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

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Resource Profile: French branded name Medication

French prescribed, dispensed or used medication expressed as branded medication composed of one to many substances. The code the french UCD (Unité Commune de Dispensation).

French UCD identifying a medication. May be composed of many substances. May be compound.

Usage:

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

Formal Views of Profile Content

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

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

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of the branded Medication of MRQ, MDP, MAD or MUS
code		1..1	CodeableConcept	Codes that identify this medication Binding: http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD (extensible)
text		0..1	string	Plain text representation of the concept
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount		0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense, MAdministration or MUsage
ingredient		1..*	BackboneElement	Active or inactive ingredient
item[x]		1..1		Substance or UCD part
itemCodeableConcept			CodeableConcept(FrMPSubstanceActive)
itemReference			Reference(French Ucd Part Medication)
strength		0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator
batch		0..1	BackboneElement	Details about packaged medications
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	extensible	http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of the branded Medication of MRQ, MDP, MAD or MUS
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD (extensible)
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	C	0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense, MAdministration or MUsage rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		1..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		Substance or UCD part
itemCodeableConcept			CodeableConcept(FrMPSubstanceActive)
itemReference			Reference(French Ucd Part Medication)
strength	C	0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
batch		0..1	BackboneElement	Details about packaged medications
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	extensible	http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of the branded Medication of MRQ, MDP, MAD or MUS
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	C	0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense, MAdministration or MUsage rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		1..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		Substance or UCD part
itemCodeableConcept			CodeableConcept(FrMPSubstanceActive)
itemReference			Reference(French Ucd Part Medication)
isActive		0..1	boolean	Active ingredient indicator
strength	C	0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
batch		0..1	BackboneElement	Details about packaged medications
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
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from Medication

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

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

Differential View

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of the branded Medication of MRQ, MDP, MAD or MUS
code		1..1	CodeableConcept	Codes that identify this medication Binding: http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD (extensible)
text		0..1	string	Plain text representation of the concept
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount		0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense, MAdministration or MUsage
ingredient		1..*	BackboneElement	Active or inactive ingredient
item[x]		1..1		Substance or UCD part
itemCodeableConcept			CodeableConcept(FrMPSubstanceActive)
itemReference			Reference(French Ucd Part Medication)
strength		0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator
batch		0..1	BackboneElement	Details about packaged medications
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.code	extensible	http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of the branded Medication of MRQ, MDP, MAD or MUS
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD (extensible)
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	C	0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense, MAdministration or MUsage rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		1..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		Substance or UCD part
itemCodeableConcept			CodeableConcept(FrMPSubstanceActive)
itemReference			Reference(French Ucd Part Medication)
strength	C	0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
batch		0..1	BackboneElement	Details about packaged medications
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	extensible	http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	extensible	FrMpDoseForm http://interopsante.org/fhir/ValueSet/fr-mp-dose-form from this IG

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of the branded Medication of MRQ, MDP, MAD or MUS
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	Codes that identify this medication Binding: http://phast.fr/fhir/ValueSet/Pharmacy/CIOdc/SIPh-CIO_UCD (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	C	0..1	FrRatioUcum	Amount of drug in the MRequest, MDispense, MAdministration or MUsage rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
ingredient		1..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1		Substance or UCD part
itemCodeableConcept			CodeableConcept(FrMPSubstanceActive)
itemReference			Reference(French Ucd Part Medication)
isActive		0..1	boolean	Active ingredient indicator
strength	C	0..1	FrRatioUcum	A ratio of two precise Quantity values - a numerator and a denominator rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
batch		0..1	BackboneElement	Details about packaged medications
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
lotNumber		0..1	string	Identifier assigned to batch
expirationDate		0..1	dateTime	When batch will expire
Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from Medication

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

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

Other representations of profile: CSV, Excel, Schematron