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: French non proprietary name Medication

Simple prescribed, dispensed, administered or used medication expressed in non proprietary name composed of one to many substances. If composed of many substance, the strengh SHALL be defined.

Simple medication description, include those composed of many substances.

Usage:

• Refer to this Resource Profile: French Inpatient MedicationRequest and French compound Medication

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 Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Simple nonproprietary name Medication of MRQ, MDP or MUS
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
drugCharacteristic		0..*	(Complex)	descriptive properties of the medicine URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrDrugCharacteristic
code		1..1	CodeableConcept	Codes that identify this medication Binding: French Medicinal Product only (extensible)
text		0..1	string	Plain text representation of the concept
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount		0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense or MUsage
ingredient		1..*	BackboneElement	Active or inactive ingredient
item[x]		1..1	FrMPSubstanceActive	Substance
strength		0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator
batch		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	extensible	FrMedicinalProductOnly http://interopsante.org/fhir/ValueSet/fr-medicinal-product-only from this IG
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Simple nonproprietary name Medication of MRQ, MDP or MUS
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
drugCharacteristic		0..*	(Complex)	descriptive properties of the medicine URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrDrugCharacteristic
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: French Medicinal Product only (extensible)
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	C	0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense or MUsage rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		1..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1	FrMPSubstanceActive	Substance Example Glucose: {"coding":[{"system":"http://snomed.info/sct","code":"67079006","display":"glucose (substance)"}],"text":"glucose"} Example Perindopril erbumine: {"coding":[{"system":"http://snomed.info/sct","code":"129485000","display":"perindopril erbumine (substance)|"}],"text":"perindopril erbumine (substance)"}
strength	C	0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	extensible	FrMedicinalProductOnly http://interopsante.org/fhir/ValueSet/fr-medicinal-product-only from this IG
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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()
rat-1	error	Medication.amount, Medication.ingredient.strength	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())

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Simple nonproprietary name Medication of MRQ, MDP or MUS
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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
drugCharacteristic		0..*	(Complex)	descriptive properties of the medicine URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrDrugCharacteristic
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: French Medicinal Product only (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	C	0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense or MUsage rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		1..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1	FrMPSubstanceActive	Substance Example Glucose: {"coding":[{"system":"http://snomed.info/sct","code":"67079006","display":"glucose (substance)"}],"text":"glucose"} Example Perindopril erbumine: {"coding":[{"system":"http://snomed.info/sct","code":"129485000","display":"perindopril erbumine (substance)|"}],"text":"perindopril erbumine (substance)"}
isActive		0..1	boolean	Active ingredient indicator
strength	C	0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Medication.code	extensible	FrMedicinalProductOnly http://interopsante.org/fhir/ValueSet/fr-medicinal-product-only from this IG
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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()
rat-1	error	Medication.amount, Medication.ingredient.strength	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())

This structure is derived from Medication

Summary

Mandatory: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Ratio with UCUM quantity units (http://interopsante.org/fhir/StructureDefinition/FrRatioUcum)
• French Active Substance of a Medicinal Product (http://interopsante.org/fhir/StructureDefinition/FrMPSubstanceActive)

Extensions

This structure refers to these extensions:

• https://hl7.fr/fhir/fr/medication/StructureDefinition/FrDrugCharacteristic

Differential View

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Simple nonproprietary name Medication of MRQ, MDP or MUS
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
drugCharacteristic		0..*	(Complex)	descriptive properties of the medicine URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrDrugCharacteristic
code		1..1	CodeableConcept	Codes that identify this medication Binding: French Medicinal Product only (extensible)
text		0..1	string	Plain text representation of the concept
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount		0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense or MUsage
ingredient		1..*	BackboneElement	Active or inactive ingredient
item[x]		1..1	FrMPSubstanceActive	Substance
strength		0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator
batch		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	extensible	FrMedicinalProductOnly http://interopsante.org/fhir/ValueSet/fr-medicinal-product-only from this IG
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Simple nonproprietary name Medication of MRQ, MDP or MUS
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
drugCharacteristic		0..*	(Complex)	descriptive properties of the medicine URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrDrugCharacteristic
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: French Medicinal Product only (extensible)
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	C	0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense or MUsage rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		1..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1	FrMPSubstanceActive	Substance Example Glucose: {"coding":[{"system":"http://snomed.info/sct","code":"67079006","display":"glucose (substance)"}],"text":"glucose"} Example Perindopril erbumine: {"coding":[{"system":"http://snomed.info/sct","code":"129485000","display":"perindopril erbumine (substance)|"}],"text":"perindopril erbumine (substance)"}
strength	C	0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	extensible	FrMedicinalProductOnly http://interopsante.org/fhir/ValueSet/fr-medicinal-product-only from this IG
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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()
rat-1	error	Medication.amount, Medication.ingredient.strength	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())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Simple nonproprietary name Medication of MRQ, MDP or MUS
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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
drugCharacteristic		0..*	(Complex)	descriptive properties of the medicine URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrDrugCharacteristic
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: French Medicinal Product only (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	C	0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense or MUsage rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		1..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1	FrMPSubstanceActive	Substance Example Glucose: {"coding":[{"system":"http://snomed.info/sct","code":"67079006","display":"glucose (substance)"}],"text":"glucose"} Example Perindopril erbumine: {"coding":[{"system":"http://snomed.info/sct","code":"129485000","display":"perindopril erbumine (substance)|"}],"text":"perindopril erbumine (substance)"}
isActive		0..1	boolean	Active ingredient indicator
strength	C	0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Medication.code	extensible	FrMedicinalProductOnly http://interopsante.org/fhir/ValueSet/fr-medicinal-product-only from this IG
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Medication	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	Medication	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	Medication	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Medication	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()
rat-1	error	Medication.amount, Medication.ingredient.strength	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())

This structure is derived from Medication

Summary

Mandatory: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Ratio with UCUM quantity units (http://interopsante.org/fhir/StructureDefinition/FrRatioUcum)
• French Active Substance of a Medicinal Product (http://interopsante.org/fhir/StructureDefinition/FrMPSubstanceActive)

Extensions

This structure refers to these extensions:

• https://hl7.fr/fhir/fr/medication/StructureDefinition/FrDrugCharacteristic

Other representations of profile: CSV, Excel, Schematron