# RUM du PMSI MCO - Data Management with FHIR 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://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMClaimRUM | *Version*:0.1.0 |
| Draft as of 2025-10-23 | *Computable Name*:DMClaimRUM |

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

**Usages:**

* This Profile is not used by any profiles in this Implementation Guide

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/aphp.fhir.fr.dm|current/StructureDefinition/DMClaimRUM)

### 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-DMClaimRUM.csv), [Excel](StructureDefinition-DMClaimRUM.xlsx), [Schematron](StructureDefinition-DMClaimRUM.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "DMClaimRUM",
  "url" : "https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMClaimRUM",
  "version" : "0.1.0",
  "name" : "DMClaimRUM",
  "title" : "RUM du PMSI MCO",
  "status" : "draft",
  "date" : "2025-10-23T20:49:03+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" : "FR",
          "display" : "France"
        }
      ]
    }
  ],
  "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://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMClaimPMSIMCO",
  "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://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DRG"]
          }
        ]
      },
      {
        "id" : "Claim.extension:ItemRank",
        "path" : "Claim.extension",
        "sliceName" : "ItemRank",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/ItemRank"
            ]
          }
        ]
      },
      {
        "id" : "Claim.subType",
        "path" : "Claim.subType",
        "min" : 1,
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://interop.aphp.fr/ig/fhir/dm/CodeSystem/FrClaimType",
              "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://interop.aphp.fr/ig/fhir/dm/ValueSet/CIM10PMSIDP"
        }
      },
      {
        "id" : "Claim.diagnosis:dp.type",
        "path" : "Claim.diagnosis.type",
        "min" : 1,
        "fixedCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://interop.aphp.fr/ig/fhir/dm/CodeSystem/PMSIMCODiagType",
              "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://interop.aphp.fr/ig/fhir/dm/ValueSet/CIM10PMSIDR"
        }
      },
      {
        "id" : "Claim.diagnosis:dr.type",
        "path" : "Claim.diagnosis.type",
        "min" : 1,
        "fixedCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://interop.aphp.fr/ig/fhir/dm/CodeSystem/PMSIMCODiagType",
              "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://interop.aphp.fr/ig/fhir/dm/ValueSet/CIM10PMSIDA"
        }
      },
      {
        "id" : "Claim.diagnosis:da.type",
        "path" : "Claim.diagnosis.type",
        "min" : 1,
        "fixedCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://interop.aphp.fr/ig/fhir/dm/CodeSystem/PMSIMCODiagType",
              "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://interop.aphp.fr/ig/fhir/dm/ValueSet/CIM10PMSI"
        }
      },
      {
        "id" : "Claim.diagnosis:dad.type",
        "path" : "Claim.diagnosis.type",
        "min" : 1,
        "fixedCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://interop.aphp.fr/ig/fhir/dm/CodeSystem/PMSIMCODiagType",
              "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://interop.aphp.fr/ig/fhir/dm/ValueSet/CcamVS"
        }
      },
      {
        "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://interop.aphp.fr/ig/fhir/dm/ValueSet/FrMCOClaimItemCategory"
        }
      },
      {
        "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://interop.aphp.fr/ig/fhir/dm/CodeSystem/FrMCOClaimItemCategory",
              "code" : "1"
            }
          ]
        }
      },
      {
        "id" : "Claim.item:RUMGrouped.productOrService",
        "path" : "Claim.item.productOrService",
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "https://interop.aphp.fr/ig/fhir/dm/ValueSet/GHMVS"
        }
      },
      {
        "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://interop.aphp.fr/ig/fhir/dm/ValueSet/PMSIMCOMDEVS"
        }
      },
      {
        "id" : "Claim.item:RUMGrouped.modifier:MDE.coding.system",
        "path" : "Claim.item.modifier.coding.system",
        "min" : 1,
        "patternUri" : "https://aphp.fr/ig/fhir/core/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://interop.aphp.fr/ig/fhir/dm/ValueSet/PMSIMCOMDSVS"
        }
      },
      {
        "id" : "Claim.item:RUMGrouped.modifier:MDS.coding.system",
        "path" : "Claim.item.modifier.coding.system",
        "min" : 1,
        "patternUri" : "https://aphp.fr/ig/fhir/core/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://interop.aphp.fr/ig/fhir/dm/CodeSystem/FrMCOClaimItemCategory",
              "code" : "0"
            }
          ]
        }
      },
      {
        "id" : "Claim.item:CCAMProcedure.productOrService",
        "path" : "Claim.item.productOrService",
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "https://interop.aphp.fr/ig/fhir/dm/ValueSet/CcamVS"
        }
      }
    ]
  }
}

```
