Guide d'implémentation du médicament
0.1.0 - ci-build

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

Resource Profile: FrMedicationReconciliationMedicationStatement

Official URL: http://interopsante.org/fhir/StructureDefinition/FrMedicationReconciliationMedicationStatement Version: 0.1.0
Draft as of 2021-06-24 Computable Name: FrMedicationReconciliationMedicationStatement

Copyright/Legal: InterOp’Santé 2021

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

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement S 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
... meta
.... profile 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Fixed Value: http://interopsante.org/fhir/StructureDefinition/FrMedicationReconciliationMedicationStatement
.... tag 0..0
... implicitRules 0..0
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrMedicationStatementReconciliationProperties
... medication[x] S 1..1 Reference(FrMedication) Le médicament constitutif de cette ligne | What medication was taken
... subject S 1..1 Reference(FR Core Patient Profile) Who is/was taking the medication
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..1 uri Type the reference refers to (e.g. "Patient")
Fixed Value: Patient
.... identifier 0..0
... informationSource S 0..0
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0
... note S 0..* Annotation Further information about the statement
... dosage
.... doseAndRate
..... dose[x] S 0..1 Precise amount of medication per dose
...... doseRange Range(FrRangeUcum)
...... doseQuantity Quantity(FrSimpleQuantityUcum)
..... rate[x] S 0..1 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod S 0..1 FrRatioUcum A ratio of two precise Quantity values - a numerator and a denominator
.... maxDosePerAdministration S 0..1 FrSimpleQuantityUcum A fixed quantity (no comparator) with UCUM unit
.... maxDosePerLifetime S 0..1 FrSimpleQuantityUcum A fixed quantity (no comparator) with UCUM unit

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement S 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrMedicationStatementReconciliationProperties
... 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.

... subject SΣ 1..1 Reference(FR Core Patient Profile) Who is/was taking the medication
.... reference SΣC 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: Patient
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... note S 0..* Annotation Further information about the statement
... dosage 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 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod SC 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
.... maxDosePerAdministration SC 0..1 FrSimpleQuantityUcum A fixed quantity (no comparator) 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 quantity (no comparator) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetimeIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationStatement.dosage.maxDosePerPeriodNumerator 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-1errorMedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetimeThe comparator is not used on a SimpleQuantity
: comparator.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement S 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements 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

Fixed Value: http://interopsante.org/fhir/StructureDefinition/FrMedicationReconciliationMedicationStatement
.... 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 BindingsPurpose
AllLanguages Max Binding
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrMedicationStatementReconciliationProperties
... 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 | What medication was taken
... 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 SΣC 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: Patient
.... 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?
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... 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).

..... display Σ 0..1 string Text alternative for the resource
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... 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).

..... display Σ 0..1 string Text alternative for the resource
... 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 S 0..* Annotation Further information about the statement
... dosage 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 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod SC 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
.... maxDosePerAdministration SC 0..1 FrSimpleQuantityUcum A fixed quantity (no comparator) 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 quantity (no comparator) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.derivedFrom:fromMedicationHistory.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.derivedFrom:fromCurrentMedication.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetimeIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationStatement.dosage.maxDosePerPeriodNumerator 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-1errorMedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetimeThe comparator is not used on a SimpleQuantity
: comparator.empty()

Differential View

This structure is derived from MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement S 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
... meta
.... profile 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Fixed Value: http://interopsante.org/fhir/StructureDefinition/FrMedicationReconciliationMedicationStatement
.... tag 0..0
... implicitRules 0..0
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrMedicationStatementReconciliationProperties
... medication[x] S 1..1 Reference(FrMedication) Le médicament constitutif de cette ligne | What medication was taken
... subject S 1..1 Reference(FR Core Patient Profile) Who is/was taking the medication
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..1 uri Type the reference refers to (e.g. "Patient")
Fixed Value: Patient
.... identifier 0..0
... informationSource S 0..0
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0
... note S 0..* Annotation Further information about the statement
... dosage
.... doseAndRate
..... dose[x] S 0..1 Precise amount of medication per dose
...... doseRange Range(FrRangeUcum)
...... doseQuantity Quantity(FrSimpleQuantityUcum)
..... rate[x] S 0..1 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod S 0..1 FrRatioUcum A ratio of two precise Quantity values - a numerator and a denominator
.... maxDosePerAdministration S 0..1 FrSimpleQuantityUcum A fixed quantity (no comparator) with UCUM unit
.... maxDosePerLifetime S 0..1 FrSimpleQuantityUcum A fixed quantity (no comparator) with UCUM unit

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement S 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrMedicationStatementReconciliationProperties
... 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.

... subject SΣ 1..1 Reference(FR Core Patient Profile) Who is/was taking the medication
.... reference SΣC 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: Patient
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... note S 0..* Annotation Further information about the statement
... dosage 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 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod SC 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
.... maxDosePerAdministration SC 0..1 FrSimpleQuantityUcum A fixed quantity (no comparator) 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 quantity (no comparator) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetimeIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationStatement.dosage.maxDosePerPeriodNumerator 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-1errorMedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetimeThe comparator is not used on a SimpleQuantity
: comparator.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement S 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements 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

Fixed Value: http://interopsante.org/fhir/StructureDefinition/FrMedicationReconciliationMedicationStatement
.... 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 BindingsPurpose
AllLanguages Max Binding
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/FrMedicationStatementReconciliationProperties
... 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 | What medication was taken
... 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 SΣC 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: Patient
.... 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?
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... 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).

..... display Σ 0..1 string Text alternative for the resource
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... 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).

..... display Σ 0..1 string Text alternative for the resource
... 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 S 0..* Annotation Further information about the statement
... dosage 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 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod SC 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
.... maxDosePerAdministration SC 0..1 FrSimpleQuantityUcum A fixed quantity (no comparator) 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 quantity (no comparator) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.derivedFrom:fromMedicationHistory.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.derivedFrom:fromCurrentMedication.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetimeIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
rat-1errorMedicationStatement.dosage.maxDosePerPeriodNumerator 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-1errorMedicationStatement.dosage.maxDosePerAdministration, MedicationStatement.dosage.maxDosePerLifetimeThe comparator is not used on a SimpleQuantity
: comparator.empty()

 

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