extension, Patient.identifier:INS-NIR-DEMO.use, Patient.identifier:INS-NIR-DEMO.type, Patient.identifier:INS-NIR-DEMO.system, Patient.identifier:INS-NIR-DEMO.value, Patient.identifier:INS-NIR-DEMO.period, Patient.identifier:INS-NIR-DEMO.assigner, Patient.identifier:INS-NIA, Patient.identifier:INS-NIA.extension, Patient.identifier:INS-NIA.use, Patient.identifier:INS-NIA.type, Patient.identifier:INS-NIA.system, Patient.identifier:INS-NIA.value, Patient.identifier:INS-NIA.period, Patient.identifier:INS-NIA.assigner, Patient.active, Patient.name, Patient.name:usualName, Patient.name:usualName.extension, Patient.name:usualName.use, Patient.name:usualName.text, Patient.name:usualName.family, Patient.name:usualName.given, Patient.name:usualName.prefix, Patient.name:usualName.suffix, Patient.name:usualName.period, Patient.name:officialName, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.name:officialName.use, Patient.name:officialName.text, Patient.name:officialName.family, Patient.name:officialName.given, Patient.name:officialName.prefix, Patient.name:officialName.suffix, Patient.name:officialName.period, Patient.telecom, Patient.gender, Patient.birthDate, Patient.deceased[x], Patient.address, Patient.maritalStatus, Patient.multipleBirth[x], Patient.photo, Patient.contact, Patient.contact.extension, Patient.contact.extension:contactIdentifier, Patient.contact.extension:comment, Patient.contact.modifierExtension, Patient.contact.relationship, Patient.contact.relationship:Role, Patient.contact.relationship:RelationType, Patient.contact.name, Patient.contact.telecom, Patient.contact.address, Patient.contact.gender, Patient.contact.organization, Patient.contact.period, Patient.communication, Patient.communication.extension, Patient.communication.modifierExtension, Patient.communication.language, Patient.communication.preferred, Patient.generalPractitioner, Patient.managingOrganization, Patient.link, Patient.link.extension, Patient.link.modifierExtension, Patient.link.other, Patient.link.type	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Patient.meta.extension, Patient.extension, Patient.extension:nationality, Patient.extension:identityReliability, Patient.extension:deathPlace, Patient.extension:birthdateUpdateIndicator, Patient.extension:birthPlace, Patient.extension:birthPlace.value[x].extension, Patient.extension:birthPlace.value[x].extension:inseeCode, Patient.extension:sex-for-clinical-use, Patient.modifierExtension, Patient.identifier:NSS.extension, Patient.identifier:INS-C.extension, Patient.identifier:NDP.extension, Patient.identifier:PI.extension, Patient.identifier:RRI.extension, Patient.identifier:INS-NIR.extension, Patient.identifier:INS-NIR-TEST.extension, Patient.identifier:INS-NIR-DEMO.extension, Patient.identifier:INS-NIA.extension, Patient.name:usualName.extension, Patient.name:officialName.extension, Patient.name:officialName.extension:birth-list-given-name, Patient.contact.extension, Patient.contact.extension:contactIdentifier, Patient.contact.extension:comment, Patient.contact.modifierExtension, Patient.communication.extension, Patient.communication.modifierExtension, Patient.link.extension, Patient.link.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
fr-core-1	error	Patient	If identityReliability status = 'VALI', then at least Patient.identifier[INS-NIR] or Patient.identifier[INS-NIA] or Patient.identifier[INS-NIR-TEST]or Patient.identifier[INS-NIR-DEMO] SHALL be present	(extension.where(url= 'https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability').extension.where(url = 'identityStatus').value.code = 'VALI') implies (identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.8').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.9').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10').exists() or identifier.where(system = 'urn:oid:1.2.250.1.213.1.4.10').exists())
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization	name.exists() or telecom.exists() or address.exists() or organization.exists()

Summary

Mandatory: 0 element(1 nested mandatory element)

Structures

This structure refers to these other structures:

• FR Human Name Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-human-name-document|0.1.0)
• FR Practitioner Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitioner-document|0.1.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse|5.3.0