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Packageans.fr.terminologies
Resource TypeCodeSystem
IdCodeSystem-TRE-R38-SpecialiteOrdinale.json
FHIR VersionR4

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Narrative

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Narratif généré : CodeSystem TRE-R38-SpecialiteOrdinale

version: 6; Dernière mise à jour : 2024-08-28 05:13:49+0000

Profil: Shareable CodeSystem

Propriétés

Cette terminologie de référence (CodeSystem) définit les propriétés suivantes pour ses concepts

NomCodeTypeDescription
dateValiddateValiddateTimedate de validité d'un code concept
dateMajdateMajdateTimeDate de mise à jour d'un code concept
dateFindateFindateTimeDate de fin d'exploitation d'un code concept

Concepts

This case-insensitive code system https://mos.esante.gouv.fr/NOS/TRE_R38-SpecialiteOrdinale/FHIR/TRE-R38-SpecialiteOrdinale defines the following codes:

CodeDisplayDéfinitiondateValiddateMajdateFinFrench (France) (fr)
SCD01 Orthopédie dento-faciale (SCD)2007-07-26T00:00:00+01:002016-09-01T00:00:00+01:00Orthopédie dento-faciale
SCD02 Chirurgie orale (SCD)2012-03-19T00:00:00+01:002016-09-01T00:00:00+01:00Chirurgie orale
SCD03 Médecine bucco-dentaire (SCD)2012-03-19T00:00:00+01:002016-09-01T00:00:00+01:00Médecine bucco-dentaire
SI01 Exercice infirmier en pratique avancée pathologies chroniques stabilisées (SI)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.2019-10-25T12:00:00+01:002020-03-30T12:00:00+01:00IPA pathologies chroniques
SI02 Exercice infirmier en pratique avancée oncologie et hémato-oncologie (SI)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.2019-10-25T12:00:00+01:002020-03-30T12:00:00+01:00IPA oncologie
SI03 Exercice infirmier en pratique avancée maladie rénale chronique (SI)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.2019-10-25T12:00:00+01:002020-03-30T12:00:00+01:00IPA maladie rénale
SI04 Exercice infirmier en pratique avancée santé mentale (SI)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.2019-10-25T12:00:00+01:002020-03-30T12:00:00+01:00IPA santé mentale
SI05 Exercice infirmier en pratique avancée urgences (SI)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).2022-08-26T12:00:00+01:002023-10-30T12:00:00+01:00IPA urgences
SM01 Anatomie et Cytologie pathologiques (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Anatomie, Cyto pathologiques
SM02 Anesthésie-réanimation (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Anesthésie-réanimation
SM03 Biologie médicale (SM)2007-07-26T16:49:16+01:002015-12-28T00:00:00+01:00Biologie médicale
SM04 Cardiologie et Maladies vasculaires (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Cardio et Maladies vasculaires
SM05 Chirurgie générale (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Chirurgie générale
SM06 Chirurgie maxillo-faciale (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Chir maxillo-faciale
SM07 Chirurgie maxillo-faciale et Stomatologie (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Chir maxillo-fac, Stomatologie
SM08 Chirurgie orthopédique et Traumatologie (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Chir orthop, Traumatologie
SM09 Chirurgie infantile (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Chirurgie infantile
SM10 Chirurgie plastique reconstructrice et esthétique (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Chir plast reconstr, esthétiq
SM11 Chirurgie thoracique et cardio-vasculaire (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Chir thoraciq, cardio-vascul
SM12 Chirurgie urologique (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Chir urologique
SM13 Chirurgie vasculaire (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Chir vasculaire
SM14 Chirurgie viscérale et digestive (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Chir viscérale, digestive
SM15 Dermatologie et Vénéréologie (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Dermatologie, Vénéréologie
SM16 Endocrinologie et Métabolisme (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Endocrinologie, Métabolisme
SM17 Génétique médicale (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Génétique médicale
SM18 Gériatrie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Gériatrie
SM19 Gynécologie médicale (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Gynécologie médicale
SM20 Gynécologie-obstétrique (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Gynécologie-obstétrique
SM21 Hématologie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Hématologie
SM22 Hématologie, option Maladie du sang (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Hématologie, opt Maladie sang
SM23 Hématologie, option Onco-hématologie (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Hématologie, opt Onco-hématol
SM24 Gastro-entérologie et Hépatologie (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Gastro-entéro, Hépatologie
SM25 Médecine du travail (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Médecine du travail
SM26 Qualifié en Médecine générale (SM)2007-07-26T16:49:16+01:002008-10-08T00:00:00+01:00Qualifié MG
SM27 Médecine interne (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Médecine interne
SM28 Médecine nucléaire (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Médecine nucléaire
SM29 Médecine physique et de réadaptation (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Médecine physique, réadapt
SM30 Néphrologie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Néphrologie
SM31 Neuro-chirurgie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Neuro-chirurgie
SM32 Neurologie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Neurologie
SM33 Neuro-psychiatrie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Neuro-psychiatrie
SM34 ORL et Chirurgie cervico-faciale (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00ORL, Chir cervico-faciale
SM35 Oncologie, option Onco-hématologie (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Oncologie, opt Onco-hématolog
SM36 Oncologie, option médicale (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Oncologie, opt médicale
SM37 Oncologie, option radiothérapie (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Oncologie, opt radiothérapie
SM38 Ophtalmologie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Ophtalmologie
SM39 Oto-rhino-laryngologie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00ORL
SM40 Pédiatrie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Pédiatrie
SM41 Pneumologie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Pneumologie
SM42 Psychiatrie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Psychiatrie
SM43 Psychiatrie, option enfant et adolescent (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Psychiatrie, opt enfant et ado
SM44 Radio-diagnostic (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Radio-diagnostic
SM45 Radio-thérapie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Radio-thérapie
SM46 Médecine intensive-réanimation (SM)2007-07-26T16:49:16+01:002018-01-26T12:00:00+01:00Médecine intensive-réanimation
SM47 Recherche médicale (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Recherche médicale
SM48 Rhumatologie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Rhumatologie
SM49 Santé publique et Médecine sociale (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Santé publique, Méd sociale
SM50 Stomatologie (SM)2007-07-26T16:49:16+01:002008-02-28T00:00:00+01:00Stomatologie
SM51 Gynéco-obstétrique et Gynéco-médicale, option Gynéco-obstétrique (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Gyn-obs, Gyn-méd, opt Gyn-obs
SM52 Gynéco-obstétrique et Gynéco-médicale, option Gynéco-médicale (SM)2007-07-26T16:49:16+01:002016-09-01T00:00:00+01:00Gyn-obs, Gyn-méd, opt Gyn-méd
SM53 Spécialiste en Médecine générale (SM)2007-07-26T00:00:00+01:002008-10-08T00:00:00+01:00Spécialiste MG
SM54 Médecine générale (SM)2008-06-16T00:00:00+01:002008-10-08T00:00:00+01:00Médecine générale
SM55 Radio-diagnostic et Radio-thérapie (SM)2008-10-08T00:00:00+01:002016-09-01T00:00:00+01:00Radio-diag, Radio-thérapie
SM56 Chirurgie orale (SM)2016-04-28T00:00:00+01:002016-04-28T00:00:00+01:00Chirurgie orale
SM57 Allergologie (SM)2018-03-30T12:00:00+01:002018-03-30T12:00:00+01:00Allergologie
SM58 Maladies infectieuses et tropicales (SM)2018-03-30T12:00:00+01:002018-03-30T12:00:00+01:00Maladies infect. et tropicales
SM59 Médecine d'urgence (SM)2018-03-30T12:00:00+01:002018-03-30T12:00:00+01:00Médecine d'urgence
SM60 Médecine légale et expertises médicales (SM)2018-03-30T12:00:00+01:002018-03-30T12:00:00+01:00Médecine légale & expert. méd.
SM61 Médecine vasculaire (SM)2018-03-30T12:00:00+01:002018-03-30T12:00:00+01:00Médecine vasculaire
SM62 Endocrinologie, diabétologie, nutrition (SM)2018-09-28T12:00:00+01:002019-04-26T12:00:00+01:00Endocrino-diabéto-nutrition
SM63 Biologie médicale option biologie générale (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Bio méd opt biologie générale
SM64 Biologie médicale option médecine moléculaire, génétique et pharmacologie (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Bio méd opt méd molé géné phar
SM65 Biologie médicale option hématologie et immunologie (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Bio méd opt hémato et immuno
SM66 Biologie médicale option agents infectieux (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Bio méd opt agents infectieux
SM67 Biologie médicale option biologie de la reproduction (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Bio méd opt bio reproduction
SM68 Chirurgie maxillo-faciale (réforme 2017) (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Chir maxillo-faciale (2017)
SM69 Chirurgie pédiatrique option chirurgie viscérale pédiatrique (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Chir pédia opt chir visc pédia
SM70 Chirurgie pédiatrique option orthopédie pédiatrique (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Chir pédia opt orthopéd pédia
SM71 Hématologie (réforme 2017) (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Hématologie (2017)
SM72 Médecine interne et immunologie clinique (SM)2019-02-22T12:00:00+01:002019-02-22T12:00:00+01:00Méd interne et immuno clinique
SM73 Médecine cardiovasculaire (SM)2023-10-30T12:00:00+01:002023-10-30T12:00:00+01:00Médecine cardiovasculaire
SM74 Radiologie imagerie médicale (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Radiologie & imagerie médicale
SM75 Santé publique (SM)2023-10-30T12:00:00+01:002023-10-30T12:00:00+01:00Santé publique
SM76 Anesthésie-réanimation opt anesthésie-pédiatrique (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Anesth-réanim opt anesth-pédia
SM77 Chirurgie maxillo-faciale opt orthod dysmo max-fac (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Chir max-fac opt orthod dysmo
SM78 Chirurgie viscérale et digestive opt endo chir (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Chir visc & dig opt endos chir
SM79 Méd cardiovasculaire opt card interventionnelle (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Méd cardio opt cardio interv
SM80 Méd cardiovasculaire opt imagerie cardio d'expert (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Méd cardio opt img cardio exp
SM81 Méd cardiovasculaire opt rythmo inter stimu card (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Méd cardio opt ryth int & stim
SM82 Médecine intensive-réanimation opt réa pédiatrique (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Méd intens opt réa pédiatrique
SM83 Néphrologie option soins intensifs néphrologiques (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Néphro opt soins intens néphro
SM84 Neurologie opt trait interv ischémie céréb aigüe (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Neuro opt trait ischémie céréb
SM85 Ophtalmologie opt chir ophtalmopéd strabologique (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Ophtalmo opt chir péd & strabo
SM86 ORL - chir cervico-faciale opt audiophonologie (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00ORL & chir c-f opt audiophono
SM87 Pédiatrie option néonatologie (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Pédiatrie opt néonatologie
SM88 Pédiatrie option neuropédiatrie (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Pédiatrie opt neuropédiatrie
SM89 Pédiatrie option pneumopédiatrie (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Pédiatrie opt pneumopédiatrie
SM90 Pédiatrie option réanimation pédiatrique (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Pédiatrie opt réa pédiatrique
SM91 Pneumologie option soins intensifs respiratoires (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Pneumo opt soins intensif resp
SM92 Psychiatrie option enfant et adolescent (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Psychiatrie opt enfant & ado
SM93 Psychiatrie option psychiatrie de la personne âgée (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Psychiatrie opt personne âgée
SM94 Radiologie et imagerie médicale opt radio inter av (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Radio opt intervention avancée
SM95 Santé publique option administration de la santé (SM)2023-10-30T12:00:00+01:002024-05-31T12:00:00+01:00Santé publique opt admin santé
SP01 Radio-pharmacie (SP)2007-07-26T00:00:00+01:002018-03-30T12:00:00+01:002018-03-30T12:00:00+01:00Radio-pharmacie
SP02 Hygiène (SP)2007-07-26T00:00:00+01:002018-03-30T12:00:00+01:002018-03-30T12:00:00+01:00Hygiène
SP03 Pharmacovigilance (SP)2007-07-26T00:00:00+01:002018-03-30T12:00:00+01:002018-03-30T12:00:00+01:00Pharmacovigilance
SP04 Hémovigilance (SP)2007-07-26T00:00:00+01:002018-03-30T12:00:00+01:002018-03-30T12:00:00+01:00Hémovigilance

Source1

{
  "resourceType": "CodeSystem",
  "id": "TRE-R38-SpecialiteOrdinale",
  "meta": {
    "versionId": "7",
    "lastUpdated": "2025-07-02T18:18:02.679+00:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem|4.0.1"
    ]
  },
  "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": "20240531120000",
  "name": "TRE_R38_SpecialiteOrdinale",
  "status": "active",
  "experimental": false,
  "date": "2024-05-31T12:00:00+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",
  "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": "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"
          },
          "value": "Chir viscérale, digestive"
        }
      ],
      "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": "SM15",
      "display": "Dermatologie et Vénéréologie (SM)",
      "designation": [
        {
          "language": "fr-FR",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009"
          },
          "value": "Dermatologie, Vénéréologie"
        }
      ],
      "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": "SM16",
      "display": "Endocrinologie et Métabolisme (SM)",
      "designation": [
        {
          "language": "fr-FR",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009"
          },
          "value": "Endocrinologie, Métabolisme"
        }
      ],
      "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": "SM17",
      "display": "Génétique médicale (SM)",
      "designation": [
        {
          "language": "fr-FR",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009"
          },
          "value": "Génétique médicale"
        }
      ],
      "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": "SM18",
      "display": "Gériatrie (SM)",
      "designation": [
        {
          "language": "fr-FR",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009"
          },
          "value": "Gériatrie"
        }
      ],
      "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": "SM19",
      "display": "Gynécologie médicale (SM)",
      "designation": [
        {
          "language": "fr-FR",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009"
          },
          "value": "Gynécologie médicale"
        }
      ],
      "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": "SM20",
      "display": "Gynécologie-obstétrique (SM)",
      "designation": [
        {
          "language": "fr-FR",
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009"
          },
          "value": "Gynécologie-obstétrique"
        }
      ],
      "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": "SM21",
      "display": "Hématologie (SM)",
      "designation": [
        {
          "language": "fr-FR",
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    {
      "code": "SM22",
      "display": "Hématologie, option Maladie du sang (SM)",
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    {
      "code": "SM23",
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    },
    {
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    },
    {
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    {
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    {
      "code": "SM28",
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      ],
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    {
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    {
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      ],
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    {
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    {
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      "code": "SM39",
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      "code": "SM46",
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      "code": "SM49",
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      "code": "SM51",
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          "value": "Médecine générale"
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      ],
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        {
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    },
    {
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    {
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      ],
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      ]
    },
    {
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      ],
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        {
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    },
    {
      "code": "SM58",
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      ],
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    {
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    {
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