FR Document Core (FHIR)
0.1.0 - ci-build

FR Document Core (FHIR), publié par Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. Ce guide n'est pas une publication autorisée ; C'est la version en intégration continue pour la version 0.1.0 construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/ansforge/interop-IG-fhir-document-core/ et change régulièrement. Voir le répertoire des versions publiées

## Profil du type de données: FR Accession Number Identifier Document - Descriptions détaillées

Draft à partir de 2026-08-07

Définitions pour le fr-accession-number-identifier-document profil du type de données

- Tableau des éléments clés
- Tableau différentiel (differential)
- Tableau récapitulatif (snapshot)

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. Identifier
Définition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
Court | An identifier intended for computation
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Est modificateur | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. Identifier.use
Définition | The purpose of this identifier.
Court | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Est modificateur | true parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Identifier.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Court | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Contrôle | 10..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Allows users to make use of identifiers when the identifier system is not known.
Valeur de motif | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "ACSN", "display" : "Accession ID" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Identifier.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Court | L'espace de nommage pour l'identifiantThe namespace for the identifier value
Commentaires | Identifier.system is always case sensitive.
Contrôle | 0..1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Identifier.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Court | La valeur de l'identifiantThe value that is unique
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Contrôle | 10..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. Identifier
2. Identifier.type
Contrôle | 1..?
Doit être pris en charge (Must Support) | true
Valeur de motif | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "ACSN", "display" : "Accession ID" }] }`
4. Identifier.system
Court | L'espace de nommage pour l'identifiant
Doit être pris en charge (Must Support) | true
6. Identifier.value
Court | La valeur de l'identifiant
Contrôle | 1..?
Doit être pris en charge (Must Support) | true

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. Identifier
Définition | An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.
Court | An identifier intended for computation
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Est modificateur | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2. Identifier.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
4. Identifier.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `Identifier.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
6. Identifier.use
Définition | The purpose of this identifier.
Court | usual | official | temp | secondary | old (If known)
Commentaires | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Est modificateur | true parce que This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Identifier.type
Définition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Court | Description of identifier
Commentaires | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Allows users to make use of identifiers when the identifier system is not known.
Valeur de motif | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "ACSN", "display" : "Accession ID" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Identifier.system
Définition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Court | L'espace de nommage pour l'identifiant
Commentaires | Identifier.system is always case sensitive.
Contrôle | 0..1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemple | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Identifier.value
Définition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Court | La valeur de l'identifiant
Commentaires | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Contrôle | 1..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exemple | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. Identifier.period
Définition | Time period during which identifier is/was valid for use.
Court | Time period when id is/was valid for use
Contrôle | 0..1
Type | Period
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Identifier.assigner
Définition | Organization that issued/manages the identifier.
Court | Organization that issued id (may be just text)
Commentaires | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Contrôle | 0..1
Type | Reference(Organization)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)