# RUM du PMSI MCO - Données socles des Entrepôts de Données de Santé Hospitalier v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **RUM du PMSI MCO**

## 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](https://packages2.fhir.org/xig/aphp.fhir.fr.edsh|current/StructureDefinition/edsh-claim-rum)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-edsh-claim-rum.csv), [Excel](StructureDefinition-edsh-claim-rum.xlsx), [Schematron](StructureDefinition-edsh-claim-rum.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "edsh-claim-rum",
  "url" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-claim-rum",
  "version" : "0.1.0",
  "name" : "EdshClaimRum",
  "title" : "RUM du PMSI MCO",
  "status" : "draft",
  "date" : "2026-05-28T20:54:01+00:00",
  "publisher" : "AP-HP",
  "contact" : [{
    "name" : "AP-HP",
    "telecom" : [{
      "system" : "url",
      "value" : "https://aphp.fr"
    }]
  }],
  "description" : "Profil pour les Résumés d'Unité Médicale (RUM) du PMSI MCO.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "FRA"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Claim",
  "baseDefinition" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-claim-pmsi-mco",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Claim",
      "path" : "Claim"
    },
    {
      "id" : "Claim.extension",
      "path" : "Claim.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "Claim.extension:DRG",
      "path" : "Claim.extension",
      "sliceName" : "DRG",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-drg"]
      }]
    },
    {
      "id" : "Claim.extension:ItemRank",
      "path" : "Claim.extension",
      "sliceName" : "ItemRank",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-item-rank"]
      }]
    },
    {
      "id" : "Claim.subType",
      "path" : "Claim.subType",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-claim-type",
          "code" : "RUM"
        }]
      }
    },
    {
      "id" : "Claim.billablePeriod",
      "path" : "Claim.billablePeriod",
      "mustSupport" : true
    },
    {
      "id" : "Claim.billablePeriod.start",
      "path" : "Claim.billablePeriod.start",
      "short" : "date d'entrée dans la première unité médicale visitée"
    },
    {
      "id" : "Claim.billablePeriod.end",
      "path" : "Claim.billablePeriod.end",
      "short" : "date de sortie de la dernière unité médicale visitée"
    },
    {
      "id" : "Claim.diagnosis",
      "path" : "Claim.diagnosis",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "type"
        }],
        "description" : "slicing permettant de préciser le binding terminologique des codes diagnostics en fonction de leur type",
        "rules" : "open"
      },
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Claim.diagnosis:dp",
      "path" : "Claim.diagnosis",
      "sliceName" : "dp",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Claim.diagnosis:dp.diagnosis[x]",
      "path" : "Claim.diagnosis.diagnosis[x]",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/edsh-cim10-dp-vs"
      }
    },
    {
      "id" : "Claim.diagnosis:dp.type",
      "path" : "Claim.diagnosis.type",
      "min" : 1,
      "fixedCodeableConcept" : {
        "coding" : [{
          "system" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type",
          "code" : "DP"
        }]
      }
    },
    {
      "id" : "Claim.diagnosis:dr",
      "path" : "Claim.diagnosis",
      "sliceName" : "dr",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Claim.diagnosis:dr.diagnosis[x]",
      "path" : "Claim.diagnosis.diagnosis[x]",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/edsh-cim10-dr-vs"
      }
    },
    {
      "id" : "Claim.diagnosis:dr.type",
      "path" : "Claim.diagnosis.type",
      "min" : 1,
      "fixedCodeableConcept" : {
        "coding" : [{
          "system" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type",
          "code" : "DR"
        }]
      }
    },
    {
      "id" : "Claim.diagnosis:da",
      "path" : "Claim.diagnosis",
      "sliceName" : "da",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Claim.diagnosis:da.diagnosis[x]",
      "path" : "Claim.diagnosis.diagnosis[x]",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/edsh-cim10-da-vs"
      }
    },
    {
      "id" : "Claim.diagnosis:da.type",
      "path" : "Claim.diagnosis.type",
      "min" : 1,
      "fixedCodeableConcept" : {
        "coding" : [{
          "system" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type",
          "code" : "DA"
        }]
      }
    },
    {
      "id" : "Claim.diagnosis:dad",
      "path" : "Claim.diagnosis",
      "sliceName" : "dad",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Claim.diagnosis:dad.diagnosis[x]",
      "path" : "Claim.diagnosis.diagnosis[x]",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/edsh-cim10-vs"
      }
    },
    {
      "id" : "Claim.diagnosis:dad.type",
      "path" : "Claim.diagnosis.type",
      "min" : 1,
      "fixedCodeableConcept" : {
        "coding" : [{
          "system" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/pmsi-mco-diag-type",
          "code" : "DAD"
        }]
      }
    },
    {
      "id" : "Claim.procedure",
      "path" : "Claim.procedure",
      "mustSupport" : true
    },
    {
      "id" : "Claim.procedure.procedure[x]",
      "path" : "Claim.procedure.procedure[x]",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/ccam-vs"
      }
    },
    {
      "id" : "Claim.item",
      "path" : "Claim.item",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "category"
        }],
        "description" : "Slicing des items de claim",
        "rules" : "open"
      }
    },
    {
      "id" : "Claim.item.category",
      "path" : "Claim.item.category",
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/fr-mco-claim-item-category-vs"
      }
    },
    {
      "id" : "Claim.item:RUMGrouped",
      "path" : "Claim.item",
      "sliceName" : "RUMGrouped",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Claim.item:RUMGrouped.category",
      "path" : "Claim.item.category",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category",
          "code" : "1"
        }]
      }
    },
    {
      "id" : "Claim.item:RUMGrouped.productOrService",
      "path" : "Claim.item.productOrService",
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/ghm-vs"
      }
    },
    {
      "id" : "Claim.item:RUMGrouped.modifier",
      "path" : "Claim.item.modifier",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "coding.system"
        }],
        "description" : "Slicing des modifier pour les items de type RUM",
        "rules" : "open"
      },
      "min" : 2
    },
    {
      "id" : "Claim.item:RUMGrouped.modifier:MDE",
      "path" : "Claim.item.modifier",
      "sliceName" : "MDE",
      "short" : "Mode d'entrée du patient",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/pmsi-mco-mde-vs"
      }
    },
    {
      "id" : "Claim.item:RUMGrouped.modifier:MDE.coding.system",
      "path" : "Claim.item.modifier.coding.system",
      "min" : 1,
      "patternUri" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMde"
    },
    {
      "id" : "Claim.item:RUMGrouped.modifier:MDS",
      "path" : "Claim.item.modifier",
      "sliceName" : "MDS",
      "short" : "Mode de sortie du patient",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/pmsi-mco-mds-vs"
      }
    },
    {
      "id" : "Claim.item:RUMGrouped.modifier:MDS.coding.system",
      "path" : "Claim.item.modifier.coding.system",
      "min" : 1,
      "patternUri" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/PmsiMcoMds"
    },
    {
      "id" : "Claim.item:CCAMProcedure",
      "path" : "Claim.item",
      "sliceName" : "CCAMProcedure",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Claim.item:CCAMProcedure.category",
      "path" : "Claim.item.category",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/CodeSystem/fr-mco-claim-item-category",
          "code" : "0"
        }]
      }
    },
    {
      "id" : "Claim.item:CCAMProcedure.productOrService",
      "path" : "Claim.item.productOrService",
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/ValueSet/ccam-vs"
      }
    }]
  }
}

```
