Guide d'implémentation du médicament
0.1.0 - ci-build

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

Resource Profile: FrInpatientMedicationRequest

Official URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-inpatient-medicationrequest Version: 0.1.0
Draft as of 2025-05-05 Computable Name: FrInpatientMedicationRequest

French inpatient medication request profile

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:treatmentIntent 0..1 (Complex) overall treatment intent
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent"
... 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
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
ele-1: All FHIR elements must have a @value or children
... Slices for medication[x] Σ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.


ele-1: All FHIR elements must have a @value or children
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FrMedicationNonCompound | FrMedicationCompound) Medication to be taken
ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.


ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... subject Σ 1..1 Reference(FR Core Patient Profile) Who or group medication request is for
ele-1: All FHIR elements must have a @value or children
... encounter 0..1 Reference(FR Core Encounter Profile) Encounter created as part of encounter/admission/stay
ele-1: All FHIR elements must have a @value or children
... requester Σ 1..1 Reference(FR Core Practitioner Profile) Who requested the Request
ele-1: All FHIR elements must have a @value or children
... dosageInstruction 1..* Dosage How the medication 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
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: French Route of Administration (extensible)
ele-1: All FHIR elements must have a @value or children
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: French Method Of Administration (extensible)
ele-1: All FHIR elements must have a @value or children
.... maxDosePerAdministration Σ 0..1 FrSimpleQuantityMedication Upper limit on medication per administration
ele-1: All FHIR elements must have a @value or children
.... maxDosePerLifetime Σ 0..1 FrSimpleQuantityMedication Upper limit on medication per lifetime of the patient
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleFrRouteOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/fr-route-of-administration
from this IG
MedicationRequest.dosageInstruction.methodextensibleFrMethodOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/FrMethodOfAdministration
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest MedicationRequest
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:treatmentIntent 0..1 (Complex) overall treatment intent
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent
..... value[x]
...... coding 0..* Coding Code defined by a terminology system
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) Medication to be taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(FrMedicationNonCompound | FrMedicationCompound) Medication to be taken
..... Slices for extension Content/Rules for all slices
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Medication to be taken
..... Slices for extension Content/Rules for all slices
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
... subject 1..1 Reference(FR Core Patient Profile) Who or group medication request is for
... supportingInformation
.... Slices for extension Content/Rules for all slices
..... extension:UFRole 0..1 code UF Role
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-uf-role
Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
... requester 1..1 Reference(FR Core Practitioner Profile) Who requested the Request
... note
.... Slices for extension Content/Rules for all slices
..... extension:noteScope 0..1 code Scope of the note
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medicationrequest-note-scope
Binding: value set Interop'Santé - Codes pour le périmètre des notes (required)
... dosageInstruction 1..* Dosage How the medication should be taken
.... timing
..... repeat
...... Slices for extension Content/Rules for all slices
....... extension:AdditionalWhenValues 0..1 code Additional values for when element
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-additional-when-values
Binding: value set Interop'Santé - Codes additionnels pour l'élément when (required)
.... route 0..1 CodeableConcept How drug should enter body
Binding: French Route of Administration (extensible)
.... method 0..1 CodeableConcept Technique for administering medication
Binding: French Method Of Administration (extensible)
.... doseAndRate
..... Slices for extension Content/Rules for all slices
...... extension:BasisOfDoseComponent 0..1 Reference(Medication) Medication component Basis of dose
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-basis-of-dose-component
..... Slices for dose[x] 0..1 Range, SimpleQuantity Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseRange 0..1 FrRangeMedication Amount of medication per dose
...... dose[x]:doseQuantity 0..1 FrSimpleQuantityMedication Amount of medication per dose
..... Slices for rate[x] 0..1 Ratio, Range, SimpleQuantity Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateRatio 0..1 FrRatioMedication Amount of medication per unit of time
...... rate[x]:rateRange 0..1 FrRangeMedication Amount of medication per unit of time
...... rate[x]:rateQuantity 0..1 FrSimpleQuantityMedication Amount of medication per unit of time
.... maxDosePerPeriod
..... numerator 0..1 FrSimpleQuantityMedication Numerator value
..... denominator 0..1 FrSimpleQuantityMedication Denominator value
.... maxDosePerAdministration 0..1 FrSimpleQuantityMedication Upper limit on medication per administration
.... maxDosePerLifetime 0..1 FrSimpleQuantityMedication Upper limit on medication per lifetime of the patient
... dispenseRequest
.... initialFill 0..0
.... dispenseInterval 0..0
.... validityPeriod
..... start 1..1 dateTime Starting time with inclusive boundary
..... end 0..1 dateTime End time with inclusive boundary, if not ongoing
.... quantity 0..0
.... expectedSupplyDuration
..... comparator 0..0
.... performer 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.dosageInstruction.routeextensibleFrRouteOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/fr-route-of-administration
from this IG
MedicationRequest.dosageInstruction.methodextensibleFrMethodOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/FrMethodOfAdministration
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:treatmentIntent 0..1 (Complex) overall treatment intent
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent"
..... value[x] 0..1 CodeableConcept Value of overall treatment intent
Binding: French overall intention of the treatment (extensible): SNOMED CT encoded treatment overall intent

...... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] Σ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FrMedicationNonCompound | FrMedicationCompound) Medication to be taken
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
..... 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).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(FR Core Patient Profile) Who or group medication request is for
... encounter 0..1 Reference(FR Core Encounter Profile) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:UFRole 0..1 code UF Role
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-uf-role
Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
.... 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).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(FR Core Practitioner Profile) Who requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:noteScope 0..1 code Scope of the note
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medicationrequest-note-scope
Binding: value set Interop'Santé - Codes pour le périmètre des notes (required)
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)
... dosageInstruction 1..* Dosage How the medication 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
..... 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
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:AdditionalWhenValues 0..1 code Additional values for when element
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-additional-when-values
Binding: value set Interop'Santé - Codes additionnels pour l'élément when (required)
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal How long when it happens
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency Σ 0..1 positiveInt Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Event occurs frequency times per period
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.

.... 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: French Route of Administration (extensible)
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: French Method Of Administration (extensible)
.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:BasisOfDoseComponent 0..1 Reference(Medication) Medication component Basis of dose
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-basis-of-dose-component
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseRange Σ 0..1 FrRangeMedication Amount of medication per dose
...... dose[x]:doseQuantity Σ 0..1 FrSimpleQuantityMedication Amount of medication per dose
..... Slices for rate[x] Σ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio Σ 0..1 FrRatioMedication Amount of medication per unit of time
...... rate[x]:rateRange Σ 0..1 FrRangeMedication Amount of medication per unit of time
...... rate[x]:rateQuantity Σ 0..1 FrSimpleQuantityMedication Amount of medication per unit of time
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... numerator Σ 0..1 FrSimpleQuantityMedication Numerator value
..... denominator Σ 0..1 FrSimpleQuantityMedication Denominator value
.... maxDosePerAdministration Σ 0..1 FrSimpleQuantityMedication Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 FrSimpleQuantityMedication Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... 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
.... validityPeriod 0..1 Period Time period supply is authorized for
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 1..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... 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
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.extension:treatmentIntent.value[x]extensibleFrTreatmentIntent
https://hl7.fr/ig/fhir/medication/ValueSet/fr-treatment-intent
from this IG
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.supportingInformation.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleFrRouteOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/fr-route-of-administration
from this IG
MedicationRequest.dosageInstruction.methodextensibleFrMethodOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/FrMethodOfAdministration
from this IG
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 2 elements(1 nested mandatory element)
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.medication[x]
  • The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
  • The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.rate[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:treatmentIntent 0..1 (Complex) overall treatment intent
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension 0..0
..... url 1..1 uri "https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent"
... 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
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
ele-1: All FHIR elements must have a @value or children
... Slices for medication[x] Σ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.


ele-1: All FHIR elements must have a @value or children
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FrMedicationNonCompound | FrMedicationCompound) Medication to be taken
ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.


ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... subject Σ 1..1 Reference(FR Core Patient Profile) Who or group medication request is for
ele-1: All FHIR elements must have a @value or children
... encounter 0..1 Reference(FR Core Encounter Profile) Encounter created as part of encounter/admission/stay
ele-1: All FHIR elements must have a @value or children
... requester Σ 1..1 Reference(FR Core Practitioner Profile) Who requested the Request
ele-1: All FHIR elements must have a @value or children
... dosageInstruction 1..* Dosage How the medication 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
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: French Route of Administration (extensible)
ele-1: All FHIR elements must have a @value or children
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: French Method Of Administration (extensible)
ele-1: All FHIR elements must have a @value or children
.... maxDosePerAdministration Σ 0..1 FrSimpleQuantityMedication Upper limit on medication per administration
ele-1: All FHIR elements must have a @value or children
.... maxDosePerLifetime Σ 0..1 FrSimpleQuantityMedication Upper limit on medication per lifetime of the patient
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleFrRouteOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/fr-route-of-administration
from this IG
MedicationRequest.dosageInstruction.methodextensibleFrMethodOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/FrMethodOfAdministration
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest MedicationRequest
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:treatmentIntent 0..1 (Complex) overall treatment intent
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent
..... value[x]
...... coding 0..* Coding Code defined by a terminology system
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) Medication to be taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(FrMedicationNonCompound | FrMedicationCompound) Medication to be taken
..... Slices for extension Content/Rules for all slices
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Medication to be taken
..... Slices for extension Content/Rules for all slices
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
... subject 1..1 Reference(FR Core Patient Profile) Who or group medication request is for
... supportingInformation
.... Slices for extension Content/Rules for all slices
..... extension:UFRole 0..1 code UF Role
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-uf-role
Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
... requester 1..1 Reference(FR Core Practitioner Profile) Who requested the Request
... note
.... Slices for extension Content/Rules for all slices
..... extension:noteScope 0..1 code Scope of the note
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medicationrequest-note-scope
Binding: value set Interop'Santé - Codes pour le périmètre des notes (required)
... dosageInstruction 1..* Dosage How the medication should be taken
.... timing
..... repeat
...... Slices for extension Content/Rules for all slices
....... extension:AdditionalWhenValues 0..1 code Additional values for when element
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-additional-when-values
Binding: value set Interop'Santé - Codes additionnels pour l'élément when (required)
.... route 0..1 CodeableConcept How drug should enter body
Binding: French Route of Administration (extensible)
.... method 0..1 CodeableConcept Technique for administering medication
Binding: French Method Of Administration (extensible)
.... doseAndRate
..... Slices for extension Content/Rules for all slices
...... extension:BasisOfDoseComponent 0..1 Reference(Medication) Medication component Basis of dose
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-basis-of-dose-component
..... Slices for dose[x] 0..1 Range, SimpleQuantity Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseRange 0..1 FrRangeMedication Amount of medication per dose
...... dose[x]:doseQuantity 0..1 FrSimpleQuantityMedication Amount of medication per dose
..... Slices for rate[x] 0..1 Ratio, Range, SimpleQuantity Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateRatio 0..1 FrRatioMedication Amount of medication per unit of time
...... rate[x]:rateRange 0..1 FrRangeMedication Amount of medication per unit of time
...... rate[x]:rateQuantity 0..1 FrSimpleQuantityMedication Amount of medication per unit of time
.... maxDosePerPeriod
..... numerator 0..1 FrSimpleQuantityMedication Numerator value
..... denominator 0..1 FrSimpleQuantityMedication Denominator value
.... maxDosePerAdministration 0..1 FrSimpleQuantityMedication Upper limit on medication per administration
.... maxDosePerLifetime 0..1 FrSimpleQuantityMedication Upper limit on medication per lifetime of the patient
... dispenseRequest
.... initialFill 0..0
.... dispenseInterval 0..0
.... validityPeriod
..... start 1..1 dateTime Starting time with inclusive boundary
..... end 0..1 dateTime End time with inclusive boundary, if not ongoing
.... quantity 0..0
.... expectedSupplyDuration
..... comparator 0..0
.... performer 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.dosageInstruction.routeextensibleFrRouteOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/fr-route-of-administration
from this IG
MedicationRequest.dosageInstruction.methodextensibleFrMethodOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/FrMethodOfAdministration
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:treatmentIntent 0..1 (Complex) overall treatment intent
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-treatment-intent"
..... value[x] 0..1 CodeableConcept Value of overall treatment intent
Binding: French overall intention of the treatment (extensible): SNOMED CT encoded treatment overall intent

...... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] Σ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FrMedicationNonCompound | FrMedicationCompound) Medication to be taken
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
..... 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).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:toDispense 0..1 boolean Medication to be dispensed
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-to-dispense
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(FR Core Patient Profile) Who or group medication request is for
... encounter 0..1 Reference(FR Core Encounter Profile) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:UFRole 0..1 code UF Role
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-uf-role
Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
.... 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).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(FR Core Practitioner Profile) Who requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:noteScope 0..1 code Scope of the note
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medicationrequest-note-scope
Binding: value set Interop'Santé - Codes pour le périmètre des notes (required)
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)
... dosageInstruction 1..* Dosage How the medication 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
..... 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
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:AdditionalWhenValues 0..1 code Additional values for when element
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-additional-when-values
Binding: value set Interop'Santé - Codes additionnels pour l'élément when (required)
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal How long when it happens
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency Σ 0..1 positiveInt Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Event occurs frequency times per period
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.

.... 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: French Route of Administration (extensible)
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: French Method Of Administration (extensible)
.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:BasisOfDoseComponent 0..1 Reference(Medication) Medication component Basis of dose
URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-basis-of-dose-component
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseRange Σ 0..1 FrRangeMedication Amount of medication per dose
...... dose[x]:doseQuantity Σ 0..1 FrSimpleQuantityMedication Amount of medication per dose
..... Slices for rate[x] Σ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio Σ 0..1 FrRatioMedication Amount of medication per unit of time
...... rate[x]:rateRange Σ 0..1 FrRangeMedication Amount of medication per unit of time
...... rate[x]:rateQuantity Σ 0..1 FrSimpleQuantityMedication Amount of medication per unit of time
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... numerator Σ 0..1 FrSimpleQuantityMedication Numerator value
..... denominator Σ 0..1 FrSimpleQuantityMedication Denominator value
.... maxDosePerAdministration Σ 0..1 FrSimpleQuantityMedication Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 FrSimpleQuantityMedication Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... 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
.... validityPeriod 0..1 Period Time period supply is authorized for
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 1..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... 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
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.extension:treatmentIntent.value[x]extensibleFrTreatmentIntent
https://hl7.fr/ig/fhir/medication/ValueSet/fr-treatment-intent
from this IG
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.supportingInformation.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleFrRouteOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/fr-route-of-administration
from this IG
MedicationRequest.dosageInstruction.methodextensibleFrMethodOfAdministration
https://hl7.fr/ig/fhir/medication/ValueSet/FrMethodOfAdministration
from this IG
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 2 elements(1 nested mandatory element)
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.medication[x]
  • The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
  • The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.rate[x]

 

Other representations of profile: CSV, Excel, Schematron