Guide d'implémentation du médicament, published by Interop'Santé. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Interop-Sante/hl7.fhir.fr.medication/ and changes regularly. See the Directory of published versions

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Resource Profile: FrMedicationHistoryMedicationStatement

Profil de la ressource MedicationStatement du Bilan médicamenteux. Medication History MedicationStatement resource profile

Ce profil est utilisé pour les ressources MedicationStatement figurant dans un bilan médicamenteux. Chaque ressource MeciationStatement y représente une ligne de médicament du Bilan.

Usage:

• Refer to this Resource Profile: FrMedicationHistoryComposition and FrMedicationReconciliationMedicationStatement

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	S	0..*	MedicationStatement	Ligne de traitement médicamenteux du Bilan Médicamenteux
meta
tag		0..0
implicitRules		0..0
language		0..1	code	Language of the resource content
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
statementSourcing	S	0..1	(Complex)	Sourcing de la ligne de traitement URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-history-sources
status	S	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
medication[x]	S	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Medication
identifier		0..0
subject	S	1..1	Reference(FR Core Patient Profile)	Who is/was taking the medication
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
informationSource	S	0..0
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken
doseAndRate
dose[x]	S	0..1		Precise amount of medication per dose
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	S	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	S	0..1	FrRatioUcum	Upper precise limit on medication per unit of time
maxDosePerAdministration	S	0..1	FrSimpleQuantityUcum	Precise upper limit on medication per administration with UCUM unit
maxDosePerLifetime	S	0..1	FrSimpleQuantityUcum	A fixed measured or measurable amount with UCUM unit
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	S	0..*	MedicationStatement	Ligne de traitement médicamenteux du Bilan Médicamenteux
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
statementSourcing	S	0..1	(Complex)	Sourcing de la ligne de traitement URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-history-sources
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x]	SΣ	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Medication
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who is/was taking the medication
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
doseAndRate	Σ	0..*	Element	Amount of medication administered
dose[x]	SΣ	0..1		Precise amount of medication per dose
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	SΣ	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	SC	0..1	FrRatioUcum	Upper precise limit on medication per unit of time rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	SC	0..1	FrSimpleQuantityUcum	Precise upper limit on medication per administration with UCUM unit qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	SC	0..1	FrSimpleQuantityUcum	A fixed measured or measurable amount with UCUM unit qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.medication[x].type	extensible	Fixed Value: Medication http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationStatement.dosage.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
sqty-1	error	MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	S	0..*	MedicationStatement	Ligne de traitement médicamenteux du Bilan Médicamenteux
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
statementSourcing	S	0..1	(Complex)	Sourcing de la ligne de traitement URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-history-sources
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SΣ	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Medication
display	Σ	0..1	string	Text alternative for the resource
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who is/was taking the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken
effectiveDateTime			dateTime
effectivePeriod			Period
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	SΣ	0..1		Precise amount of medication per dose
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	SΣ	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	SC	0..1	FrRatioUcum	Upper precise limit on medication per unit of time rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	SC	0..1	FrSimpleQuantityUcum	Precise upper limit on medication per administration with UCUM unit qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	SC	0..1	FrSimpleQuantityUcum	A fixed measured or measurable amount with UCUM unit qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x].type	extensible	Fixed Value: Medication http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationStatement.dosage.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
sqty-1	error	MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MedicationStatement

Summary

Mandatory: 1 element
Must-Support: 11 elements
Fixed: 2 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• FrMedication (http://interopsante.org/fhir/StructureDefinition/FrMedication)
• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• Range with UCUM quantity units (http://interopsante.org/fhir/StructureDefinition/FrRangeUcum)
• SimpleQuantity with UCUM quantity unit (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrSimpleQuantityUcum)
• Ratio with UCUM quantity units (http://interopsante.org/fhir/StructureDefinition/FrRatioUcum)

Extensions

This structure refers to these extensions:

• https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-history-sources

Differential View

This structure is derived from MedicationStatement

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	S	0..*	MedicationStatement	Ligne de traitement médicamenteux du Bilan Médicamenteux
meta
tag		0..0
implicitRules		0..0
language		0..1	code	Language of the resource content
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
statementSourcing	S	0..1	(Complex)	Sourcing de la ligne de traitement URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-history-sources
status	S	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
medication[x]	S	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Medication
identifier		0..0
subject	S	1..1	Reference(FR Core Patient Profile)	Who is/was taking the medication
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
informationSource	S	0..0
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken
doseAndRate
dose[x]	S	0..1		Precise amount of medication per dose
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	S	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	S	0..1	FrRatioUcum	Upper precise limit on medication per unit of time
maxDosePerAdministration	S	0..1	FrSimpleQuantityUcum	Precise upper limit on medication per administration with UCUM unit
maxDosePerLifetime	S	0..1	FrSimpleQuantityUcum	A fixed measured or measurable amount with UCUM unit
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	S	0..*	MedicationStatement	Ligne de traitement médicamenteux du Bilan Médicamenteux
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
statementSourcing	S	0..1	(Complex)	Sourcing de la ligne de traitement URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-history-sources
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x]	SΣ	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Medication
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who is/was taking the medication
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
doseAndRate	Σ	0..*	Element	Amount of medication administered
dose[x]	SΣ	0..1		Precise amount of medication per dose
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	SΣ	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	SC	0..1	FrRatioUcum	Upper precise limit on medication per unit of time rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	SC	0..1	FrSimpleQuantityUcum	Precise upper limit on medication per administration with UCUM unit qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	SC	0..1	FrSimpleQuantityUcum	A fixed measured or measurable amount with UCUM unit qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.medication[x].type	extensible	Fixed Value: Medication http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationStatement.dosage.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
sqty-1	error	MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement	S	0..*	MedicationStatement	Ligne de traitement médicamenteux du Bilan Médicamenteux
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
statementSourcing	S	0..1	(Complex)	Sourcing de la ligne de traitement URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-history-sources
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External identifier
basedOn	Σ	0..*	Reference(MedicationRequest | CarePlan | ServiceRequest)	Fulfils plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)	Part of referenced event
status	?!SΣ	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason		0..*	CodeableConcept	Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category	Σ	0..1	CodeableConcept	Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x]	SΣ	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Medication
display	Σ	0..1	string	Text alternative for the resource
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who is/was taking the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with MedicationStatement
effective[x]	Σ	0..1		The date/time or interval when the medication is/was/will be taken
effectiveDateTime			dateTime
effectivePeriod			Period
dateAsserted	Σ	0..1	dateTime	When the statement was asserted?
derivedFrom		0..*	Reference(Resource)	Additional supporting information
reasonCode		0..*	CodeableConcept	Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication is being/was taken
note		0..*	Annotation	Further information about the statement
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	SΣ	0..1		Precise amount of medication per dose
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	SΣ	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	SC	0..1	FrRatioUcum	Upper precise limit on medication per unit of time rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
maxDosePerAdministration	SC	0..1	FrSimpleQuantityUcum	Precise upper limit on medication per administration with UCUM unit qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerLifetime	SC	0..1	FrSimpleQuantityUcum	A fixed measured or measurable amount with UCUM unit qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationStatement.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x].type	extensible	Fixed Value: Medication http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationStatement	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationStatement	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
rat-1	error	MedicationStatement.dosage.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present : (numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
sqty-1	error	MedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetime	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MedicationStatement

Summary

Mandatory: 1 element
Must-Support: 11 elements
Fixed: 2 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• FrMedication (http://interopsante.org/fhir/StructureDefinition/FrMedication)
• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• Range with UCUM quantity units (http://interopsante.org/fhir/StructureDefinition/FrRangeUcum)
• SimpleQuantity with UCUM quantity unit (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrSimpleQuantityUcum)
• Ratio with UCUM quantity units (http://interopsante.org/fhir/StructureDefinition/FrRatioUcum)

Extensions

This structure refers to these extensions:

• https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-history-sources

Other representations of profile: CSV, Excel, Schematron