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{
  "resourceType": "StructureDefinition",
  "id": "fr-patient",
  "url": "http://interopsante.org/fhir/StructureDefinition/FrPatient",
  "version": "1.0.1",
  "name": "FrPatient",
  "title": "FrPatient",
  "status": "active",
  "date": "2022-10-20",
  "publisher": "InteropSanté",
  "contact": [
    {
      "name": "InteropSanté",
      "telecom": [
        {
          "system": "email",
          "value": "fhir@interopsante.org",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Profile of the Patient resource for France | Profil de la ressource Patient pour l'usage en France\r\nThis profile specifies the patient's identifiers for France. It uses international extensions (birtplace and nationality) and adds specific French extensions | Ce profil spécifie les identifiants de patient utilisés en France. Il utilise des extensions internationales (birthplace et nationalité) et ajoute des extensions propres à la France.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "cda",
      "uri": "http://hl7.org/v3/cda",
      "name": "CDA (R2)"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "loinc",
      "uri": "http://loinc.org",
      "name": "LOINC code for the element"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Patient",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Patient",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Patient.extension",
        "path": "Patient.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Patient.extension:nationality",
        "path": "Patient.extension",
        "sliceName": "nationality",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/patient-nationality"
            ]
          }
        ]
      },
      {
        "id": "Patient.extension:identityReliability",
        "path": "Patient.extension",
        "sliceName": "identityReliability",
        "min": 1,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrPatientIdentReliability"
            ]
          }
        ]
      },
      {
        "id": "Patient.extension:identityReliability.extension",
        "path": "Patient.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Patient.extension:identityReliability.extension:validationMode",
        "path": "Patient.extension.extension",
        "sliceName": "validationMode",
        "short": "Mode de validation de l'identité (avec quelle pièce officielle?)",
        "min": 0
      },
      {
        "id": "Patient.extension:deathPlace",
        "path": "Patient.extension",
        "sliceName": "deathPlace",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrPatientDeathPlace"
            ]
          }
        ]
      },
      {
        "id": "Patient.extension:identityMethodCollection",
        "path": "Patient.extension",
        "sliceName": "identityMethodCollection",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrPatientIdentityMethodCollection"
            ]
          }
        ]
      },
      {
        "id": "Patient.extension:birthdateUpdateIndicator",
        "path": "Patient.extension",
        "sliceName": "birthdateUpdateIndicator",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrPatientBirthdateUpdateIndicator"
            ]
          }
        ]
      },
      {
        "id": "Patient.extension:birthPlace",
        "path": "Patient.extension",
        "sliceName": "birthPlace",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/patient-birthPlace"
            ]
          }
        ]
      },
      {
        "id": "Patient.extension:birthPlace.value[x].district",
        "path": "Patient.extension.value[x].district",
        "binding": {
          "strength": "extensible",
          "description": "Code COG town or country",
          "valueSet": "http://interopsante.org/fhir/ValueSet/fr-cog-commune-pays"
        }
      },
      {
        "id": "Patient.identifier",
        "path": "Patient.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "description": "slicing de l'identifiant Patient sur le type d'identifiant (IPP, INS-NIR, INS-NIA, etc.)",
          "rules": "open"
        },
        "short": "National Health Identifier | Identifiant national de santé"
      },
      {
        "id": "Patient.identifier:INS-NIR",
        "path": "Patient.identifier",
        "sliceName": "INS-NIR",
        "short": "The patient's health national identifier INS coming from the INSi teleservice| Identifiant national de santé du patient INS provenant du téléservice INSi",
        "definition": "patient's national identifier obtained by requesting the national patient identification service (CNAM) | Identifiant NIR du patient récupéré à partir de l'interrogation du service national d'identification des patients (CNAM)"
      },
      {
        "id": "Patient.identifier:INS-NIR.use",
        "path": "Patient.identifier.use",
        "fixedCode": "official"
      },
      {
        "id": "Patient.identifier:INS-NIR.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://interopsante.org/CodeSystem/fr-v2-0203",
              "code": "INS-NIR",
              "display": "NIR"
            }
          ]
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://interopsante.org/fhir/ValueSet/fr-patient-identifier-type"
        }
      },
      {
        "id": "Patient.identifier:INS-NIR.system",
        "path": "Patient.identifier.system",
        "definition": "Establishes the namespace for the value - that is, a OID that describes a set values that are unique. | Autorité d'affectation des INS-NIR",
        "min": 1,
        "fixedUri": "urn:oid:1.2.250.1.213.1.4.8"
      },
      {
        "id": "Patient.identifier:INS-NIR.value",
        "path": "Patient.identifier.value",
        "min": 1
      },
      {
        "id": "Patient.identifier:INS-NIA",
        "path": "Patient.identifier",
        "sliceName": "INS-NIA",
        "short": "INS-NIA",
        "definition": "The temporary patient's health national identifier obtained by requesting the national patient identification service (CNAM)| Identifiant national temporaire de santé du patient obtenu par interrogation du téléservice INSi de la CNAM"
      },
      {
        "id": "Patient.identifier:INS-NIA.use",
        "path": "Patient.identifier.use",
        "fixedCode": "temp"
      },
      {
        "id": "Patient.identifier:INS-NIA.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://interopsante.org/CodeSystem/fr-v2-0203",
              "code": "INS-NIA",
              "display": "NIA"
            }
          ]
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://interopsante.org/fhir/ValueSet/fr-patient-identifier-type"
        }
      },
      {
        "id": "Patient.identifier:INS-NIA.system",
        "path": "Patient.identifier.system",
        "definition": "Establishes the namespace for the value - that is, a OID that describes a set values that are unique. | Autorité d'affectation des INS-NIA",
        "min": 1,
        "fixedUri": "urn:oid:1.2.250.1.213.1.4.9"
      },
      {
        "id": "Patient.identifier:INS-NIA.value",
        "path": "Patient.identifier.value",
        "min": 1
      },
      {
        "id": "Patient.identifier:INS-C",
        "path": "Patient.identifier",
        "sliceName": "INS-C",
        "definition": "Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale"
      },
      {
        "id": "Patient.identifier:INS-C.use",
        "path": "Patient.identifier.use",
        "fixedCode": "secondary"
      },
      {
        "id": "Patient.identifier:INS-C.type",
        "path": "Patient.identifier.type",
        "definition": "Computed National Health Identifier | Identifiant National de Santé Calculé à partir des éléments de la carte vitale",
        "min": 1,
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://interopsante.org/CodeSystem/fr-v2-0203",
              "code": "INS-C",
              "display": "INS calculé"
            }
          ]
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://interopsante.org/fhir/ValueSet/fr-patient-identifier-type"
        }
      },
      {
        "id": "Patient.identifier:INS-C.system",
        "path": "Patient.identifier.system",
        "min": 1,
        "fixedUri": "urn:oid:1.2.250.1.213.1.4.2"
      },
      {
        "id": "Patient.identifier:INS-C.value",
        "path": "Patient.identifier.value",
        "min": 1
      },
      {
        "id": "Patient.identifier:NDP",
        "path": "Patient.identifier",
        "sliceName": "NDP",
        "short": "French pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique français",
        "definition": "Pharmaceutical Record Identifier | Numéro de Dossier Pharmaceutique",
        "max": "1"
      },
      {
        "id": "Patient.identifier:NDP.use",
        "path": "Patient.identifier.use",
        "fixedCode": "secondary"
      },
      {
        "id": "Patient.identifier:NDP.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://interopsante.org/CodeSystem/fr-v2-0203",
              "code": "NDP",
              "display": "Identifiant au dossier pharmaceutique"
            }
          ]
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://interopsante.org/fhir/ValueSet/fr-patient-identifier-type"
        }
      },
      {
        "id": "Patient.identifier:NDP.system",
        "path": "Patient.identifier.system",
        "min": 1,
        "fixedUri": "urn:oid:1.2.250.1.176.1.2"
      },
      {
        "id": "Patient.identifier:NDP.value",
        "path": "Patient.identifier.value",
        "min": 1
      },
      {
        "id": "Patient.identifier:PI",
        "path": "Patient.identifier",
        "sliceName": "PI",
        "short": "Hospital assigned patient identifier | IPP",
        "definition": "Hospital assigned patient identifier | IPP",
        "max": "1"
      },
      {
        "id": "Patient.identifier:PI.use",
        "path": "Patient.identifier.use",
        "fixedCode": "usual"
      },
      {
        "id": "Patient.identifier:PI.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://interopsante.org/CodeSystem/fr-v2-0203",
              "code": "PI",
              "display": "Patient internal identifier"
            }
          ]
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://interopsante.org/fhir/ValueSet/fr-patient-identifier-type"
        }
      },
      {
        "id": "Patient.identifier:PI.system",
        "path": "Patient.identifier.system",
        "min": 1
      },
      {
        "id": "Patient.identifier:PI.value",
        "path": "Patient.identifier.value",
        "min": 1
      },
      {
        "id": "Patient.identifier:RRI",
        "path": "Patient.identifier",
        "sliceName": "RRI",
        "short": "Regional Registry ID | Identifiant régional",
        "definition": "Regional Registry ID | Identifiant régional",
        "max": "1"
      },
      {
        "id": "Patient.identifier:RRI.use",
        "path": "Patient.identifier.use",
        "fixedCode": "secondary"
      },
      {
        "id": "Patient.identifier:RRI.type",
        "path": "Patient.identifier.type",
        "min": 1,
        "fixedCodeableConcept": {
          "coding": [
            {
              "system": "http://interopsante.org/CodeSystem/fr-v2-0203",
              "code": "RRI",
              "display": "Regional registry ID"
            }
          ]
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://interopsante.org/fhir/ValueSet/fr-patient-identifier-type"
        }
      },
      {
        "id": "Patient.identifier:RRI.system",
        "path": "Patient.identifier.system",
        "min": 1
      },
      {
        "id": "Patient.identifier:RRI.value",
        "path": "Patient.identifier.value",
        "min": 1
      },
      {
        "id": "Patient.name",
        "path": "Patient.name",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "use"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "type": [
          {
            "code": "HumanName",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrHumanName"
            ]
          }
        ]
      },
      {
        "id": "Patient.name:usualName",
        "path": "Patient.name",
        "sliceName": "usualName",
        "short": "Name of a human | Nom utilisé",
        "definition": "A human's name with the ability to identify parts and usage | Le nom utilisé (usual) n’est transmis que s’il est défini (par exemple nom marital du conjoint).",
        "type": [
          {
            "code": "HumanName",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrHumanName"
            ]
          }
        ]
      },
      {
        "id": "Patient.name:usualName.use",
        "path": "Patient.name.use",
        "min": 1,
        "fixedCode": "usual"
      },
      {
        "id": "Patient.name:officialName",
        "path": "Patient.name",
        "sliceName": "officialName",
        "short": "Name of a human | Nom de naissance",
        "definition": "A human's name with the ability to identify parts and usage | Le nom de naissance (official) est obligatoire dans le cas où l’on véhicule l’INS et que l’identité est qualifiée (celui-ci ne doit pas être altéré).",
        "type": [
          {
            "code": "HumanName",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrHumanName"
            ]
          }
        ]
      },
      {
        "id": "Patient.name:officialName.use",
        "path": "Patient.name.use",
        "min": 1,
        "fixedCode": "official"
      },
      {
        "id": "Patient.name:officialName.family",
        "path": "Patient.name.family",
        "min": 1
      },
      {
        "id": "Patient.name:officialName.given",
        "path": "Patient.name.given",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Patient.telecom",
        "path": "Patient.telecom",
        "type": [
          {
            "code": "ContactPoint",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrContactPoint"
            ]
          }
        ]
      },
      {
        "id": "Patient.gender",
        "path": "Patient.gender",
        "definition": "French patient's gender checked with the INSi teleservice | Genre du patient. Dans le cas d'une identité récupérée par le téléservice INSi, les valeurs sont M ou F",
        "min": 1
      },
      {
        "id": "Patient.birthDate",
        "path": "Patient.birthDate",
        "short": "The date of birth for the french patient checked with the INSitelservice | Date de naissance du patient. Dans le cas d'une identité récupérée du téléservice INSi, la date de naissance est modifiée selon les règles du RNIV dans le cas de dates exceptionnelles.",
        "definition": "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.",
        "min": 1
      },
      {
        "id": "Patient.address",
        "path": "Patient.address",
        "type": [
          {
            "code": "Address",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrAddress"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact.extension",
        "path": "Patient.contact.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Patient.contact.extension:contactIdentifier",
        "path": "Patient.contact.extension",
        "sliceName": "contactIdentifier",
        "min": 1,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrPatientContactIdentifier"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact.extension:comment",
        "path": "Patient.contact.extension",
        "sliceName": "comment",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrPatientContactComment"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact.relationship",
        "path": "Patient.contact.relationship",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "Patient.contact.relationship:RolePerson",
        "path": "Patient.contact.relationship",
        "sliceName": "RolePerson",
        "max": "1",
        "short": "The nature of the relationship. Rôle de la personne",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://interopsante.org/fhir/ValueSet/fr-related-person-role"
        }
      },
      {
        "id": "Patient.contact.relationship:RolePerson.coding.system",
        "path": "Patient.contact.relationship.coding.system",
        "fixedUri": "https://mos.esante.gouv.fr/NOS/TRE_R260-HL7RoleClass/FHIR/TRE-R260-HL7RoleClass"
      },
      {
        "id": "Patient.contact.relationship:RelatedPerson",
        "path": "Patient.contact.relationship",
        "sliceName": "RelatedPerson",
        "max": "1",
        "short": "The nature of the relationship. Relation de la personne",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://interopsante.org/fhir/ValueSet/fr-related-person"
        }
      },
      {
        "id": "Patient.contact.relationship:RelatedPerson.coding.system",
        "path": "Patient.contact.relationship.coding.system",
        "fixedUri": "https://mos.esante.gouv.fr/NOS/TRE_R216-HL7RoleCode/FHIR/TRE-R216-HL7RoleCode"
      },
      {
        "id": "Patient.contact.name",
        "path": "Patient.contact.name",
        "type": [
          {
            "code": "HumanName",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrHumanName"
            ]
          }
        ]
      },
      {
        "id": "Patient.contact.telecom",
        "path": "Patient.contact.telecom",
        "type": [
          {
            "code": "ContactPoint",
            "profile": [
              "http://interopsante.org/fhir/StructureDefinition/FrContactPoint"
            ]
          }
        ]
      },
      {
        "id": "Patient.generalPractitioner",
        "path": "Patient.generalPractitioner",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://interopsante.org/fhir/StructureDefinition/FrPractitioner",
              "http://interopsante.org/fhir/StructureDefinition/FrOrganization",
              "http://interopsante.org/fhir/StructureDefinition/FrPractitionerRoleExercice",
              "http://interopsante.org/fhir/StructureDefinition/FrPractionerRoleProfession"
            ]
          }
        ]
      },
      {
        "id": "Patient.managingOrganization",
        "path": "Patient.managingOrganization",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://interopsante.org/fhir/StructureDefinition/FrOrganization"
            ]
          }
        ]
      }
    ]
  }
}

name : FrPatient

{

}