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: FrMedicationReconciliationComposition

Profil de la ressource Composition la Fiche de Conciliation des Traitements médicamenteux (FCT).

Ce profil est utilisé pour la Composition du document FHIR Fiche de Conciliation des Traitements médicamenteux (FCT).

Usage:

• Derived from this Resource Profile: FrOnAdmissionRetroactiveMedicationReconciliationComposition

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 Composition

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Fiche de Conciliation des Traitements médicamenteux (FCT)
implicitRules		0..0
language		0..1	code	Language of the resource content
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible)
subject	S	1..1	Reference(FR Core Patient Profile)	Le patient
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
author	S	1..*	Reference(FR Core Practitioner Role Profession)	Le ou les auteurs
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: PractitionerRole
attester
party		1..1	Reference(FR Core Practitioner Role Profession)	Who attested the composition
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		0..0
Slices for section	S	3..3	BackboneElement	Composition is broken into sections Slice: Unordered, Closed by
section:MedicationHistory	S	1..1	BackboneElement	Bilan Médicamenteux
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Bilan Médicamenteux
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
author	S	0..0
focus	S	0..0
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Required Pattern: working
orderedBy		0..1	CodeableConcept	Order of section entries
entry	S	1..1	Reference(FrMedicationHistoryComposition)	La référence à la ressource *Composition* du Bilan Médicamenteux. Ce Bilan peut être vide si le patient ne prend pas de médicament en dehors de l'hospitalisation au titre de laquelle la Conciliation est réalisée.
section	S	0..0
section:CurrentMedication	S	1..1	BackboneElement	Traitement Médicamenteux Courant
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Traitement Médicamenteux Courant
author	S	0..0
focus	S	0..0
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Fixed Value: working
orderedBy		0..1	CodeableConcept	Order of section entries
entry	S	1..1	Reference(FrCurrentMedicationComposition)	La référence à la ressource *Composition* du Traitement Médicamenteux Courant. Ce Traitement peut, formellement, être vide si le patient ne prend pas de médicament lors de son hospitalisation.
section	S	0..0
section:Reconciliation	S	1..1	BackboneElement	Conciliation proprement dite
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Fiche de Conciliation des Traitements médicamenteux
author		0..0
focus	S	0..0
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Required Pattern: working
entry	S	0..*	Reference(FrMedicationReconciliationMedicationStatement)	Ligne de traitement médicamenteux de la FCT (Fiche de Concilitaion des Traitements médicamenteux)
section	S	0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	extensible	FrMedicationReconciliationDocumentType http://interopsante.org/fhir/ValueSet/fr-medication-reconciliation-document-type from this IG

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Fiche de Conciliation des Traitements médicamenteux (FCT)
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible)
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient
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). Required Pattern: Patient
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(FR Core Practitioner Role Profession)	Le ou les auteurs
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). Required Pattern: PractitionerRole
title	Σ	1..1	string	Human Readable name/title
Slices for section	SC	3..3	BackboneElement	Composition is broken into sections Slice: Unordered, Closed by cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:MedicationHistory	SC	1..1	BackboneElement	Bilan Médicamenteux cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Bilan Médicamenteux
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..1	Reference(FrMedicationHistoryComposition)	La référence à la ressource *Composition* du Bilan Médicamenteux. Ce Bilan peut être vide si le patient ne prend pas de médicament en dehors de l'hospitalisation au titre de laquelle la Conciliation est réalisée.
section:CurrentMedication	SC	1..1	BackboneElement	Traitement Médicamenteux Courant cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Traitement Médicamenteux Courant
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..1	Reference(FrCurrentMedicationComposition)	La référence à la ressource *Composition* du Traitement Médicamenteux Courant. Ce Traitement peut, formellement, être vide si le patient ne prend pas de médicament lors de son hospitalisation.
section:Reconciliation	SC	1..1	BackboneElement	Conciliation proprement dite cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Fiche de Conciliation des Traitements médicamenteux
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
entry	SC	0..*	Reference(FrMedicationReconciliationMedicationStatement)	Ligne de traitement médicamenteux de la FCT (Fiche de Concilitaion des Traitements médicamenteux)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	FrMedicationReconciliationDocumentType http://interopsante.org/fhir/ValueSet/fr-medication-reconciliation-document-type from this IG
Composition.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author.type	extensible	Pattern: PractitionerRole http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:MedicationHistory.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:MedicationHistory.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:MedicationHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:CurrentMedication.mode	required	Fixed Value: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:CurrentMedication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Reconciliation.author.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:Reconciliation.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:MedicationHistory, Composition.section:CurrentMedication, Composition.section:Reconciliation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:MedicationHistory, Composition.section:CurrentMedication, Composition.section:Reconciliation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	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()

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Fiche de Conciliation des Traitements médicamenteux (FCT)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient
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). Required Pattern: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(FR Core Practitioner Role Profession)	Le ou les auteurs
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). Required Pattern: PractitionerRole
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
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
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		1..1	Reference(FR Core Practitioner Role Profession)	Who attested the composition
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). Required Pattern: Practitioner
display	Σ	0..1	string	Text alternative for the resource
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
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
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
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
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	3..3	BackboneElement	Composition is broken into sections Slice: Unordered, Closed by cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
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
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:MedicationHistory	SC	1..1	BackboneElement	Bilan Médicamenteux cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Bilan Médicamenteux
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..1	Reference(FrMedicationHistoryComposition)	La référence à la ressource *Composition* du Bilan Médicamenteux. Ce Bilan peut être vide si le patient ne prend pas de médicament en dehors de l'hospitalisation au titre de laquelle la Conciliation est réalisée.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:CurrentMedication	SC	1..1	BackboneElement	Traitement Médicamenteux Courant cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Traitement Médicamenteux Courant
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..1	Reference(FrCurrentMedicationComposition)	La référence à la ressource *Composition* du Traitement Médicamenteux Courant. Ce Traitement peut, formellement, être vide si le patient ne prend pas de médicament lors de son hospitalisation.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:Reconciliation	SC	1..1	BackboneElement	Conciliation proprement dite cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Fiche de Conciliation des Traitements médicamenteux
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(FrMedicationReconciliationMedicationStatement)	Ligne de traitement médicamenteux de la FCT (Fiche de Concilitaion des Traitements médicamenteux)
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	FrMedicationReconciliationDocumentType http://interopsante.org/fhir/ValueSet/fr-medication-reconciliation-document-type from this IG
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author.type	extensible	Pattern: PractitionerRole http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester.party.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:MedicationHistory.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:MedicationHistory.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:MedicationHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:MedicationHistory.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:CurrentMedication.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CurrentMedication.mode	required	Fixed Value: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:CurrentMedication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:CurrentMedication.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Reconciliation.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Reconciliation.author.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:Reconciliation.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:Reconciliation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Reconciliation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:MedicationHistory, Composition.section:CurrentMedication, Composition.section:Reconciliation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:MedicationHistory, Composition.section:CurrentMedication, Composition.section:Reconciliation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	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()

This structure is derived from Composition

Summary

Mandatory: 12 elements(3 nested mandatory elements)
Must-Support: 22 elements
Fixed: 2 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• FR Core Practitioner Role Profession (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role-profession)
• FrMedicationHistoryComposition (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrMedicationHistoryComposition)
• FrCurrentMedicationComposition (http://interopsante.org/fhir/StructureDefinition/FrCurrentMedicationComposition)
• FrMedicationReconciliationMedicationStatement (http://interopsante.org/fhir/StructureDefinition/FrMedicationReconciliationMedicationStatement)

Slices

This structure defines the following Slices:

• There is a slice with no discriminator at Composition.section

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Fiche de Conciliation des Traitements médicamenteux (FCT)
implicitRules		0..0
language		0..1	code	Language of the resource content
status	S	1..1	code	preliminary | final | amended | entered-in-error
type	S	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible)
subject	S	1..1	Reference(FR Core Patient Profile)	Le patient
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
author	S	1..*	Reference(FR Core Practitioner Role Profession)	Le ou les auteurs
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: PractitionerRole
attester
party		1..1	Reference(FR Core Practitioner Role Profession)	Who attested the composition
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		0..0
Slices for section	S	3..3	BackboneElement	Composition is broken into sections Slice: Unordered, Closed by
section:MedicationHistory	S	1..1	BackboneElement	Bilan Médicamenteux
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Bilan Médicamenteux
code		0..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
author	S	0..0
focus	S	0..0
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Required Pattern: working
orderedBy		0..1	CodeableConcept	Order of section entries
entry	S	1..1	Reference(FrMedicationHistoryComposition)	La référence à la ressource *Composition* du Bilan Médicamenteux. Ce Bilan peut être vide si le patient ne prend pas de médicament en dehors de l'hospitalisation au titre de laquelle la Conciliation est réalisée.
section	S	0..0
section:CurrentMedication	S	1..1	BackboneElement	Traitement Médicamenteux Courant
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Traitement Médicamenteux Courant
author	S	0..0
focus	S	0..0
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Fixed Value: working
orderedBy		0..1	CodeableConcept	Order of section entries
entry	S	1..1	Reference(FrCurrentMedicationComposition)	La référence à la ressource *Composition* du Traitement Médicamenteux Courant. Ce Traitement peut, formellement, être vide si le patient ne prend pas de médicament lors de son hospitalisation.
section	S	0..0
section:Reconciliation	S	1..1	BackboneElement	Conciliation proprement dite
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Fiche de Conciliation des Traitements médicamenteux
author		0..0
focus	S	0..0
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Required Pattern: working
entry	S	0..*	Reference(FrMedicationReconciliationMedicationStatement)	Ligne de traitement médicamenteux de la FCT (Fiche de Concilitaion des Traitements médicamenteux)
section	S	0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	extensible	FrMedicationReconciliationDocumentType http://interopsante.org/fhir/ValueSet/fr-medication-reconciliation-document-type from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Fiche de Conciliation des Traitements médicamenteux (FCT)
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible)
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient
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). Required Pattern: Patient
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(FR Core Practitioner Role Profession)	Le ou les auteurs
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). Required Pattern: PractitionerRole
title	Σ	1..1	string	Human Readable name/title
Slices for section	SC	3..3	BackboneElement	Composition is broken into sections Slice: Unordered, Closed by cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:MedicationHistory	SC	1..1	BackboneElement	Bilan Médicamenteux cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Bilan Médicamenteux
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..1	Reference(FrMedicationHistoryComposition)	La référence à la ressource *Composition* du Bilan Médicamenteux. Ce Bilan peut être vide si le patient ne prend pas de médicament en dehors de l'hospitalisation au titre de laquelle la Conciliation est réalisée.
section:CurrentMedication	SC	1..1	BackboneElement	Traitement Médicamenteux Courant cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Traitement Médicamenteux Courant
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..1	Reference(FrCurrentMedicationComposition)	La référence à la ressource *Composition* du Traitement Médicamenteux Courant. Ce Traitement peut, formellement, être vide si le patient ne prend pas de médicament lors de son hospitalisation.
section:Reconciliation	SC	1..1	BackboneElement	Conciliation proprement dite cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Fiche de Conciliation des Traitements médicamenteux
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
entry	SC	0..*	Reference(FrMedicationReconciliationMedicationStatement)	Ligne de traitement médicamenteux de la FCT (Fiche de Concilitaion des Traitements médicamenteux)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	FrMedicationReconciliationDocumentType http://interopsante.org/fhir/ValueSet/fr-medication-reconciliation-document-type from this IG
Composition.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author.type	extensible	Pattern: PractitionerRole http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:MedicationHistory.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:MedicationHistory.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:MedicationHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:CurrentMedication.mode	required	Fixed Value: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:CurrentMedication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Reconciliation.author.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:Reconciliation.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:MedicationHistory, Composition.section:CurrentMedication, Composition.section:Reconciliation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:MedicationHistory, Composition.section:CurrentMedication, Composition.section:Reconciliation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition	S	0..*	Composition	Fiche de Conciliation des Traitements médicamenteux (FCT)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible)
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient
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). Required Pattern: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	Σ	1..1	dateTime	Composition editing time
author	SΣ	1..*	Reference(FR Core Practitioner Role Profession)	Le ou les auteurs
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). Required Pattern: PractitionerRole
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
title	Σ	1..1	string	Human Readable name/title
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
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
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		1..1	Reference(FR Core Practitioner Role Profession)	Who attested the composition
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). Required Pattern: Practitioner
display	Σ	0..1	string	Text alternative for the resource
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
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
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
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
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	3..3	BackboneElement	Composition is broken into sections Slice: Unordered, Closed by cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
section:All Slices				Content/Rules for all slices
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
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	C	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:MedicationHistory	SC	1..1	BackboneElement	Bilan Médicamenteux cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Bilan Médicamenteux
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..1	Reference(FrMedicationHistoryComposition)	La référence à la ressource *Composition* du Bilan Médicamenteux. Ce Bilan peut être vide si le patient ne prend pas de médicament en dehors de l'hospitalisation au titre de laquelle la Conciliation est réalisée.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:CurrentMedication	SC	1..1	BackboneElement	Traitement Médicamenteux Courant cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title		1..1	string	Label for section (e.g. for ToC) Fixed Value: Traitement Médicamenteux Courant
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..1	Reference(FrCurrentMedicationComposition)	La référence à la ressource *Composition* du Traitement Médicamenteux Courant. Ce Traitement peut, formellement, être vide si le patient ne prend pas de médicament lors de son hospitalisation.
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:Reconciliation	SC	1..1	BackboneElement	Conciliation proprement dite cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Fiche de Conciliation des Traitements médicamenteux
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	C	0..1	Narrative	Text summary of the section, for human interpretation
mode	S	1..1	code	Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\). Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(FrMedicationReconciliationMedicationStatement)	Ligne de traitement médicamenteux de la FCT (Fiche de Concilitaion des Traitements médicamenteux)
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	FrMedicationReconciliationDocumentType http://interopsante.org/fhir/ValueSet/fr-medication-reconciliation-document-type from this IG
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.author.type	extensible	Pattern: PractitionerRole http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.attester.party.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:MedicationHistory.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:MedicationHistory.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:MedicationHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:MedicationHistory.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:CurrentMedication.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:CurrentMedication.mode	required	Fixed Value: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:CurrentMedication.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:CurrentMedication.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:Reconciliation.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:Reconciliation.author.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:Reconciliation.mode	required	Pattern: working http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:Reconciliation.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:Reconciliation.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:MedicationHistory, Composition.section:CurrentMedication, Composition.section:Reconciliation	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:MedicationHistory, Composition.section:CurrentMedication, Composition.section:Reconciliation	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	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()

This structure is derived from Composition

Summary

Mandatory: 12 elements(3 nested mandatory elements)
Must-Support: 22 elements
Fixed: 2 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• FR Core Practitioner Role Profession (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role-profession)
• FrMedicationHistoryComposition (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrMedicationHistoryComposition)
• FrCurrentMedicationComposition (http://interopsante.org/fhir/StructureDefinition/FrCurrentMedicationComposition)
• FrMedicationReconciliationMedicationStatement (http://interopsante.org/fhir/StructureDefinition/FrMedicationReconciliationMedicationStatement)

Slices

This structure defines the following Slices:

• There is a slice with no discriminator at Composition.section