Données socles des Entrepôts de Données de Santé Hospitalier
0.1.0 - ci-build FRA

Données socles des Entrepôts de Données de Santé Hospitalier - version de développement local (intégration continue v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

## Resource Profile: RUM du PMSI MCO

Official URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-claim-rum | Version: 0.1.0
Draft as of 2026-05-28 | Computable Name: EdshClaimRum

Profil pour les Résumés d'Unité Médicale (RUM) du PMSI MCO.

Utilisations:

- Ce Profil n'est utilisé par aucun autre profil dans ce guide d'implémentation

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

### 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 Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | EdshClaimPmsiMco | Claim, Pre-determination or Pre-authorization
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:DRG |  | 0..1 | (Complexe) | Groupe Homogène de Malade URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-drg
extension:ItemRank |  | 1..1 | positiveInt | Ordre des Item dans un claim URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-item-rank
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
type | Σ | 1..1 | CodeableConcept | Champ du PMSI concerné. Binding: ValueSet des type fr des claims (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : PMSIMCO
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
subType |  | 1..1 | CodeableConcept | More granular claim type Binding: ValueSet des type fr des claims (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : RUM
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
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Motif requis: claim
patient | Σ | 1..1 | Reference(Patient) | The recipient of the products and services
billablePeriod | S Σ | 0..1 | Period | Relevant time frame for the claim
start | Σ C | 0..1 | dateTime | date d'entrée dans la première unité médicale visitée
end | Σ C | 0..1 | dateTime | date de sortie de la dernière unité médicale visitée
created | Σ | 1..1 | dateTime | Resource creation date
provider | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Entité juridique émettrice
priority | Σ | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/processpriority
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : normal
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
Slices pour diagnosis | S | 1..* | BackboneElement | Pertinent diagnosis information Slice: Non ordonné, Ouvert par value:type
diagnosis:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 |  | Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept |  |  | CodeableConcept |
diagnosisReference |  |  | Reference(Condition) |
diagnosis:dp | S | 1..1 | BackboneElement | Pertinent diagnosis information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Principal)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DP
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
diagnosis:dr | S | 0..1 | BackboneElement | Pertinent diagnosis information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagonstic Relié)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DR
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
diagnosis:da | S | 0..* | BackboneElement | Pertinent diagnosis information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Associé Significatif)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DA
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
diagnosis:dad | S | 0..* | BackboneElement | Pertinent diagnosis information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 pour le PMSI (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Associé Documentaire)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DAD
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
procedure | S | 0..* | BackboneElement | Clinical procedures performed
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Procedure instance identifier
procedure[x] |  | 1..1 | CodeableConcept | Specific clinical procedure Binding: Actes CCAM pour le PMSI (required)
insurance | Σ | 1..* | BackboneElement | Patient insurance information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 1..1 | positiveInt | Insurance instance identifier Motif requis: 1
focal | Σ | 1..1 | boolean | Coverage to be used for adjudication Motif requis: true
coverage | Σ | 1..1 | Reference(Coverage) | Insurance information
display | Σ | 1..1 | string | Text alternative for the resource Motif requis: Assurance Maladie
Slices pour item |  | 0..* | BackboneElement | Product or service provided Slice: Non ordonné, Ouvert par value:category
item:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
category |  | 0..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required)
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
item:RUMGrouped | S | 0..1 | BackboneElement | Product or service provided
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
category |  | 1..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 1
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
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Liste des GHM pour le PMSI MCO (extensible)
Slices pour modifier |  | 2..* | CodeableConcept | Product or service billing modifiers Slice: Non ordonné, Ouvert par value:coding.system Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
modifier:MDE | S | 1..1 | CodeableConcept | Mode d'entrée du patient Binding: Mode d'entré du PMSI MCO (required)
modifier:MDS | S | 1..1 | CodeableConcept | Mode de sortie du patient Binding: Mode de sortie du PMSI MCO (required)
item:CCAMProcedure | S | 0..* | BackboneElement | Product or service provided
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
category |  | 1..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 0
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
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Actes CCAM pour le PMSI (extensible)
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | Std. FHIR
Claim.type | Base | required | ValueSet des type fr des claims | 📦0.1.0 | cet IG
Claim.subType | Base | required | ValueSet des type fr des claims | 📦0.1.0 | cet IG
Claim.use | Base | required | Use | 📍4.0.1 | Std. FHIR
Claim.priority | Base | example | Process Priority Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.diagnosis[x] | Base | example | ICD-10 Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dp.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dp.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dr.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dr.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:da.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:da.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dad.​diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 pour le PMSI | 📦0.1.0 | cet IG
Claim.diagnosis:dad.​type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.procedure.procedure[x] | Base | required | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG
Claim.item.category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​productOrService | Base | extensible | Liste des GHM pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​modifier:MDE | Base | required | Mode d'entré du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier:MDS | Base | required | Mode de sortie du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​productOrService | Base | extensible | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Claim | 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 | Claim | 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 | Claim | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Claim | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from EdshClaimPmsiMco

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | EdshClaimPmsiMco | Claim, Pre-determination or Pre-authorization
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:DRG |  | 0..1 | (Complexe) | Groupe Homogène de Malade URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-drg
extension:ItemRank |  | 1..1 | positiveInt | Ordre des Item dans un claim URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-item-rank
subType |  | 1..1 | CodeableConcept | More granular claim type Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : RUM
billablePeriod | S | 0..1 | Period | Relevant time frame for the claim
start |  | 0..1 | dateTime | date d'entrée dans la première unité médicale visitée
end |  | 0..1 | dateTime | date de sortie de la dernière unité médicale visitée
Slices pour diagnosis | S | 1..* | BackboneElement | Pertinent diagnosis information Slice: Non ordonné, Ouvert par value:type
diagnosis:dp | S | 1..1 | BackboneElement | Pertinent diagnosis information
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Valeur fixe: Comme indiqué (Diagnostic Principal)
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DP
diagnosis:dr | S | 0..1 | BackboneElement | Pertinent diagnosis information
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Valeur fixe: Comme indiqué (Diagonstic Relié)
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DR
diagnosis:da | S | 0..* | BackboneElement | Pertinent diagnosis information
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Valeur fixe: Comme indiqué (Diagnostic Associé Significatif)
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DA
diagnosis:dad | S | 0..* | BackboneElement | Pertinent diagnosis information
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 pour le PMSI (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Valeur fixe: Comme indiqué (Diagnostic Associé Documentaire)
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DAD
procedure | S | 0..* | BackboneElement | Clinical procedures performed
procedure[x] |  | 1..1 | CodeableConcept | Specific clinical procedure Binding: Actes CCAM pour le PMSI (required)
Slices pour item |  | 0..* | BackboneElement | Product or service provided Slice: Non ordonné, Ouvert par value:category
item:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
category |  | 0..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required)
item:RUMGrouped | S | 0..1 | BackboneElement | Product or service provided
category |  | 1..1 | CodeableConcept | Benefit classification Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 1
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Liste des GHM pour le PMSI MCO (extensible)
Slices pour modifier |  | 2..* | CodeableConcept | Product or service billing modifiers Slice: Non ordonné, Ouvert par value:coding.system
modifier:MDE | S | 1..1 | CodeableConcept | Mode d'entrée du patient Binding: Mode d'entré du PMSI MCO (required)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system Motif requis: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMde
modifier:MDS | S | 1..1 | CodeableConcept | Mode de sortie du patient Binding: Mode de sortie du PMSI MCO (required)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system Motif requis: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMds
item:CCAMProcedure | S | 0..* | BackboneElement | Product or service provided
category |  | 1..1 | CodeableConcept | Benefit classification Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 0
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Actes CCAM pour le PMSI (extensible)
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Claim.diagnosis:dp.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dr.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:da.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dad.​diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 pour le PMSI | 📦0.1.0 | cet IG
Claim.procedure.procedure[x] | Base | required | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG
Claim.item.category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​productOrService | Base | extensible | Liste des GHM pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier:MDE | Base | required | Mode d'entré du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier:MDS | Base | required | Mode de sortie du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​productOrService | Base | extensible | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | EdshClaimPmsiMco | Claim, Pre-determination or Pre-authorization
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:DRG |  | 0..1 | (Complexe) | Groupe Homogène de Malade URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-drg
extension:ItemRank |  | 1..1 | positiveInt | Ordre des Item dans un claim URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-item-rank
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business Identifier for claim
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
type | Σ | 1..1 | CodeableConcept | Champ du PMSI concerné. Binding: ValueSet des type fr des claims (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : PMSIMCO
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
subType |  | 1..1 | CodeableConcept | More granular claim type Binding: ValueSet des type fr des claims (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : RUM
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
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Motif requis: claim
patient | Σ | 1..1 | Reference(Patient) | The recipient of the products and services
billablePeriod | S Σ | 0..1 | Period | Relevant time frame for the claim
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
start | Σ C | 0..1 | dateTime | date d'entrée dans la première unité médicale visitée
end | Σ C | 0..1 | dateTime | date de sortie de la dernière unité médicale visitée
created | Σ | 1..1 | dateTime | Resource creation date
enterer |  | 0..1 | Reference(Practitioner | PractitionerRole) | Author of the claim
insurer | Σ | 0..1 | Reference(Organization) | Target
provider | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Entité juridique émettrice
priority | Σ | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/processpriority
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : normal
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
fundsReserve |  | 0..1 | CodeableConcept | For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related |  | 0..* | BackboneElement | Prior or corollary claims
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
claim |  | 0..1 | Reference(Claim) | Reference to the related claim
relationship |  | 0..1 | CodeableConcept | How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference |  | 0..1 | Identifier | File or case reference
prescription |  | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Prescription authorizing services and products
originalPrescription |  | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Original prescription if superseded by fulfiller
payee |  | 0..1 | BackboneElement | Recipient of benefits payable
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
type |  | 1..1 | CodeableConcept | Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Recipient reference
referral |  | 0..1 | Reference(ServiceRequest) | Treatment referral
facility |  | 0..1 | Reference(Location) | Servicing facility
careTeam |  | 0..* | BackboneElement | Members of the care team
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
sequence |  | 1..1 | positiveInt | Order of care team
provider |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Practitioner or organization
responsible |  | 0..1 | boolean | Indicator of the lead practitioner
role |  | 0..1 | CodeableConcept | Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification |  | 0..1 | CodeableConcept | Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
supportingInfo |  | 0..* | BackboneElement | Supporting information
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
sequence |  | 1..1 | positiveInt | Information instance identifier
category |  | 1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
code |  | 0..1 | CodeableConcept | Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x] |  | 0..1 |  | When it occurred
timingDate |  |  | date |
timingPeriod |  |  | Period |
value[x] |  | 0..1 |  | Data to be provided
valueBoolean |  |  | boolean |
valueString |  |  | string |
valueQuantity |  |  | Quantity |
valueAttachment |  |  | Attachment |
valueReference |  |  | Reference(Resource) |
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Slices pour diagnosis | S | 1..* | BackboneElement | Pertinent diagnosis information Slice: Non ordonné, Ouvert par value:type
diagnosis:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 |  | Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept |  |  | CodeableConcept |
diagnosisReference |  |  | Reference(Condition) |
type |  | 0..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
diagnosis:dp | S | 1..1 | BackboneElement | Pertinent diagnosis information
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Principal)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DP
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
diagnosis:dr | S | 0..1 | BackboneElement | Pertinent diagnosis information
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagonstic Relié)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DR
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
diagnosis:da | S | 0..* | BackboneElement | Pertinent diagnosis information
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Associé Significatif)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DA
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
diagnosis:dad | S | 0..* | BackboneElement | Pertinent diagnosis information
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 pour le PMSI (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Associé Documentaire)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DAD
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure | S | 0..* | BackboneElement | Clinical procedures performed
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
sequence |  | 1..1 | positiveInt | Procedure instance identifier
type |  | 0..* | CodeableConcept | Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date |  | 0..1 | dateTime | When the procedure was performed
procedure[x] |  | 1..1 | CodeableConcept | Specific clinical procedure Binding: Actes CCAM pour le PMSI (required)
udi |  | 0..* | Reference(Device) | Unique device identifier
insurance | Σ | 1..* | BackboneElement | Patient insurance information
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
sequence | Σ | 1..1 | positiveInt | Insurance instance identifier Motif requis: 1
focal | Σ | 1..1 | boolean | Coverage to be used for adjudication Motif requis: true
identifier |  | 0..1 | Identifier | Pre-assigned Claim number
coverage | Σ | 1..1 | Reference(Coverage) | Insurance information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Motif requis: Assurance Maladie
businessArrangement |  | 0..1 | string | Additional provider contract number
preAuthRef |  | 0..* | string | Prior authorization reference number
claimResponse |  | 0..1 | Reference(ClaimResponse) | Adjudication results
accident |  | 0..1 | BackboneElement | Details of the event
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
date |  | 1..1 | date | When the incident occurred
type |  | 0..1 | CodeableConcept | The nature of the accident Binding: V3 Value SetActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x] |  | 0..1 |  | Where the event occurred
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
Slices pour item |  | 0..* | BackboneElement | Product or service provided Slice: Non ordonné, Ouvert par value:category
item:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
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
sequence |  | 1..1 | positiveInt | Item instance identifier
careTeamSequence |  | 0..* | positiveInt | Applicable careTeam members
diagnosisSequence |  | 0..* | positiveInt | Applicable diagnoses
procedureSequence |  | 0..* | positiveInt | Applicable procedures
informationSequence |  | 0..* | positiveInt | Applicable exception and supporting information
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required)
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x] |  | 0..1 |  | Date or dates of service or product delivery
servicedDate |  |  | date |
servicedPeriod |  |  | Period |
location[x] |  | 0..1 |  | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept |  |  | CodeableConcept |
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
bodySite |  | 0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite |  | 0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter |  | 0..* | Reference(Encounter) | Encounters related to this billed item
detail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
subDetail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
item:RUMGrouped | S | 0..1 | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
careTeamSequence |  | 0..* | positiveInt | Applicable careTeam members
diagnosisSequence |  | 0..* | positiveInt | Applicable diagnoses
procedureSequence |  | 0..* | positiveInt | Applicable procedures
informationSequence |  | 0..* | positiveInt | Applicable exception and supporting information
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 1..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 1
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
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Liste des GHM pour le PMSI MCO (extensible)
Slices pour modifier |  | 2..* | CodeableConcept | Product or service billing modifiers Slice: Non ordonné, Ouvert par value:coding.system Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
modifier:MDE | S | 1..1 | CodeableConcept | Mode d'entrée du patient Binding: Mode d'entré du PMSI MCO (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 1..1 | uri | Identity of the terminology system Motif requis: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMde
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
modifier:MDS | S | 1..1 | CodeableConcept | Mode de sortie du patient Binding: Mode de sortie du PMSI MCO (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 1..1 | uri | Identity of the terminology system Motif requis: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMds
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x] |  | 0..1 |  | Date or dates of service or product delivery
servicedDate |  |  | date |
servicedPeriod |  |  | Period |
location[x] |  | 0..1 |  | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept |  |  | CodeableConcept |
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
bodySite |  | 0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite |  | 0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter |  | 0..* | Reference(Encounter) | Encounters related to this billed item
detail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
subDetail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
item:CCAMProcedure | S | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
careTeamSequence |  | 0..* | positiveInt | Applicable careTeam members
diagnosisSequence |  | 0..* | positiveInt | Applicable diagnoses
procedureSequence |  | 0..* | positiveInt | Applicable procedures
informationSequence |  | 0..* | positiveInt | Applicable exception and supporting information
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 1..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 0
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
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Actes CCAM pour le PMSI (extensible)
modifier |  | 0..* | CodeableConcept | Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x] |  | 0..1 |  | Date or dates of service or product delivery
servicedDate |  |  | date |
servicedPeriod |  |  | Period |
location[x] |  | 0..1 |  | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept |  |  | CodeableConcept |
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
bodySite |  | 0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite |  | 0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter |  | 0..* | Reference(Encounter) | Encounters related to this billed item
detail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
subDetail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
total |  | 0..1 | Money | Total claim cost
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Claim.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | Std. FHIR
Claim.type | Base | required | ValueSet des type fr des claims | 📦0.1.0 | cet IG
Claim.subType | Base | required | ValueSet des type fr des claims | 📦0.1.0 | cet IG
Claim.use | Base | required | Use | 📍4.0.1 | Std. FHIR
Claim.priority | Base | example | Process Priority Codes | 📍4.0.1 | Std. FHIR
Claim.fundsReserve | Base | example | FundsReserve | 📍4.0.1 | Std. FHIR
Claim.related.relationship | Base | example | Example Related Claim Relationship Codes | 📍4.0.1 | Std. FHIR
Claim.payee.type | Base | example | PayeeType | 📍4.0.1 | Std. FHIR
Claim.careTeam.role | Base | example | Claim Care Team Role Codes | 📍4.0.1 | Std. FHIR
Claim.careTeam.qualification | Base | example | Example Provider Qualification Codes | 📍4.0.1 | Std. FHIR
Claim.supportingInfo.​category | Base | example | Claim Information Category Codes | 📍4.0.1 | Std. FHIR
Claim.supportingInfo.​code | Base | example | Exception Codes | 📍4.0.1 | Std. FHIR
Claim.supportingInfo.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.diagnosis[x] | Base | example | ICD-10 Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dp.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dp.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dp.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dp.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dr.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dr.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dr.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dr.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:da.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:da.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:da.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:da.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dad.​diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 pour le PMSI | 📦0.1.0 | cet IG
Claim.diagnosis:dad.​type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dad.​onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dad.​packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.procedure.type | Base | example | Example Procedure Type Codes | 📍4.0.1 | Std. FHIR
Claim.procedure.procedure[x] | Base | required | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG
Claim.insurance.coverage.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
Claim.accident.type | Base | extensible | V3 Value SetActIncidentCode | 📦2014-03-26 | Std. FHIR
Claim.item.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item.category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item.location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | Std. FHIR
Claim.item.bodySite | Base | example | Oral Site Codes | 📍4.0.1 | Std. FHIR
Claim.item.subSite | Base | example | Surface Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​productOrService | Base | extensible | Liste des GHM pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​modifier:MDE | Base | required | Mode d'entré du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier:MDS | Base | required | Mode de sortie du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​bodySite | Base | example | Oral Site Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​subSite | Base | example | Surface Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​productOrService | Base | extensible | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​bodySite | Base | example | Oral Site Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​subSite | Base | example | Surface Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Claim | 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 | Claim | 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 | Claim | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Claim | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from EdshClaimPmsiMco

Résumé

Obligatoire : 6 éléments(9 éléments obligatoire(s) imbriqué(s))
Must-Support : 11 éléments
Fixe : 4 éléments

Extensions

Cette structure fait référence à ces extensions:

- https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-drg
- https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-item-rank

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of Claim.diagnosis
- The element 1 is sliced based on the value of Claim.item
- The element 1 is sliced based on the value of Claim.item.modifier

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | EdshClaimPmsiMco | Claim, Pre-determination or Pre-authorization
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:DRG |  | 0..1 | (Complexe) | Groupe Homogène de Malade URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-drg
extension:ItemRank |  | 1..1 | positiveInt | Ordre des Item dans un claim URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-item-rank
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
type | Σ | 1..1 | CodeableConcept | Champ du PMSI concerné. Binding: ValueSet des type fr des claims (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : PMSIMCO
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
subType |  | 1..1 | CodeableConcept | More granular claim type Binding: ValueSet des type fr des claims (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : RUM
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
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Motif requis: claim
patient | Σ | 1..1 | Reference(Patient) | The recipient of the products and services
billablePeriod | S Σ | 0..1 | Period | Relevant time frame for the claim
start | Σ C | 0..1 | dateTime | date d'entrée dans la première unité médicale visitée
end | Σ C | 0..1 | dateTime | date de sortie de la dernière unité médicale visitée
created | Σ | 1..1 | dateTime | Resource creation date
provider | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Entité juridique émettrice
priority | Σ | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/processpriority
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : normal
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
Slices pour diagnosis | S | 1..* | BackboneElement | Pertinent diagnosis information Slice: Non ordonné, Ouvert par value:type
diagnosis:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 |  | Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept |  |  | CodeableConcept |
diagnosisReference |  |  | Reference(Condition) |
diagnosis:dp | S | 1..1 | BackboneElement | Pertinent diagnosis information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Principal)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DP
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
diagnosis:dr | S | 0..1 | BackboneElement | Pertinent diagnosis information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagonstic Relié)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DR
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
diagnosis:da | S | 0..* | BackboneElement | Pertinent diagnosis information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Associé Significatif)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DA
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
diagnosis:dad | S | 0..* | BackboneElement | Pertinent diagnosis information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 pour le PMSI (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Associé Documentaire)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DAD
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
procedure | S | 0..* | BackboneElement | Clinical procedures performed
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Procedure instance identifier
procedure[x] |  | 1..1 | CodeableConcept | Specific clinical procedure Binding: Actes CCAM pour le PMSI (required)
insurance | Σ | 1..* | BackboneElement | Patient insurance information
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 1..1 | positiveInt | Insurance instance identifier Motif requis: 1
focal | Σ | 1..1 | boolean | Coverage to be used for adjudication Motif requis: true
coverage | Σ | 1..1 | Reference(Coverage) | Insurance information
display | Σ | 1..1 | string | Text alternative for the resource Motif requis: Assurance Maladie
Slices pour item |  | 0..* | BackboneElement | Product or service provided Slice: Non ordonné, Ouvert par value:category
item:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
category |  | 0..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required)
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
item:RUMGrouped | S | 0..1 | BackboneElement | Product or service provided
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
category |  | 1..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 1
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
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Liste des GHM pour le PMSI MCO (extensible)
Slices pour modifier |  | 2..* | CodeableConcept | Product or service billing modifiers Slice: Non ordonné, Ouvert par value:coding.system Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
modifier:MDE | S | 1..1 | CodeableConcept | Mode d'entrée du patient Binding: Mode d'entré du PMSI MCO (required)
modifier:MDS | S | 1..1 | CodeableConcept | Mode de sortie du patient Binding: Mode de sortie du PMSI MCO (required)
item:CCAMProcedure | S | 0..* | BackboneElement | Product or service provided
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
category |  | 1..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 0
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
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Actes CCAM pour le PMSI (extensible)
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | Std. FHIR
Claim.type | Base | required | ValueSet des type fr des claims | 📦0.1.0 | cet IG
Claim.subType | Base | required | ValueSet des type fr des claims | 📦0.1.0 | cet IG
Claim.use | Base | required | Use | 📍4.0.1 | Std. FHIR
Claim.priority | Base | example | Process Priority Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.diagnosis[x] | Base | example | ICD-10 Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dp.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dp.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dr.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dr.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:da.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:da.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dad.​diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 pour le PMSI | 📦0.1.0 | cet IG
Claim.diagnosis:dad.​type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.procedure.procedure[x] | Base | required | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG
Claim.item.category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​productOrService | Base | extensible | Liste des GHM pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​modifier:MDE | Base | required | Mode d'entré du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier:MDS | Base | required | Mode de sortie du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​productOrService | Base | extensible | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Claim | 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 | Claim | 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 | Claim | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Claim | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from EdshClaimPmsiMco

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | EdshClaimPmsiMco | Claim, Pre-determination or Pre-authorization
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:DRG |  | 0..1 | (Complexe) | Groupe Homogène de Malade URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-drg
extension:ItemRank |  | 1..1 | positiveInt | Ordre des Item dans un claim URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-item-rank
subType |  | 1..1 | CodeableConcept | More granular claim type Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : RUM
billablePeriod | S | 0..1 | Period | Relevant time frame for the claim
start |  | 0..1 | dateTime | date d'entrée dans la première unité médicale visitée
end |  | 0..1 | dateTime | date de sortie de la dernière unité médicale visitée
Slices pour diagnosis | S | 1..* | BackboneElement | Pertinent diagnosis information Slice: Non ordonné, Ouvert par value:type
diagnosis:dp | S | 1..1 | BackboneElement | Pertinent diagnosis information
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Valeur fixe: Comme indiqué (Diagnostic Principal)
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DP
diagnosis:dr | S | 0..1 | BackboneElement | Pertinent diagnosis information
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Valeur fixe: Comme indiqué (Diagonstic Relié)
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DR
diagnosis:da | S | 0..* | BackboneElement | Pertinent diagnosis information
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Valeur fixe: Comme indiqué (Diagnostic Associé Significatif)
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DA
diagnosis:dad | S | 0..* | BackboneElement | Pertinent diagnosis information
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 pour le PMSI (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Valeur fixe: Comme indiqué (Diagnostic Associé Documentaire)
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DAD
procedure | S | 0..* | BackboneElement | Clinical procedures performed
procedure[x] |  | 1..1 | CodeableConcept | Specific clinical procedure Binding: Actes CCAM pour le PMSI (required)
Slices pour item |  | 0..* | BackboneElement | Product or service provided Slice: Non ordonné, Ouvert par value:category
item:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
category |  | 0..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required)
item:RUMGrouped | S | 0..1 | BackboneElement | Product or service provided
category |  | 1..1 | CodeableConcept | Benefit classification Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 1
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Liste des GHM pour le PMSI MCO (extensible)
Slices pour modifier |  | 2..* | CodeableConcept | Product or service billing modifiers Slice: Non ordonné, Ouvert par value:coding.system
modifier:MDE | S | 1..1 | CodeableConcept | Mode d'entrée du patient Binding: Mode d'entré du PMSI MCO (required)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system Motif requis: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMde
modifier:MDS | S | 1..1 | CodeableConcept | Mode de sortie du patient Binding: Mode de sortie du PMSI MCO (required)
coding |  |  |  |
system |  | 1..1 | uri | Identity of the terminology system Motif requis: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMds
item:CCAMProcedure | S | 0..* | BackboneElement | Product or service provided
category |  | 1..1 | CodeableConcept | Benefit classification Motif requis: Au moins les éléments suivants
coding |  | 1..* | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 0
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Actes CCAM pour le PMSI (extensible)
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Claim.diagnosis:dp.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dr.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:da.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dad.​diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 pour le PMSI | 📦0.1.0 | cet IG
Claim.procedure.procedure[x] | Base | required | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG
Claim.item.category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​productOrService | Base | extensible | Liste des GHM pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier:MDE | Base | required | Mode d'entré du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier:MDS | Base | required | Mode de sortie du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​productOrService | Base | extensible | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Claim |  | 0..* | EdshClaimPmsiMco | Claim, Pre-determination or Pre-authorization
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:DRG |  | 0..1 | (Complexe) | Groupe Homogène de Malade URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-drg
extension:ItemRank |  | 1..1 | positiveInt | Ordre des Item dans un claim URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-item-rank
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Business Identifier for claim
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
type | Σ | 1..1 | CodeableConcept | Champ du PMSI concerné. Binding: ValueSet des type fr des claims (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : PMSIMCO
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
subType |  | 1..1 | CodeableConcept | More granular claim type Binding: ValueSet des type fr des claims (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : RUM
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
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Motif requis: claim
patient | Σ | 1..1 | Reference(Patient) | The recipient of the products and services
billablePeriod | S Σ | 0..1 | Period | Relevant time frame for the claim
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
start | Σ C | 0..1 | dateTime | date d'entrée dans la première unité médicale visitée
end | Σ C | 0..1 | dateTime | date de sortie de la dernière unité médicale visitée
created | Σ | 1..1 | dateTime | Resource creation date
enterer |  | 0..1 | Reference(Practitioner | PractitionerRole) | Author of the claim
insurer | Σ | 0..1 | Reference(Organization) | Target
provider | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Entité juridique émettrice
priority | Σ | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred. Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : http://terminology.hl7.org/CodeSystem/processpriority
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : normal
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
fundsReserve |  | 0..1 | CodeableConcept | For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related |  | 0..* | BackboneElement | Prior or corollary claims
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
claim |  | 0..1 | Reference(Claim) | Reference to the related claim
relationship |  | 0..1 | CodeableConcept | How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference |  | 0..1 | Identifier | File or case reference
prescription |  | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Prescription authorizing services and products
originalPrescription |  | 0..1 | Reference(DeviceRequest | MedicationRequest | VisionPrescription) | Original prescription if superseded by fulfiller
payee |  | 0..1 | BackboneElement | Recipient of benefits payable
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
type |  | 1..1 | CodeableConcept | Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) | Recipient reference
referral |  | 0..1 | Reference(ServiceRequest) | Treatment referral
facility |  | 0..1 | Reference(Location) | Servicing facility
careTeam |  | 0..* | BackboneElement | Members of the care team
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
sequence |  | 1..1 | positiveInt | Order of care team
provider |  | 1..1 | Reference(Practitioner | PractitionerRole | Organization) | Practitioner or organization
responsible |  | 0..1 | boolean | Indicator of the lead practitioner
role |  | 0..1 | CodeableConcept | Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification |  | 0..1 | CodeableConcept | Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
supportingInfo |  | 0..* | BackboneElement | Supporting information
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
sequence |  | 1..1 | positiveInt | Information instance identifier
category |  | 1..1 | CodeableConcept | Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
code |  | 0..1 | CodeableConcept | Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x] |  | 0..1 |  | When it occurred
timingDate |  |  | date |
timingPeriod |  |  | Period |
value[x] |  | 0..1 |  | Data to be provided
valueBoolean |  |  | boolean |
valueString |  |  | string |
valueQuantity |  |  | Quantity |
valueAttachment |  |  | Attachment |
valueReference |  |  | Reference(Resource) |
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Slices pour diagnosis | S | 1..* | BackboneElement | Pertinent diagnosis information Slice: Non ordonné, Ouvert par value:type
diagnosis:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 |  | Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept |  |  | CodeableConcept |
diagnosisReference |  |  | Reference(Condition) |
type |  | 0..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
diagnosis:dp | S | 1..1 | BackboneElement | Pertinent diagnosis information
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Principal)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DP
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
diagnosis:dr | S | 0..1 | BackboneElement | Pertinent diagnosis information
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagonstic Relié)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DR
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
diagnosis:da | S | 0..* | BackboneElement | Pertinent diagnosis information
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Associé Significatif)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DA
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
diagnosis:dad | S | 0..* | BackboneElement | Pertinent diagnosis information
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
sequence |  | 1..1 | positiveInt | Diagnosis instance identifier
diagnosis[x] |  | 1..1 | CodeableConcept | Nature of illness or problem Binding: Liste des diagnostiques CIM-10 pour le PMSI (required)
type |  | 1..* | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. Valeur fixe: Comme indiqué (Diagnostic Associé Documentaire)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
coding |  | 1..1 | Coding | Code defined by a terminology system Valeur fixe : (Complexe)
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : DAD
display |  | 0..0 | string | Representation defined by the system
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text |  | 0..0 | string | Plain text representation of the concept
onAdmission |  | 0..1 | CodeableConcept | Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode |  | 0..1 | CodeableConcept | Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure | S | 0..* | BackboneElement | Clinical procedures performed
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
sequence |  | 1..1 | positiveInt | Procedure instance identifier
type |  | 0..* | CodeableConcept | Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date |  | 0..1 | dateTime | When the procedure was performed
procedure[x] |  | 1..1 | CodeableConcept | Specific clinical procedure Binding: Actes CCAM pour le PMSI (required)
udi |  | 0..* | Reference(Device) | Unique device identifier
insurance | Σ | 1..* | BackboneElement | Patient insurance information
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
sequence | Σ | 1..1 | positiveInt | Insurance instance identifier Motif requis: 1
focal | Σ | 1..1 | boolean | Coverage to be used for adjudication Motif requis: true
identifier |  | 0..1 | Identifier | Pre-assigned Claim number
coverage | Σ | 1..1 | Reference(Coverage) | Insurance information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Motif requis: Assurance Maladie
businessArrangement |  | 0..1 | string | Additional provider contract number
preAuthRef |  | 0..* | string | Prior authorization reference number
claimResponse |  | 0..1 | Reference(ClaimResponse) | Adjudication results
accident |  | 0..1 | BackboneElement | Details of the event
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
date |  | 1..1 | date | When the incident occurred
type |  | 0..1 | CodeableConcept | The nature of the accident Binding: V3 Value SetActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x] |  | 0..1 |  | Where the event occurred
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
Slices pour item |  | 0..* | BackboneElement | Product or service provided Slice: Non ordonné, Ouvert par value:category
item:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
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
sequence |  | 1..1 | positiveInt | Item instance identifier
careTeamSequence |  | 0..* | positiveInt | Applicable careTeam members
diagnosisSequence |  | 0..* | positiveInt | Applicable diagnoses
procedureSequence |  | 0..* | positiveInt | Applicable procedures
informationSequence |  | 0..* | positiveInt | Applicable exception and supporting information
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required)
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x] |  | 0..1 |  | Date or dates of service or product delivery
servicedDate |  |  | date |
servicedPeriod |  |  | Period |
location[x] |  | 0..1 |  | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept |  |  | CodeableConcept |
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
bodySite |  | 0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite |  | 0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter |  | 0..* | Reference(Encounter) | Encounters related to this billed item
detail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
subDetail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
item:RUMGrouped | S | 0..1 | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
careTeamSequence |  | 0..* | positiveInt | Applicable careTeam members
diagnosisSequence |  | 0..* | positiveInt | Applicable diagnoses
procedureSequence |  | 0..* | positiveInt | Applicable procedures
informationSequence |  | 0..* | positiveInt | Applicable exception and supporting information
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 1..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 1
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
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Liste des GHM pour le PMSI MCO (extensible)
Slices pour modifier |  | 2..* | CodeableConcept | Product or service billing modifiers Slice: Non ordonné, Ouvert par value:coding.system Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
modifier:MDE | S | 1..1 | CodeableConcept | Mode d'entrée du patient Binding: Mode d'entré du PMSI MCO (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 1..1 | uri | Identity of the terminology system Motif requis: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMde
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
modifier:MDS | S | 1..1 | CodeableConcept | Mode de sortie du patient Binding: Mode de sortie du PMSI MCO (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
system | Σ | 1..1 | uri | Identity of the terminology system Motif requis: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMds
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x] |  | 0..1 |  | Date or dates of service or product delivery
servicedDate |  |  | date |
servicedPeriod |  |  | Period |
location[x] |  | 0..1 |  | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept |  |  | CodeableConcept |
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
bodySite |  | 0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite |  | 0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter |  | 0..* | Reference(Encounter) | Encounters related to this billed item
detail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
subDetail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
item:CCAMProcedure | S | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
careTeamSequence |  | 0..* | positiveInt | Applicable careTeam members
diagnosisSequence |  | 0..* | positiveInt | Applicable diagnoses
procedureSequence |  | 0..* | positiveInt | Applicable procedures
informationSequence |  | 0..* | positiveInt | Applicable exception and supporting information
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 1..1 | CodeableConcept | Benefit classification Binding: Categorisation des items de claim pour le PMSI MCO (required) Motif requis: Au moins les éléments suivants
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 Valeur fixe : (Complexe)
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 Valeur fixe : https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 0
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
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: Actes CCAM pour le PMSI (extensible)
modifier |  | 0..* | CodeableConcept | Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x] |  | 0..1 |  | Date or dates of service or product delivery
servicedDate |  |  | date |
servicedPeriod |  |  | Period |
location[x] |  | 0..1 |  | Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept |  |  | CodeableConcept |
locationAddress |  |  | Address |
locationReference |  |  | Reference(Location) |
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
bodySite |  | 0..1 | CodeableConcept | Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite |  | 0..* | CodeableConcept | Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter |  | 0..* | Reference(Encounter) | Encounters related to this billed item
detail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
subDetail |  | 0..* | BackboneElement | Product or service provided
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
sequence |  | 1..1 | positiveInt | Item instance identifier
revenue |  | 0..1 | CodeableConcept | Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category |  | 0..1 | CodeableConcept | Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService |  | 1..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier |  | 0..* | CodeableConcept | Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode |  | 0..* | CodeableConcept | Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Count of products or services
unitPrice |  | 0..1 | Money | Fee, charge or cost per item
factor |  | 0..1 | decimal | Price scaling factor
net |  | 0..1 | Money | Total item cost
udi |  | 0..* | Reference(Device) | Unique device identifier
total |  | 0..1 | Money | Total claim cost
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Claim.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | Std. FHIR
Claim.type | Base | required | ValueSet des type fr des claims | 📦0.1.0 | cet IG
Claim.subType | Base | required | ValueSet des type fr des claims | 📦0.1.0 | cet IG
Claim.use | Base | required | Use | 📍4.0.1 | Std. FHIR
Claim.priority | Base | example | Process Priority Codes | 📍4.0.1 | Std. FHIR
Claim.fundsReserve | Base | example | FundsReserve | 📍4.0.1 | Std. FHIR
Claim.related.relationship | Base | example | Example Related Claim Relationship Codes | 📍4.0.1 | Std. FHIR
Claim.payee.type | Base | example | PayeeType | 📍4.0.1 | Std. FHIR
Claim.careTeam.role | Base | example | Claim Care Team Role Codes | 📍4.0.1 | Std. FHIR
Claim.careTeam.qualification | Base | example | Example Provider Qualification Codes | 📍4.0.1 | Std. FHIR
Claim.supportingInfo.​category | Base | example | Claim Information Category Codes | 📍4.0.1 | Std. FHIR
Claim.supportingInfo.​code | Base | example | Exception Codes | 📍4.0.1 | Std. FHIR
Claim.supportingInfo.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.diagnosis[x] | Base | example | ICD-10 Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dp.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DP pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dp.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dp.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dp.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dr.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DR pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:dr.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dr.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dr.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:da.diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 acceptable en DA pour les PMSI MCO et HAD | 📦0.1.0 | cet IG
Claim.diagnosis:da.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:da.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:da.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dad.​diagnosis[x] | Base | required | Liste des diagnostiques CIM-10 pour le PMSI | 📦0.1.0 | cet IG
Claim.diagnosis:dad.​type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dad.​onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | Std. FHIR
Claim.diagnosis:dad.​packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | Std. FHIR
Claim.procedure.type | Base | example | Example Procedure Type Codes | 📍4.0.1 | Std. FHIR
Claim.procedure.procedure[x] | Base | required | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG
Claim.insurance.coverage.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
Claim.accident.type | Base | extensible | V3 Value SetActIncidentCode | 📦2014-03-26 | Std. FHIR
Claim.item.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item.category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item.location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | Std. FHIR
Claim.item.bodySite | Base | example | Oral Site Codes | 📍4.0.1 | Std. FHIR
Claim.item.subSite | Base | example | Surface Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item.detail.subDetail.​programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​productOrService | Base | extensible | Liste des GHM pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​modifier:MDE | Base | required | Mode d'entré du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​modifier:MDS | Base | required | Mode de sortie du PMSI MCO | 📦0.1.0 | cet IG
Claim.item:RUMGrouped.​programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​bodySite | Base | example | Oral Site Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​subSite | Base | example | Surface Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:RUMGrouped.​detail.subDetail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​category | Base | required | Categorisation des items de claim pour le PMSI MCO | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​productOrService | Base | extensible | Actes CCAM pour le PMSI | 📦0.1.0 | cet IG
Claim.item:CCAMProcedure.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​bodySite | Base | example | Oral Site Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​subSite | Base | example | Surface Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.category | Base | example | Benefit Category Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | Std. FHIR
Claim.item:CCAMProcedure.​detail.subDetail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Claim | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Claim | 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 | Claim | 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 | Claim | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Claim | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from EdshClaimPmsiMco

Résumé

Obligatoire : 6 éléments(9 éléments obligatoire(s) imbriqué(s))
Must-Support : 11 éléments
Fixe : 4 éléments

Extensions

Cette structure fait référence à ces extensions:

- https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-drg
- https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-item-rank

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of Claim.diagnosis
- The element 1 is sliced based on the value of Claim.item
- The element 1 is sliced based on the value of Claim.item.modifier

Other representations of profile: CSV, Excel, Schematron