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: FrCurrentMedicationMedicationStatement

Profil de la ressource MedicationStatement du traitement médicamenteux courant. Current Medication MedicationStatement resource profile

Ce profil est utilisé pour les ressources MedicationStatement figurant dans le traitement médicamenteux courant. Chaque ressource MedicationStatement y représente une ligne de médicament du traitement médicamenteux courant.

Usage:

• Refer to this Resource Profile: FrCurrentMedicationComposition and FrMedicationReconciliationMedicationStatement

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
MedicationStatement		0..*	MedicationStatement	Ligne de traitement médicamenteux du 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	?!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. ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
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). ele-1: All FHIR elements must have a @value or children Required Pattern: Medication
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient qui prend cette ligne de traitement médicamenteux ele-1: All FHIR elements must have a @value or children
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). ele-1: All FHIR elements must have a @value or children Required Pattern: Patient
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken 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
doseAndRate	SΣ	0..*	Element	Amount of medication administered ele-1: All FHIR elements must have a @value or children
dose[x]	SΣ	0..1		Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions. ele-1: All FHIR elements must have a @value or children
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	SΣ	0..1		Amount of medication per unit of time ele-1: All FHIR elements must have a @value or children
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	SΣ	0..1	FrRatioUcum	Upper limit on medication per unit of time ele-1: All FHIR elements must have a @value or children
maxDosePerAdministration	SΣ	0..1	FrSimpleQuantityUcum	Upper limit on medication per administration ele-1: All FHIR elements must have a @value or children
maxDosePerLifetime	SΣ	0..1	FrSimpleQuantityUcum	Upper limit on medication per lifetime of the patient ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.medication[x].type	extensible	Pattern: Medication http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Ligne de traitement médicamenteux du Traitement Médicamenteux Courant
implicitRules		0..0
language		0..1	code	Language of the resource content
status	S	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
medication[x]	S	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Medication
identifier	S	0..0
subject	S	1..1	Reference(FR Core Patient Profile)	Le patient qui prend cette ligne de traitement médicamenteux
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken
doseAndRate	S	0..*	Element	Amount of medication administered
dose[x]	S	0..1		Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	S	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	S	0..1	FrRatioUcum	Upper limit on medication per unit of time
maxDosePerAdministration	S	0..1	FrSimpleQuantityUcum	Upper limit on medication per administration
maxDosePerLifetime	S	0..1	FrSimpleQuantityUcum	Upper limit on medication per lifetime of the patient
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Ligne de traitement médicamenteux du 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..*	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
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). Required Pattern: Medication
display	Σ	0..1	string	Text alternative for the resource
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient qui prend cette ligne de traitement 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	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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?
informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
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		0..*	Annotation	Further information about the statement
dosage	S	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	SΣ	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		Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	SΣ	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	SΣ	0..1	FrRatioUcum	Upper limit on medication per unit of time
maxDosePerAdministration	SΣ	0..1	FrSimpleQuantityUcum	Upper limit on medication per administration
maxDosePerLifetime	SΣ	0..1	FrSimpleQuantityUcum	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x].type	extensible	Pattern: Medication http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

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

Summary

Mandatory: 1 element
Must-Support: 12 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• FrMedication (https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication)
• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• Range with UCUM quantity units (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrRangeUcum)
• SimpleQuantity with UCUM quantity unit (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrSimpleQuantityUcum)
• Ratio with UCUM quantity units (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrRatioUcum)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Ligne de traitement médicamenteux du 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	?!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. ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne ele-1: All FHIR elements must have a @value or children
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
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). ele-1: All FHIR elements must have a @value or children Required Pattern: Medication
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient qui prend cette ligne de traitement médicamenteux ele-1: All FHIR elements must have a @value or children
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). ele-1: All FHIR elements must have a @value or children Required Pattern: Patient
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken 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
doseAndRate	SΣ	0..*	Element	Amount of medication administered ele-1: All FHIR elements must have a @value or children
dose[x]	SΣ	0..1		Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions. ele-1: All FHIR elements must have a @value or children
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	SΣ	0..1		Amount of medication per unit of time ele-1: All FHIR elements must have a @value or children
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	SΣ	0..1	FrRatioUcum	Upper limit on medication per unit of time ele-1: All FHIR elements must have a @value or children
maxDosePerAdministration	SΣ	0..1	FrSimpleQuantityUcum	Upper limit on medication per administration ele-1: All FHIR elements must have a @value or children
maxDosePerLifetime	SΣ	0..1	FrSimpleQuantityUcum	Upper limit on medication per lifetime of the patient ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.medication[x].type	extensible	Pattern: Medication http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Ligne de traitement médicamenteux du Traitement Médicamenteux Courant
implicitRules		0..0
language		0..1	code	Language of the resource content
status	S	1..1	code	active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
medication[x]	S	1..1	Reference(FrMedication)	Le médicament constitutif de cette ligne
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Medication
identifier	S	0..0
subject	S	1..1	Reference(FR Core Patient Profile)	Le patient qui prend cette ligne de traitement médicamenteux
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
dosage	S	0..*	Dosage	Details of how medication is/was taken or should be taken
doseAndRate	S	0..*	Element	Amount of medication administered
dose[x]	S	0..1		Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	S	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	S	0..1	FrRatioUcum	Upper limit on medication per unit of time
maxDosePerAdministration	S	0..1	FrSimpleQuantityUcum	Upper limit on medication per administration
maxDosePerLifetime	S	0..1	FrSimpleQuantityUcum	Upper limit on medication per lifetime of the patient
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationStatement		0..*	MedicationStatement	Ligne de traitement médicamenteux du 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..*	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
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). Required Pattern: Medication
display	Σ	0..1	string	Text alternative for the resource
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Le patient qui prend cette ligne de traitement 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	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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?
informationSource		0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Person or organization that provided the information about the taking of this medication
derivedFrom		0..*	Reference(Resource)	Additional supporting information
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		0..*	Annotation	Further information about the statement
dosage	S	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	SΣ	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		Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
doseRange			Range(FrRangeUcum)
doseQuantity			Quantity(FrSimpleQuantityUcum)
rate[x]	SΣ	0..1		Amount of medication per unit of time
rateRatio			Ratio(FrRatioUcum)
rateRange			Range(FrRangeUcum)
rateQuantity			Quantity(FrSimpleQuantityUcum)
maxDosePerPeriod	SΣ	0..1	FrRatioUcum	Upper limit on medication per unit of time
maxDosePerAdministration	SΣ	0..1	FrSimpleQuantityUcum	Upper limit on medication per administration
maxDosePerLifetime	SΣ	0..1	FrSimpleQuantityUcum	Upper limit on medication per lifetime of the patient
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationStatement.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 from the FHIR Standard
MedicationStatement.statusReason	example	SNOMEDCTDrugTherapyStatusCodes http://hl7.org/fhir/ValueSet/reason-medication-status-codes from the FHIR Standard
MedicationStatement.category	preferred	Medication usage category codes http://hl7.org/fhir/ValueSet/medication-statement-category from the FHIR Standard
MedicationStatement.medication[x].type	extensible	Pattern: Medication http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.subject.type	extensible	Pattern: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationStatement.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationStatement.dosage.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationStatement.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationStatement.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationStatement.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationStatement.dosage.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard

Constraints

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

Summary

Mandatory: 1 element
Must-Support: 12 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• FrMedication (https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication)
• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• Range with UCUM quantity units (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrRangeUcum)
• SimpleQuantity with UCUM quantity unit (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrSimpleQuantityUcum)
• Ratio with UCUM quantity units (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrRatioUcum)

Other representations of profile: CSV, Excel, Schematron