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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• Detailed Descriptions
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Resource Profile: FrCurrentMedicationComposition

Profil de la ressource Composition du traitement médicamenteux courant.

Ce profil est utilisé pour la ressource Composition de tout document FHIR Traitement médicamenteux courant. Par exemple, celui résultant de la prescription d’admission intitulé Ordonnance Médicale d’Admission (OMA).

Usage:

• Derived from this Resource Profile: FrOnAdmissionMedicationComposition
• Refer to this Resource Profile: FrMedicationReconciliationComposition

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Traitement Médicamenteux Courant dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Type de liste des Traitements Médicamenteux Courants Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible): Type of a Current Medciation. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient ele-1: All FHIR elements must have a @value or children
type	Σ	1..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). ele-1: All FHIR elements must have a @value or children Required Pattern: Patient
encounter	Σ	0..1	Reference(FR Core Encounter Profile)	Context of the Composition ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	Date de détermination du Traitement Médicamenteux Courant ele-1: All FHIR elements must have a @value or children
author	SΣ	1..1	Reference(FR Core Practitioner Role)	Le prescripteur ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	Human Readable name/title ele-1: All FHIR elements must have a @value or children Required Pattern: Traitement Médicamenteux Courant
section	SC	1..1	BackboneElement	Liste des médicaments prescrits 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children Required Pattern: Liste des médicaments prescrits en cours
mode	S	1..1	code	Liste courante exhaustive Binding: ListMode (required): The processing mode that applies to this section. ele-1: All FHIR elements must have a @value or children Required Pattern: working
orderedBy		0..1	CodeableConcept	Ordre des lignes du Traitement Médicamenteux Courant Binding: ListOrderCodes (preferred): What order applies to the items in the entry. ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(FrCurrentMedicationMedicationStatement)	La ligne de traitement médicamenteux ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	FrCurrentMedicationDocumentType https://hl7.fr/fhir/fr/medication/ValueSet/fr-current-medication-document-type from this IG
Composition.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section.mode	required	Pattern: working 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

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section	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	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

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Traitement Médicamenteux Courant
implicitRules		0..0
language		0..1	code	Language of the resource content
type	S	1..1	CodeableConcept	Type de liste des Traitements Médicamenteux Courants Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible): Type of a Current Medciation.
subject	S	1..1	Reference(FR Core Patient Profile)	Le patient
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
encounter		0..1	Reference(FR Core Encounter Profile)	Context of the Composition
date		1..1	dateTime	Date de détermination du Traitement Médicamenteux Courant
author	S	1..1	Reference(FR Core Practitioner Role)	Le prescripteur
title		1..1	string	Human Readable name/title Required Pattern: Traitement Médicamenteux Courant
attester
party		0..1	Reference(FR Core Practitioner Role)	Who attested the composition
section	S	1..1	BackboneElement	Liste des médicaments prescrits
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Liste des médicaments prescrits en cours
author		0..0
focus		0..0
mode	S	1..1	code	Liste courante exhaustive Required Pattern: working
orderedBy		0..1	CodeableConcept	Ordre des lignes du Traitement Médicamenteux Courant
entry	S	0..*	Reference(FrCurrentMedicationMedicationStatement)	La ligne de traitement médicamenteux
section		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	extensible	FrCurrentMedicationDocumentType https://hl7.fr/fhir/fr/medication/ValueSet/fr-current-medication-document-type from this IG

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Traitement Médicamenteux Courant
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	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type de liste des Traitements Médicamenteux Courants Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible): Type of a Current Medciation.
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	1..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(FR Core Encounter Profile)	Context of the Composition
date	Σ	1..1	dateTime	Date de détermination du Traitement Médicamenteux Courant
author	SΣ	1..1	Reference(FR Core Practitioner Role)	Le prescripteur
title	Σ	1..1	string	Human Readable name/title Required Pattern: Traitement Médicamenteux Courant
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		0..1	Reference(FR Core Practitioner Role)	Who attested the composition
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
section	SC	1..1	BackboneElement	Liste des médicaments prescrits 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		0..1	string	Label for section (e.g. for ToC) Required Pattern: Liste des médicaments prescrits en cours
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 Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
orderedBy		0..1	CodeableConcept	Ordre des lignes du Traitement Médicamenteux Courant Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(FrCurrentMedicationMedicationStatement)	La ligne de traitement 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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	FrCurrentMedicationDocumentType https://hl7.fr/fhir/fr/medication/ValueSet/fr-current-medication-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.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.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	Pattern: working 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

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section	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	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: 4 elements
Must-Support: 6 elements
Prohibited: 4 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 Encounter Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter)
• FR Core Practitioner Role (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role)
• FrCurrentMedicationMedicationStatement (https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-current-medication-medicationstatement)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Traitement Médicamenteux Courant dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Type de liste des Traitements Médicamenteux Courants Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible): Type of a Current Medciation. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient ele-1: All FHIR elements must have a @value or children
type	Σ	1..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). ele-1: All FHIR elements must have a @value or children Required Pattern: Patient
encounter	Σ	0..1	Reference(FR Core Encounter Profile)	Context of the Composition ele-1: All FHIR elements must have a @value or children
date	Σ	1..1	dateTime	Date de détermination du Traitement Médicamenteux Courant ele-1: All FHIR elements must have a @value or children
author	SΣ	1..1	Reference(FR Core Practitioner Role)	Le prescripteur ele-1: All FHIR elements must have a @value or children
title	Σ	1..1	string	Human Readable name/title ele-1: All FHIR elements must have a @value or children Required Pattern: Traitement Médicamenteux Courant
section	SC	1..1	BackboneElement	Liste des médicaments prescrits 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
title		0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children Required Pattern: Liste des médicaments prescrits en cours
mode	S	1..1	code	Liste courante exhaustive Binding: ListMode (required): The processing mode that applies to this section. ele-1: All FHIR elements must have a @value or children Required Pattern: working
orderedBy		0..1	CodeableConcept	Ordre des lignes du Traitement Médicamenteux Courant Binding: ListOrderCodes (preferred): What order applies to the items in the entry. ele-1: All FHIR elements must have a @value or children
entry	SC	0..*	Reference(FrCurrentMedicationMedicationStatement)	La ligne de traitement médicamenteux ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	FrCurrentMedicationDocumentType https://hl7.fr/fhir/fr/medication/ValueSet/fr-current-medication-document-type from this IG
Composition.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section.mode	required	Pattern: working 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

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section	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	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()

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Traitement Médicamenteux Courant
implicitRules		0..0
language		0..1	code	Language of the resource content
type	S	1..1	CodeableConcept	Type de liste des Traitements Médicamenteux Courants Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible): Type of a Current Medciation.
subject	S	1..1	Reference(FR Core Patient Profile)	Le patient
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
encounter		0..1	Reference(FR Core Encounter Profile)	Context of the Composition
date		1..1	dateTime	Date de détermination du Traitement Médicamenteux Courant
author	S	1..1	Reference(FR Core Practitioner Role)	Le prescripteur
title		1..1	string	Human Readable name/title Required Pattern: Traitement Médicamenteux Courant
attester
party		0..1	Reference(FR Core Practitioner Role)	Who attested the composition
section	S	1..1	BackboneElement	Liste des médicaments prescrits
title		0..1	string	Label for section (e.g. for ToC) Required Pattern: Liste des médicaments prescrits en cours
author		0..0
focus		0..0
mode	S	1..1	code	Liste courante exhaustive Required Pattern: working
orderedBy		0..1	CodeableConcept	Ordre des lignes du Traitement Médicamenteux Courant
entry	S	0..*	Reference(FrCurrentMedicationMedicationStatement)	La ligne de traitement médicamenteux
section		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	extensible	FrCurrentMedicationDocumentType https://hl7.fr/fhir/fr/medication/ValueSet/fr-current-medication-document-type from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	Composition	Traitement Médicamenteux Courant
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	?!Σ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	SΣ	1..1	CodeableConcept	Type de liste des Traitements Médicamenteux Courants Binding: value set InterOp'Santé - type de document de la ressource Composition d'une FCT (extensible): Type of a Current Medciation.
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	1..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(FR Core Encounter Profile)	Context of the Composition
date	Σ	1..1	dateTime	Date de détermination du Traitement Médicamenteux Courant
author	SΣ	1..1	Reference(FR Core Practitioner Role)	Le prescripteur
title	Σ	1..1	string	Human Readable name/title Required Pattern: Traitement Médicamenteux Courant
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		0..1	Reference(FR Core Practitioner Role)	Who attested the composition
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
section	SC	1..1	BackboneElement	Liste des médicaments prescrits 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		0..1	string	Label for section (e.g. for ToC) Required Pattern: Liste des médicaments prescrits en cours
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 Binding: ListMode (required): The processing mode that applies to this section. Required Pattern: working
orderedBy		0..1	CodeableConcept	Ordre des lignes du Traitement Médicamenteux Courant Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(FrCurrentMedicationMedicationStatement)	La ligne de traitement 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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	FrCurrentMedicationDocumentType https://hl7.fr/fhir/fr/medication/ValueSet/fr-current-medication-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.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.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	Pattern: working 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

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section	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	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: 4 elements
Must-Support: 6 elements
Prohibited: 4 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 Encounter Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter)
• FR Core Practitioner Role (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role)
• FrCurrentMedicationMedicationStatement (https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-current-medication-medicationstatement)

Other representations of profile: CSV, Excel, Schematron