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Chaque fichier est lu une fois et sommé sur six clés (spécialité de l'exécutant PSE_SPE_SNDS, secteur public/privé PRS_PPU_SEC, région de résidence BEN_RES_REG, nature de prestation PRS_NAT, motif d'exonération EXO_MTF, top C2S BEN_CMU_TOP) : nombre d'actes, quantités, base de remboursement, montant remboursé, montant payé et montant du dépassement (PRS_DEP_MNT) ; les lignes correctives négatives sont conservées. Taux de dépassement = dépassement / base × 100 (absent si la base est nulle). Parts exonérée, ALD et C2S = part du montant payé dont le motif d'exonération (classes du lexique) ou le top C2S le porte. Les libellés des codes viennent des nomenclatures officielles citées dans le lexique ; un code sans libellé est affiché tel quel. La spécialité de l'exécutant ne s'applique qu'aux médecins : le code 0 (non renseigné) porte les pharmacies, laboratoires, auxiliaires médicaux, transports et établissements. Le mois est le mois de traitement (FLX_ANN_MOI), pas le mois de soins. Périmètre : hors la majeure partie des prestations hospitalières du secteur public ; ni secteur conventionnel, ni département, ni délai.","citation":{"source":"Assurance Maladie — Open DAMIR","url":"https://www.data.gouv.fr/datasets/open-damir-base-complete-sur-les-depenses-dassurance-maladie-interregimes","licence":"Licence Ouverte 1.0","months":["202401","202402","202403","202404","202405","202406","202407","202408","202409","202410","202411","202412","202501","202502","202503","202504","202505","202506","202507","202508","202509","202510","202511","202512"],"years":["2024","2025"],"text":"Source : Assurance Maladie — Open DAMIR, fichiers mensuels (mois 202401 à 202512), Licence Ouverte 1.0."},"lexicon":{"description":"Code labels for the Open DAMIR columns Santeflex aggregates (src/data_hub/open_damir.py). Labels are copied verbatim from the cited nomenclatures (upper case as published); a code absent here has no label and the UI shows the code (labels() returns None). Nothing is inferred.","source_url":"https://github.com/SGMAP-AGD/DAMIR/blob/master/OpenDamir/documentation/Lexique%20open-DAMIR.xls","sources":{"lexique_open_damir_2015":{"title":"Lexique open-DAMIR (CNAMTS workbook, last saved 2015-01-20), republished by Etalab / SGMAP-AGD in the DAMIR repository","url":"https://github.com/SGMAP-AGD/DAMIR/blob/master/OpenDamir/documentation/Lexique%20open-DAMIR.xls","retrieved":"2026-09-16"},"snds_nomenclatures_2026-03":{"title":"Nomenclatures du SNDS (ORAVAL: IR_NAT_V, IR_EXO_V, IR_REG_V, IR_PPU_V), Health Data Hub schema-snds, ORAVAL update of 2026-03-24 (commit 6ccf6072)","url":"https://gitlab.com/healthdatahub/applications-du-hdh/schema-snds/-/tree/master/nomenclatures/ORAVAL","retrieved":"2026-09-16"}},"retrieved":"2026-09-16","note":"The current descriptif published on ameli.fr (https://www.assurance-maladie.ameli.fr/content/descriptif-des-variables-de-la-serie-open-damir-base-complete, linked from data.gouv.fr) could not be fetched from the build environment (HTTP 403); it should be read and this file re-checked when it is. Coverage was checked against the first 3.16 M rows of A202506.csv.gz (flows of June 2025): every code seen for PSE_SPE_SNDS, PRS_NAT, EXO_MTF, PRS_PPU_SEC and BEN_CMU_TOP is labelled; BEN_RES_REG code 5 is not in IR_REG_V and stays unlabelled.","checked_against":"A202506.csv.gz, first 3,158,264 rows, 2026-09-16"}}