This page is part of the Médicosocial - Transfert de données DUI (v2.0.0-ballot: Release) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.1.0. For a full list of available versions, see the Directory of published versions

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Resource Profile: TDDUI Patient

Profil de la ressource FrCorePatientProfile permettant de représenter un usager lorsque l'INS n'est pas transmis.

Usage:

• Use this Resource Profile: TDDUI Bundle
• Refer to this Resource Profile: TDDUI Encounter Sejour
• Examples for this Resource Profile: Patient/tddui-patient-example
• CapabilityStatements using this Resource Profile: TDDUI-Consommateur and TDDUI-Producteur

Formal Views of Profile Content

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

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

Nom	Drapeaux	Card.	Type	Description et contraintes
Patient		0..*	FRCorePatientProfile	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices pour extension				Content/Rules for all slices
extension:nationality		0..1	(Complex)	Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:identityReliability		0..*	(Complex)	Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:deathPlace		0..1	string	FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	FRCoreAddressProfile	An address expressed using postal conventions (as opposed to GPS or other location definition formats) ele-1: All FHIR elements must have a @value or children
Slices pour extension				Content/Rules for all slices
extension:inseeCode		0..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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Exemple General: home
country	Σ	0..1	string	Country (will be ISO 3166 3 letter code; code=FRA for France) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour identifier	Σ	0..*	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 ele-1: All FHIR elements must have a @value or children
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). ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NH
system	Σ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:INS-C	Σ	0..*	Identifier	Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-C
display		1..1	string	Representation defined by the system Fixed Value: Identifiant National de Santé Calculé
system	Σ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.250.1.213.1.4.2
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:NDP	Σ	0..1	Identifier	French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique. ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NDP
display		1..1	string	Representation defined by the system Fixed Value: Identifiant du patient au Dossier Pharmaceutique
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.250.1.176.1.2
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:PI	Σ	0..1	Identifier	Hospital assigned patient identifier | IPP; Dans le cadre de ce volet, représente l'Identifiant local de l’usager au sein de la structure. Cet identifiant est obtenu par la concaténation du type d'identifiant national de personne (provenant de la nomenclature TRE_G08-TypeIdentifiantPersonne), de l'identifiant de la structure (numéro FINESS), de l'identifiant local de l’usager au sein de la structure (identifiantLocalUsagerESSMS) : 3+FINESS/identifiantLocalUsagerESSMS ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:RRI	Σ	0..*	Identifier	Regional Registry ID | Identifiant régional ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:InitialNumberMDPH	Σ	0..1	Identifier	Numéro de l’individu attribué par la MDPH ayant créé le dossier Individu (= MDPH initiale). ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interop.esante.gouv.fr/ig/fhir/tddui/CodeSystem/tddui-identifier
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PIN
display		1..1	string	Representation defined by the system Fixed Value: Patient initial number
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
Slices pour name	Σ	1..*	tddui-humanname	A name associated with the patient Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children
name:usualName	Σ	0..1	tddui-humanname	Name of a human | Nom utilisé ele-1: All FHIR elements must have a @value or children
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: usual
family	Σ	0..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
name:officialName	Σ	1..1	tddui-humanname	Name of a human | Nom de naissance ele-1: All FHIR elements must have a @value or children
Slices pour extension				Content/Rules for all slices
extension:birth-list-given-name		0..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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: official
family	Σ	1..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	Σ	1..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children This repeating element order: Prefixes appear in the correct order for presenting the name
gender	Σ	0..1	code	male | female | unknown Binding: FR Core ValueSet Patient gender INS ValueSet (required) ele-1: All FHIR elements must have a @value or children
birthDate	Σ	0..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. ele-1: All FHIR elements must have a @value or children
Slices pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:tddui-birth-order		1..1	positiveInt	Ordre d’enregistrement de la naissance dans le registre d’état civil de la commune de naissance pour le mois de la naissance. Il compose les 3 derniers chiffres du NIR de l'usager avant la clé de sécurité et permet de distinguer les personnes nées au même lieu et à la même période. Il est obligatoire si le NIR n'est pas transmis. URL: https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-birth-order ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet / Code	URI
Patient.extension:birthPlace.value[x].use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.identifier:NSS.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:NSS.type	extensible	Pattern: NH http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:INS-C.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:INS-C.type	extensible	Pattern: INS-C("Identifiant National de Santé Calculé") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:NDP.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:NDP.type	extensible	Pattern: NDP("Identifiant du patient au Dossier Pharmaceutique") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:PI.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:PI.type	extensible	Pattern: PI("Patient internal identifier") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:RRI.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:RRI.type	extensible	Pattern: RRI("Regional registry ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:InitialNumberMDPH.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:InitialNumberMDPH.type	extensible	Pattern: PIN("Patient initial number") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name:usualName.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:officialName.use	required	Pattern: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	FRCoreValueSetPatientGenderINS https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-gender-INS
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Détails	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from FRCorePatientProfile

Nom	Drapeaux	Card.	Type	Description et contraintes
Patient		0..*	FRCorePatientProfile	Information about an individual or animal receiving health care services
Slices pour extension				Content/Rules for all slices
extension:birthPlace		0..1	PatBirthPlace(5.2.0)	Place of Birth for patient
value[x]
country
Slices pour extension				Content/Rules for all slices
extension:inseeCode		0..1	FRCoreAddressInseeCodeExtension	FR Core Address Insee Code Extension
Slices pour identifier				Content/Rules for all slices
identifier:NSS		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).
identifier:PI		0..1	Identifier	Hospital assigned patient identifier | IPP; Dans le cadre de ce volet, représente l'Identifiant local de l’usager au sein de la structure. Cet identifiant est obtenu par la concaténation du type d'identifiant national de personne (provenant de la nomenclature TRE_G08-TypeIdentifiantPersonne), de l'identifiant de la structure (numéro FINESS), de l'identifiant local de l’usager au sein de la structure (identifiantLocalUsagerESSMS) : 3+FINESS/identifiantLocalUsagerESSMS
identifier:InitialNumberMDPH		0..1	Identifier	Numéro de l’individu attribué par la MDPH ayant créé le dossier Individu (= MDPH initiale).
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interop.esante.gouv.fr/ig/fhir/tddui/CodeSystem/tddui-identifier
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PIN
display		1..1	string	Representation defined by the system Fixed Value: Patient initial number
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
name		1..*	tddui-humanname	A name associated with the patient
Slices pour name				Content/Rules for all slices
name:usualName		0..1	tddui-humanname	Name of a human | Nom utilisé
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
name:officialName		1..1	tddui-humanname	Name of a human | Nom de naissance
Slices pour extension				Content/Rules for all slices
extension:birth-list-given-name		0..1	FRCorePatientBirthListGivenName	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
family		1..1	string	Family name (often called 'Surname')
given		1..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
gender		0..1	code	male | female | unknown Binding: FR Core ValueSet Patient gender INS ValueSet (required)
birthDate		0..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.
Slices pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:tddui-birth-order		1..1	positiveInt	Ordre d’enregistrement de la naissance dans le registre d’état civil de la commune de naissance pour le mois de la naissance. Il compose les 3 derniers chiffres du NIR de l'usager avant la clé de sécurité et permet de distinguer les personnes nées au même lieu et à la même période. Il est obligatoire si le NIR n'est pas transmis. URL: https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-birth-order
Documentation for this format

Terminology Bindings (Differential)

Path	Conformité	ValueSet	URI
Patient.gender	required	FRCoreValueSetPatientGenderINS https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-gender-INS

Nom	Drapeaux	Card.	Type	Description et contraintes
Patient		0..*	FRCorePatientProfile	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices pour profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:nationality		0..1	(Complex)	Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
extension:identityReliability		0..*	(Complex)	Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
extension:deathPlace		0..1	string	FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
extension:birthdateUpdateIndicator		0..1	boolean	FR Core Patient Birthdate Update Indicator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	FRCoreAddressProfile	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 pour extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:inseeCode		0..1	Coding	FR Core Address Insee Code Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code Binding: FR Core ValueSet INSEE code (required)
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Exemple General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Exemple General: both
text	Σ	0..1	string	Text representation of the address Exemple General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Exemple General: 137 Nowhere Street
city	Σ	0..1	string	Les communes existantes sont définies ici : https://public.opendatasoft.com/explore/dataset/correspondance-code-insee-code-postal/table. Exemple General: Erewhon
district	Σ	0..1	string	District name (aka county) Exemple General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Exemple General: 9132
country	Σ	0..1	string	Country (will be ISO 3166 3 letter code; code=FRA for France)
period	Σ	0..1	Period	Time period when address was/is in use Exemple General: {"start":"2010-03-23","end":"2010-07-01"}
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices pour identifier	Σ	0..*	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
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 Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-C	Σ	0..*	Identifier	Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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 Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:NDP	Σ	0..1	Identifier	French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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 Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:PI	Σ	0..1	Identifier	Hospital assigned patient identifier | IPP; Dans le cadre de ce volet, représente l'Identifiant local de l’usager au sein de la structure. Cet identifiant est obtenu par la concaténation du type d'identifiant national de personne (provenant de la nomenclature TRE_G08-TypeIdentifiantPersonne), de l'identifiant de la structure (numéro FINESS), de l'identifiant local de l’usager au sein de la structure (identifiantLocalUsagerESSMS) : 3+FINESS/identifiantLocalUsagerESSMS
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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 Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:RRI	Σ	0..*	Identifier	Regional Registry ID | Identifiant régional
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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 Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:InitialNumberMDPH	Σ	0..1	Identifier	Numéro de l’individu attribué par la MDPH ayant créé le dossier Individu (= MDPH initiale).
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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: https://interop.esante.gouv.fr/ig/fhir/tddui/CodeSystem/tddui-identifier
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PIN
display		1..1	string	Representation defined by the system Fixed Value: Patient initial number
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices pour name	Σ	1..*	tddui-humanname	A name associated with the patient Slice: Unordered, Open by value:use
name:usualName	Σ	0..1	tddui-humanname	Name of a human | Nom utilisé
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: usual
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
name:officialName	Σ	1..1	tddui-humanname	Name of a human | Nom de naissance
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:birth-list-given-name		0..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces. URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
text	Σ	0..1	string	Text representation of the full name
family	Σ	1..1	string	Family name (often called 'Surname')
given	Σ	1..*	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
telecom	C	0..*	FRCoreContactPointProfile	Details of a Technology mediated contact point (phone, fax, email, etc.) cpt-2: A system is required if a value is provided.
gender	Σ	0..1	code	male | female | unknown Binding: FR Core ValueSet Patient gender INS ValueSet (required)
birthDate	Σ	0..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.
id		0..1	string	xml:id (or equivalent in JSON)
Slices pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:tddui-birth-order		1..1	positiveInt	Ordre d’enregistrement de la naissance dans le registre d’état civil de la commune de naissance pour le mois de la naissance. Il compose les 3 derniers chiffres du NIR de l'usager avant la clé de sécurité et permet de distinguer les personnes nées au même lieu et à la même période. Il est obligatoire si le NIR n'est pas transmis. URL: https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-birth-order
value		0..1	date	Primitive value for date
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	FRCoreAddressProfile	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: FR Core ValueSet Patient gender INS ValueSet (extensible)
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:contactIdentifier		0..1	Identifier	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
extension:comment		0..1	string	Comment on a dataElement | Commentaire sur un dataElement URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices pour relationship		0..*	CodeableConcept	The kind of relationship Slice: Unordered, Open by value: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: FR Core ValueSet Patient contact role (extensible)
relationship:RelationType		0..1	CodeableConcept	The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: FR Core ValueSet relation type (extensible)
name		0..1	FRCoreHumanNameProfile	Name of a human - parts and usage
telecom	C	0..*	FRCoreContactPointProfile	Details of a Technology mediated contact point (phone, fax, email, etc.) cpt-2: A system is required if a value is provided.
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(FR Core Organization Profile)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet / Code	URI
Patient.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Patient.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Bindings Additionnels But AllLanguages Binding Max
Patient.extension:birthPlace.value[x].use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.extension:birthPlace.value[x].type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.identifier:NSS.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:NSS.type	extensible	Pattern: NH http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:INS-C.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:INS-C.type	extensible	Pattern: INS-C("Identifiant National de Santé Calculé") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:NDP.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:NDP.type	extensible	Pattern: NDP("Identifiant du patient au Dossier Pharmaceutique") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:PI.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:PI.type	extensible	Pattern: PI("Patient internal identifier") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:RRI.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:RRI.type	extensible	Pattern: RRI("Regional registry ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:InitialNumberMDPH.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:InitialNumberMDPH.type	extensible	Pattern: PIN("Patient initial number") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name:usualName.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:officialName.use	required	Pattern: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	FRCoreValueSetPatientGenderINS https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-gender-INS
Patient.maritalStatus	extensible	FRCoreValueSetMaritalStatus https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.relationship:Role	extensible	FRCoreValueSetPatientContactRole https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-contact-role
Patient.contact.relationship:RelationType	extensible	FRCoreValueSetPatientRelationType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-relation-type
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Bindings Additionnels But AllLanguages Binding Max
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Détails	Requirements
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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from FRCorePatientProfile

Résumé

Mandatory: 2 elements(5 nested mandatory elements)

Structures

This structure refers to these other structures:

• TDDUI Human Name DataType (https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-human-name)

Extensions

This structure refers to these extensions:

• https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-birth-order

Key Elements View

Nom	Drapeaux	Card.	Type	Description et contraintes
Patient		0..*	FRCorePatientProfile	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices pour extension				Content/Rules for all slices
extension:nationality		0..1	(Complex)	Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:identityReliability		0..*	(Complex)	Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:deathPlace		0..1	string	FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	FRCoreAddressProfile	An address expressed using postal conventions (as opposed to GPS or other location definition formats) ele-1: All FHIR elements must have a @value or children
Slices pour extension				Content/Rules for all slices
extension:inseeCode		0..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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Exemple General: home
country	Σ	0..1	string	Country (will be ISO 3166 3 letter code; code=FRA for France) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour identifier	Σ	0..*	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 ele-1: All FHIR elements must have a @value or children
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). ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NH
system	Σ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.250.1.213.1.4.8
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:INS-C	Σ	0..*	Identifier	Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INS-C
display		1..1	string	Representation defined by the system Fixed Value: Identifiant National de Santé Calculé
system	Σ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.250.1.213.1.4.2
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:NDP	Σ	0..1	Identifier	French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique. ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: NDP
display		1..1	string	Representation defined by the system Fixed Value: Identifiant du patient au Dossier Pharmaceutique
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: urn:oid:1.2.250.1.176.1.2
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:PI	Σ	0..1	Identifier	Hospital assigned patient identifier | IPP; Dans le cadre de ce volet, représente l'Identifiant local de l’usager au sein de la structure. Cet identifiant est obtenu par la concaténation du type d'identifiant national de personne (provenant de la nomenclature TRE_G08-TypeIdentifiantPersonne), de l'identifiant de la structure (numéro FINESS), de l'identifiant local de l’usager au sein de la structure (identifiantLocalUsagerESSMS) : 3+FINESS/identifiantLocalUsagerESSMS ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:RRI	Σ	0..*	Identifier	Regional Registry ID | Identifiant régional ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
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
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
identifier:InitialNumberMDPH	Σ	0..1	Identifier	Numéro de l’individu attribué par la MDPH ayant créé le dossier Individu (= MDPH initiale). ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interop.esante.gouv.fr/ig/fhir/tddui/CodeSystem/tddui-identifier
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PIN
display		1..1	string	Representation defined by the system Fixed Value: Patient initial number
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Exemple General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
Slices pour name	Σ	1..*	tddui-humanname	A name associated with the patient Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children
name:usualName	Σ	0..1	tddui-humanname	Name of a human | Nom utilisé ele-1: All FHIR elements must have a @value or children
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: usual
family	Σ	0..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
name:officialName	Σ	1..1	tddui-humanname	Name of a human | Nom de naissance ele-1: All FHIR elements must have a @value or children
Slices pour extension				Content/Rules for all slices
extension:birth-list-given-name		0..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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: official
family	Σ	1..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	Σ	1..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children This repeating element order: Prefixes appear in the correct order for presenting the name
gender	Σ	0..1	code	male | female | unknown Binding: FR Core ValueSet Patient gender INS ValueSet (required) ele-1: All FHIR elements must have a @value or children
birthDate	Σ	0..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. ele-1: All FHIR elements must have a @value or children
Slices pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:tddui-birth-order		1..1	positiveInt	Ordre d’enregistrement de la naissance dans le registre d’état civil de la commune de naissance pour le mois de la naissance. Il compose les 3 derniers chiffres du NIR de l'usager avant la clé de sécurité et permet de distinguer les personnes nées au même lieu et à la même période. Il est obligatoire si le NIR n'est pas transmis. URL: https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-birth-order ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet / Code	URI
Patient.extension:birthPlace.value[x].use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.identifier:NSS.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:NSS.type	extensible	Pattern: NH http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:INS-C.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:INS-C.type	extensible	Pattern: INS-C("Identifiant National de Santé Calculé") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:NDP.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:NDP.type	extensible	Pattern: NDP("Identifiant du patient au Dossier Pharmaceutique") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:PI.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:PI.type	extensible	Pattern: PI("Patient internal identifier") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:RRI.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:RRI.type	extensible	Pattern: RRI("Regional registry ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:InitialNumberMDPH.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:InitialNumberMDPH.type	extensible	Pattern: PIN("Patient initial number") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name:usualName.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:officialName.use	required	Pattern: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	FRCoreValueSetPatientGenderINS https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-gender-INS
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Détails	Requirements
dom-2	error	Patient	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Patient	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Patient	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Patient	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Patient	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from FRCorePatientProfile

Nom	Drapeaux	Card.	Type	Description et contraintes
Patient		0..*	FRCorePatientProfile	Information about an individual or animal receiving health care services
Slices pour extension				Content/Rules for all slices
extension:birthPlace		0..1	PatBirthPlace(5.2.0)	Place of Birth for patient
value[x]
country
Slices pour extension				Content/Rules for all slices
extension:inseeCode		0..1	FRCoreAddressInseeCodeExtension	FR Core Address Insee Code Extension
Slices pour identifier				Content/Rules for all slices
identifier:NSS		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).
identifier:PI		0..1	Identifier	Hospital assigned patient identifier | IPP; Dans le cadre de ce volet, représente l'Identifiant local de l’usager au sein de la structure. Cet identifiant est obtenu par la concaténation du type d'identifiant national de personne (provenant de la nomenclature TRE_G08-TypeIdentifiantPersonne), de l'identifiant de la structure (numéro FINESS), de l'identifiant local de l’usager au sein de la structure (identifiantLocalUsagerESSMS) : 3+FINESS/identifiantLocalUsagerESSMS
identifier:InitialNumberMDPH		0..1	Identifier	Numéro de l’individu attribué par la MDPH ayant créé le dossier Individu (= MDPH initiale).
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interop.esante.gouv.fr/ig/fhir/tddui/CodeSystem/tddui-identifier
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PIN
display		1..1	string	Representation defined by the system Fixed Value: Patient initial number
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
name		1..*	tddui-humanname	A name associated with the patient
Slices pour name				Content/Rules for all slices
name:usualName		0..1	tddui-humanname	Name of a human | Nom utilisé
family		0..1	string	Family name (often called 'Surname')
given		0..*	string	Given names (not always 'first'). Includes middle names
name:officialName		1..1	tddui-humanname	Name of a human | Nom de naissance
Slices pour extension				Content/Rules for all slices
extension:birth-list-given-name		0..1	FRCorePatientBirthListGivenName	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces.
family		1..1	string	Family name (often called 'Surname')
given		1..*	string	Given names (not always 'first'). Includes middle names
prefix		0..*	string	Parts that come before the name
gender		0..1	code	male | female | unknown Binding: FR Core ValueSet Patient gender INS ValueSet (required)
birthDate		0..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.
Slices pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:tddui-birth-order		1..1	positiveInt	Ordre d’enregistrement de la naissance dans le registre d’état civil de la commune de naissance pour le mois de la naissance. Il compose les 3 derniers chiffres du NIR de l'usager avant la clé de sécurité et permet de distinguer les personnes nées au même lieu et à la même période. Il est obligatoire si le NIR n'est pas transmis. URL: https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-birth-order
Documentation for this format

Terminology Bindings (Differential)

Path	Conformité	ValueSet	URI
Patient.gender	required	FRCoreValueSetPatientGenderINS https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-gender-INS

Snapshot View

Nom	Drapeaux	Card.	Type	Description et contraintes
Patient		0..*	FRCorePatientProfile	Information about an individual or animal receiving health care services
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices pour profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fr-canonical	Σ	0..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:nationality		0..1	(Complex)	Nationality URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-nationality
extension:identityReliability		0..*	(Complex)	Reliabilility of the identity | Fiabilité de l'identité URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability
extension:deathPlace		0..1	string	FR Core Patient Death Place Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-death-place
extension:birthdateUpdateIndicator		0..1	boolean	FR Core Patient Birthdate Update Indicator Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birthdate-update-indicator
extension:birthPlace		0..1	(Complex)	Place of Birth for patient URL: http://hl7.org/fhir/StructureDefinition/patient-birthPlace
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
value[x]		1..1	FRCoreAddressProfile	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 pour extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:inseeCode		0..1	Coding	FR Core Address Insee Code Extension URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code Binding: FR Core ValueSet INSEE code (required)
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Exemple General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Exemple General: both
text	Σ	0..1	string	Text representation of the address Exemple General: 137 Nowhere Street, Erewhon 9132
line	Σ	0..*	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Exemple General: 137 Nowhere Street
city	Σ	0..1	string	Les communes existantes sont définies ici : https://public.opendatasoft.com/explore/dataset/correspondance-code-insee-code-postal/table. Exemple General: Erewhon
district	Σ	0..1	string	District name (aka county) Exemple General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	Σ	0..1	string	Postal code for area Exemple General: 9132
country	Σ	0..1	string	Country (will be ISO 3166 3 letter code; code=FRA for France)
period	Σ	0..1	Period	Time period when address was/is in use Exemple General: {"start":"2010-03-23","end":"2010-07-01"}
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices pour identifier	Σ	0..*	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
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 Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:INS-C	Σ	0..*	Identifier	Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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 Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:NDP	Σ	0..1	Identifier	French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français. Celui-ci est unique.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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 Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:PI	Σ	0..1	Identifier	Hospital assigned patient identifier | IPP; Dans le cadre de ce volet, représente l'Identifiant local de l’usager au sein de la structure. Cet identifiant est obtenu par la concaténation du type d'identifiant national de personne (provenant de la nomenclature TRE_G08-TypeIdentifiantPersonne), de l'identifiant de la structure (numéro FINESS), de l'identifiant local de l’usager au sein de la structure (identifiantLocalUsagerESSMS) : 3+FINESS/identifiantLocalUsagerESSMS
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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 Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:RRI	Σ	0..*	Identifier	Regional Registry ID | Identifiant régional
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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 Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:InitialNumberMDPH	Σ	0..1	Identifier	Numéro de l’individu attribué par la MDPH ayant créé le dossier Individu (= MDPH initiale).
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	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: https://interop.esante.gouv.fr/ig/fhir/tddui/CodeSystem/tddui-identifier
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PIN
display		1..1	string	Representation defined by the system Fixed Value: Patient initial number
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices pour name	Σ	1..*	tddui-humanname	A name associated with the patient Slice: Unordered, Open by value:use
name:usualName	Σ	0..1	tddui-humanname	Name of a human | Nom utilisé
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: usual
text	Σ	0..1	string	Text representation of the full name
family	Σ	0..1	string	Family name (often called 'Surname')
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names This repeating element order: Given Names appear in the correct order for presenting the name
prefix	Σ	0..*	string	Parts that come before the name This repeating element order: Prefixes appear in the correct order for presenting the name
suffix	Σ	0..*	string	Parts that come after the name This repeating element order: Suffixes appear in the correct order for presenting the name
period	Σ	0..1	Period	Time period when name was/is in use
name:officialName	Σ	1..1	tddui-humanname	Name of a human | Nom de naissance
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:birth-list-given-name		0..1	string	Dans le cas d’une identité créée ou modifiée par un appel au téléservice INSi, il s’agit de la liste des prénoms retournée par le téléservice. Ce composant contient tous les prénoms du patient, y compris le premier, que l'on retrouve également dans le champ name.given. Il s'agit de la liste des prénoms du patient, qu'elle soit issue d'une saisie locale ou du retour à l'appel au téléservice INSi. Conformément aux spécifications INS, cette liste est constituée des prénoms, séparés par des espaces. URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. Required Pattern: official
text	Σ	0..1	string	Text representation of the full name
family	Σ	1..1	string	Family name (often called 'Surname')
given	Σ	1..*	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
telecom	C	0..*	FRCoreContactPointProfile	Details of a Technology mediated contact point (phone, fax, email, etc.) cpt-2: A system is required if a value is provided.
gender	Σ	0..1	code	male | female | unknown Binding: FR Core ValueSet Patient gender INS ValueSet (required)
birthDate	Σ	0..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.
id		0..1	string	xml:id (or equivalent in JSON)
Slices pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:tddui-birth-order		1..1	positiveInt	Ordre d’enregistrement de la naissance dans le registre d’état civil de la commune de naissance pour le mois de la naissance. Il compose les 3 derniers chiffres du NIR de l'usager avant la clé de sécurité et permet de distinguer les personnes nées au même lieu et à la même période. Il est obligatoire si le NIR n'est pas transmis. URL: https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-birth-order
value		0..1	date	Primitive value for date
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address		0..*	FRCoreAddressProfile	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: FR Core ValueSet Patient gender INS ValueSet (extensible)
multipleBirth[x]		0..1		Whether patient is part of a multiple birth
multipleBirthBoolean			boolean
multipleBirthInteger			integer
photo		0..*	Attachment	Image of the patient
contact	C	0..*	BackboneElement	A contact party (e.g. guardian, partner, friend) for the patient pat-1: SHALL at least contain a contact's details or a reference to an organization
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:contactIdentifier		0..1	Identifier	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
extension:comment		0..1	string	Comment on a dataElement | Commentaire sur un dataElement URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-comment
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices pour relationship		0..*	CodeableConcept	The kind of relationship Slice: Unordered, Open by value: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: FR Core ValueSet Patient contact role (extensible)
relationship:RelationType		0..1	CodeableConcept	The nature of the relationship. Relation de la personne. Ex : Mère, époux, enfant ... Binding: FR Core ValueSet relation type (extensible)
name		0..1	FRCoreHumanNameProfile	Name of a human - parts and usage
telecom	C	0..*	FRCoreContactPointProfile	Details of a Technology mediated contact point (phone, fax, email, etc.) cpt-2: A system is required if a value is provided.
address		0..1	Address	Address for the contact person
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
organization	C	0..1	Reference(Organization)	Organization that is associated with the contact
period		0..1	Period	The period during which this contact person or organization is valid to be contacted relating to this patient
communication		0..*	BackboneElement	A language which may be used to communicate with the patient about his or her health
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
language		1..1	CodeableConcept	The language which can be used to communicate with the patient about his or her health Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
preferred		0..1	boolean	Language preference indicator
generalPractitioner		0..*	Reference(FR Core Practitioner Profile | FR Core Organization Profile | PractitionerRole)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(FR Core Organization Profile)	Organization that is the custodian of the patient record
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(Patient | RelatedPerson)	The other patient or related person resource that the link refers to
type	Σ	1..1	code	replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource.
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet / Code	URI
Patient.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Patient.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Patient.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Bindings Additionnels But AllLanguages Binding Max
Patient.extension:birthPlace.value[x].use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.extension:birthPlace.value[x].type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.identifier:NSS.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:NSS.type	extensible	Pattern: NH http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:INS-C.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:INS-C.type	extensible	Pattern: INS-C("Identifiant National de Santé Calculé") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:NDP.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:NDP.type	extensible	Pattern: NDP("Identifiant du patient au Dossier Pharmaceutique") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:PI.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:PI.type	extensible	Pattern: PI("Patient internal identifier") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:RRI.use	required	Pattern: secondary http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:RRI.type	extensible	Pattern: RRI("Regional registry ID") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.identifier:InitialNumberMDPH.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:InitialNumberMDPH.type	extensible	Pattern: PIN("Patient initial number") http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name:usualName.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.name:officialName.use	required	Pattern: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	FRCoreValueSetPatientGenderINS https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-gender-INS
Patient.maritalStatus	extensible	FRCoreValueSetMaritalStatus https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-marital-status
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
Patient.contact.relationship:Role	extensible	FRCoreValueSetPatientContactRole https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-patient-contact-role
Patient.contact.relationship:RelationType	extensible	FRCoreValueSetPatientRelationType https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-relation-type
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Bindings Additionnels But AllLanguages Binding Max
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Détails	Requirements
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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pat-1	error	Patient.contact	SHALL at least contain a contact's details or a reference to an organization : name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from FRCorePatientProfile

Résumé

Mandatory: 2 elements(5 nested mandatory elements)

Structures

This structure refers to these other structures:

• TDDUI Human Name DataType (https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-human-name)

Extensions

This structure refers to these extensions:

• https://interop.esante.gouv.fr/ig/fhir/tddui/StructureDefinition/tddui-birth-order