FHIR IG analytics| Package | ans.fr.terminologies |
| Resource Type | CodeSystem |
| Id | CodeSystem-TRE-R38-SpecialiteOrdinale.json |
| FHIR Version | R4 |
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Narratif généré : CodeSystem TRE-R38-SpecialiteOrdinale
version : 9; Dernière mise à jour : 2026-07-29 08:03:40+0200
Profil: Shareable CodeSystem
Propriétés
Cette terminologie de référence (CodeSystem) définit les propriétés suivantes pour ses concepts
| Nom | Code | URI | Type | Description |
| dateValid | dateValid | dateTime | date de validité d'un code concept | |
| dateMaj | dateMaj | dateTime | Date de mise à jour d'un code concept | |
| dateFin | dateFin | dateTime | Date de fin d'exploitation d'un code concept | |
| deprecationDate | deprecationDate | http://hl7.org/fhir/concept-properties#deprecationDate | dateTime | Date Concept was deprecated |
| status | status | http://hl7.org/fhir/concept-properties#status | code | A property that indicates the status of the concept. |
| retirementDate | retirementDate | http://hl7.org/fhir/concept-properties#retirementDate | dateTime | Date Concept was retired |
Concepts
This case-insensitive code system https://mos.esante.gouv.fr/NOS/TRE_R38-SpecialiteOrdinale/FHIR/TRE-R38-SpecialiteOrdinale defines the following codes:
FHIR
FHIRsmith{
"resourceType": "CodeSystem",
"id": "TRE-R38-SpecialiteOrdinale",
"meta": {
"versionId": "9",
"lastUpdated": "2026-07-29T08:03:40.798+02:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
"valuePeriod": {
"start": "2015-12-28T00:00:00+01:00"
}
}
],
"url": "https://mos.esante.gouv.fr/NOS/TRE_R38-SpecialiteOrdinale/FHIR/TRE-R38-SpecialiteOrdinale",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.2.250.1.213.2.28"
}
],
"version": "20260730120000",
"name": "TRE_R38_SpecialiteOrdinale",
"status": "active",
"experimental": false,
"date": "2026-07-30T12:00:00+01:00",
"publisher": "Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris",
"description": "Spécialité ordinale",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "FRA"
}
]
}
],
"caseSensitive": false,
"content": "complete",
"count": 110,
"property": [
{
"code": "dateValid",
"description": "date de validité d'un code concept",
"type": "dateTime"
},
{
"code": "dateMaj",
"description": "Date de mise à jour d'un code concept",
"type": "dateTime"
},
{
"code": "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": "SCD01",
"display": "Orthopédie dento-faciale (SCD)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Orthopédie dento-faciale"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T00:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SCD02",
"display": "Chirurgie orale (SCD)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chirurgie orale"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2012-03-19T00:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SCD03",
"display": "Médecine bucco-dentaire (SCD)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Médecine bucco-dentaire"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2012-03-19T00:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SI01",
"display": "Exercice infirmier en pratique avancée pathologies chroniques stabilisées (SI)",
"definition": "Exercice infirmier autorisé en pratique avancée pour les pathologies chroniques stabilisées. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier. Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "IPA pathologies chroniques"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2019-10-25T12:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2020-03-30T12:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SI02",
"display": "Exercice infirmier en pratique avancée oncologie et hémato-oncologie (SI)",
"definition": "Exercice infirmier autorisé en pratique avancée en oncologie et hémato-oncologie La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier. Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "IPA oncologie"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2019-10-25T12:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2020-03-30T12:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SI03",
"display": "Exercice infirmier en pratique avancée maladie rénale chronique (SI)",
"definition": "Exercice infirmier autorisé en pratique avancée en maladie rénale. chronique, dialyse et transplantation rénale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier. Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "IPA maladie rénale"
},
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Exercice infirmier en pratique avancée maladie rénale chronique, dialyse et transplantation rénale (SI)"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2019-10-25T12:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2020-03-30T12:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SI04",
"display": "Exercice infirmier en pratique avancée santé mentale (SI)",
"definition": "Exercice infirmier autorisé en pratique avancée en santé mentale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier. Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "IPA santé mentale"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2019-10-25T12:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2020-03-30T12:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SI05",
"display": "Exercice infirmier en pratique avancée urgences (SI)",
"definition": "Le décret n°2021-1384 du 25 octobre 2021 relatif à l'exercice en pratique avancée de la profession d'infirmiers (IPA) dans le domaine d'intervention des urgences a inscrit les « urgences » comme nouveau domaine d'intervention de l'infirmier en pratique avancé. C'est le 5e domaine d'exercice des IPA ainsi acté (après pathologies chroniques stabilisées ; oncologie et hémato-oncologie ; maladie rénale chronique, dialyse et transplantation rénale ; santé mentale).",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "IPA urgences"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2022-08-26T12:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2023-10-30T12:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SI06",
"display": "Infirmier(ère) de bloc opératoire (SI)",
"definition": "- Organiser, réaliser des soins et des activités, en équipe pluridisciplinaire, en lien avec le geste opératoire, en pré, per et post interventionnel auprès des personnes bénéficiant d'interventions chirurgicales, endoscopiques et autres actes techniques invasifs à visée préventive, diagnostique et/ou thérapeutique. - Mettre en œuvre des mesures d'hygiène et de sécurité en tenant compte du contexte opératoire, des risques inhérents à la nature des interventions et à la spécificité des patients, au travail en zone protégée et à l'utilisation de dispositifs médicaux spécifiques et aux ressources disponibles - Mettre en œuvre les actes et activités relevant de sa compétence exclusive.",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "IBODE"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2026-07-30T12:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2026-07-30T12:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SI07",
"display": "Infirmier(ère) anesthésiste (SI)",
"definition": "- Réaliser des soins infirmiers d'anesthésie et/ou de réanimation concourant au diagnostic, au traitement et à la recherche. - Accompagner le patient, dans les domaines de l'intervention chirurgicale, du traitement de la douleur, de l'urgence ou de la réanimation. - Mettre en œuvre des mesures qui garantissent la sécurité des patients en anesthésie-réanimation dans la période péri-interventionnelle.",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "IADE"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2026-07-30T12:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2026-07-30T12:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SI08",
"display": "Infirmier(ère) puériculteur(trice)",
"definition": "- Dispenser des soins auprès des enfants pour maintenir, restaurer et promouvoir la santé, le développement, l'éveil, l'autonomie et la socialisation. - Evaluer l'état de santé d'un enfant, définir des projets de soins personnalisés, planifier et prodiguer des soins, mettre en œuvre des traitements.",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "IPDE"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2026-07-30T12:00:00+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2026-07-30T12:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM01",
"display": "Anatomie et Cytologie pathologiques (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Anatomie, Cyto pathologiques"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM02",
"display": "Anesthésie-réanimation (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Anesthésie-réanimation"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM03",
"display": "Biologie médicale (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Biologie médicale"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2015-12-28T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM04",
"display": "Cardiologie et Maladies vasculaires (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Cardio et Maladies vasculaires"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM05",
"display": "Chirurgie générale (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chirurgie générale"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM06",
"display": "Chirurgie maxillo-faciale (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chir maxillo-faciale"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2008-02-28T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM07",
"display": "Chirurgie maxillo-faciale et Stomatologie (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chir maxillo-fac, Stomatologie"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM08",
"display": "Chirurgie orthopédique et Traumatologie (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chir orthop, Traumatologie"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM09",
"display": "Chirurgie infantile (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chirurgie infantile"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM10",
"display": "Chirurgie plastique reconstructrice et esthétique (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chir plast reconstr, esthétiq"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM11",
"display": "Chirurgie thoracique et cardio-vasculaire (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chir thoraciq, cardio-vascul"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2016-09-01T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM12",
"display": "Chirurgie urologique (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chir urologique"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2008-02-28T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM13",
"display": "Chirurgie vasculaire (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
"value": "Chir vasculaire"
}
],
"property": [
{
"code": "dateValid",
"valueDateTime": "2007-07-26T16:49:16+01:00"
},
{
"code": "dateMaj",
"valueDateTime": "2008-02-28T00:00:00+01:00"
},
{
"code": "status",
"valueCode": "active"
}
]
},
{
"code": "SM14",
"display": "Chirurgie viscérale et digestive (SM)",
"designation": [
{
"language": "fr-FR",
"use": {
"system": "http://snomed.info/sct",
"code": "900000000000013009"
},
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