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Source1

{
  "resourceType": "CodeSystem",
  "id": "tre-r421-motif-fin-pag",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2026-05-12T10:12:41.374+02:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "language": "fr-FR",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2026-05-05T12:00:00+01:00"
      }
    }
  ],
  "url": "https://smt.esante.gouv.fr/fhir/CodeSystem/tre-r421-motif-fin-pag",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.2.250.1.213.3.3.272"
    }
  ],
  "version": "20260505120000",
  "name": "TreR421MotifFinPag",
  "title": "Tre R421 Motif Fin Pag",
  "status": "draft",
  "experimental": false,
  "date": "2026-05-05T12:00:00.000+00:00",
  "publisher": "Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris",
  "description": "Lorsque le plan d'accompagnement global (PAG) arrive à échéance ou si le coordonnateur de parcours l'estime nécessaire, un bilan est élaboré et la phase d'actualisation est lancée afin de déterminer s'il faut prolonger ce PAG, le modifier ou y mettre fin. La MDPH, les partenaires et l'usager peuvent définir ensemble que le PAG n'est plus nécessaire et donc y mettre fin. Le consentement de la personne ou de son représentant légal est recueilli et l'information sur la fin du PAG transmise à l'ensemble des parties-prenantes.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "FRA"
        }
      ]
    }
  ],
  "caseSensitive": false,
  "content": "complete",
  "count": 9,
  "property": [
    {
      "code": "dateValid",
      "uri": "https://smt.esante.gouv.fr/fhir/concept-properties#dateValid",
      "description": "date de validité d'un code concept",
      "type": "dateTime"
    },
    {
      "code": "dateMaj",
      "uri": "https://smt.esante.gouv.fr/fhir/concept-properties#dateMaj",
      "description": "Date de mise à jour d'un code concept",
      "type": "dateTime"
    },
    {
      "code": "dateFin",
      "uri": "https://smt.esante.gouv.fr/fhir/concept-properties#dateFin",
      "description": "Date de fin d'exploitation d'un code concept",
      "type": "dateTime"
    },
    {
      "code": "deprecationDate",
      "uri": "http://hl7.org/fhir/concept-properties#deprecationDate",
      "description": "Date Concept was deprecated",
      "type": "dateTime"
    },
    {
      "code": "status",
      "uri": "http://hl7.org/fhir/concept-properties#status",
      "description": "A property that indicates the status of the concept.",
      "type": "code"
    },
    {
      "code": "retirementDate",
      "uri": "http://hl7.org/fhir/concept-properties#retirementDate",
      "description": "Date Concept was retired",
      "type": "dateTime"
    }
  ],
  "concept": [
    {
      "code": "1",
      "display": "Réponse cible atteinte",
      "definition": "En raison de l'atteinte de la réponse cible",
      "property": [
        {
          "code": "dateValid",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "dateMaj",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "2",
      "display": "Réponse alternative stabilisée et pérennisée",
      "definition": "En raison de la stabilisation et de la pérennisation de la réponse alternative",
      "property": [
        {
          "code": "dateValid",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "dateMaj",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "3",
      "display": "Solution spécifique du PAG stabilisée et pérennisée et devenue la cible",
      "definition": "En raison de la stabilisation et de la pérennisation de la solution spécifique du PAG devenue la cible",
      "property": [
        {
          "code": "dateValid",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "dateMaj",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "4",
      "display": "Coordination effective sans recours au PAG",
      "definition": "En raison de la coordination effective sans recours au PAG",
      "property": [
        {
          "code": "dateValid",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "dateMaj",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "5",
      "display": "Demande de l’usager",
      "definition": "À la demande de l’usager",
      "property": [
        {
          "code": "dateValid",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "dateMaj",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "6",
      "display": "Fin des dérogations",
      "definition": "En raison de la fin des dérogations",
      "property": [
        {
          "code": "dateValid",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "dateMaj",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "7",
      "display": "Elaboration d'un nouveau PAG",
      "definition": "En vue de l'élaboration d'un nouveau PAG",
      "property": [
        {
          "code": "dateValid",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "dateMaj",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "8",
      "display": "Déménagement (hors département)",
      "definition": "Suite au déménagement de l'usager hors département",
      "property": [
        {
          "code": "dateValid",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "dateMaj",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "9",
      "display": "Décès usager",
      "definition": "Suite au décès de l'usager",
      "property": [
        {
          "code": "dateValid",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "dateMaj",
          "valueDateTime": "2026-05-05T12:00:00+01:00"
        },
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    }
  ]
}