# Profil de Claim pour le PMSI - Data Management with FHIR v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Profil de Claim pour le PMSI**

## Resource Profile: Profil de Claim pour le PMSI ( Abstract ) 

| | |
| :--- | :--- |
| *Official URL*:https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMClaimPMSI | *Version*:0.1.0 |
| Draft as of 2025-10-23 | *Computable Name*:DMClaimPMSI |

 
Profil abstrait pour les invariants dans les claims du PMSI. 

**Usages:**

* Derived from this Profile: [Profil de Claim pour le champ MCO du PMSI](StructureDefinition-DMClaimPMSIMCO.md)

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

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



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "DMClaimPMSI",
  "url" : "https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMClaimPMSI",
  "version" : "0.1.0",
  "name" : "DMClaimPMSI",
  "title" : "Profil de Claim pour le PMSI",
  "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 abstrait pour les invariants dans les claims du PMSI.",
  "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" : true,
  "type" : "Claim",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Claim",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Claim",
        "path" : "Claim"
      },
      {
        "id" : "Claim.type",
        "path" : "Claim.type",
        "short" : "Champ du PMSI concerné.",
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://interop.aphp.fr/ig/fhir/dm/ValueSet/FrClaimType"
        }
      },
      {
        "id" : "Claim.use",
        "path" : "Claim.use",
        "patternCode" : "claim"
      },
      {
        "id" : "Claim.patient",
        "path" : "Claim.patient",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/DMPatient"
            ]
          }
        ]
      },
      {
        "id" : "Claim.provider",
        "path" : "Claim.provider",
        "short" : "Entité juridique émettrice"
      },
      {
        "id" : "Claim.priority",
        "path" : "Claim.priority",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
              "code" : "normal"
            }
          ]
        }
      },
      {
        "id" : "Claim.insurance.sequence",
        "path" : "Claim.insurance.sequence",
        "patternPositiveInt" : 1
      },
      {
        "id" : "Claim.insurance.focal",
        "path" : "Claim.insurance.focal",
        "patternBoolean" : true
      },
      {
        "id" : "Claim.insurance.coverage.display",
        "path" : "Claim.insurance.coverage.display",
        "min" : 1,
        "patternString" : "Assurance Maladie"
      }
    ]
  }
}

```
