Guide d'implémentation du médicament
0.1.0 - ci-build France flag

Guide d'implémentation du médicament, publié par Interop'Santé. Ce guide nest pas une publication autorisée ; cest la version en intégration continue pour la version 0.1.0 construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/Interop-Sante/hl7.fhir.fr.medication/ et change régulièrement. Voir le répertoire des versions publiées

Resource Profile: FrRedicationCompound - Detailed Descriptions

Draft as of 2026-01-20

Definitions for the fr-medication-compound resource profile.

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. Medication
Définition

Medication compound of a Medication representing the composition of a MedicationRequest, a MedicationDispense or a MedicationUsage (pka MedicationStatement). For instance, Glucose 5% 1L part of an infusion made of 3 compounds, Glucose 5% 1L + Sodium chloride 3g + Potassium chloride 2g.


This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

CourtDefinition of a Medication compound of a MedicinalRequest, Dispense or Usage
Contrôle0..*
Est modificateurfalse
Résuméfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Medication.implicitRules
Définition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

CourtA set of rules under which this content was created
Commentaires

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Contrôle0..1
Typeuri
Est modificateurtrue parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Medication.modifierExtension
Définition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CourtExtensions that cannot be ignored
Commentaires

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Contrôle0..*
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résuméfalse
Exigences

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Noms alternatifsextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Medication.status
Définition

A code to indicate if the medication is in active use.

Courtactive | inactive | entered-in-error
Commentaires

This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

Contrôle0..1
BindingLes codes DOIVENT (SHALL) être pris de Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

A coded concept defining if the medication is in active use.

Typecode
Est modificateurtrue parce que This element changes the interpretation of all descriptive attributes.
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Medication.form
Définition

Describes the form of the item. Powder; tablets; capsule.

Courtpowder | tablets | capsule +
Commentaires

When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

Contrôle0..1
BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir French Medicinal product Dose formhttp://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1
(extensible to https://hl7.fr/ig/fhir/medication/ValueSet/fr-mp-dose-form)
TypeCodeableConcept
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Medication.ingredient
Définition

Identifies a medicinal component of the compound medicinal product


Identifies a particular constituent of interest in the product.

CourtMedication component of compound medicationActive or inactive ingredient
Commentaires

The Medication SHALL contain ALL the items of the item element list AND ONLY the items of the item element list.


The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

Contrôle10..*
TypeBackboneElement
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Medication.ingredient.extension
Définition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

CourtExtensionAdditional content defined by implementations
Commentaires

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Contrôle0..*
TypeExtension
Est modificateurfalse
Résuméfalse
Noms alternatifsextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingCet élément introduit un ensemble de slices sur Medication.ingredient.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
  • value @ url
  • 14. Medication.ingredient.extension:IsVehicle
    Nom de la sliceIsVehicle
    Définition

    Medication component which is the vehicle of the compound Medication

    CourtMedication component which is the vehicle of the compound Medication
    Contrôle0..1
    Cet élément est affecté par les invariants suivants : ele-1
    TypeExtension(Medication component which is the vehicle of the compound Medication) (Type dextension : boolean)
    Est modificateurfalse
    Résuméfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Medication.ingredient.modifierExtension
    Définition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    CourtExtensions that cannot be ignored even if unrecognized
    Commentaires

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Contrôle0..*
    TypeExtension
    Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Résumétrue
    Exigences

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Noms alternatifsextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Medication.ingredient.item[x]
    Définition

    The actual compound, either nonproprietary named medication or branded named medication identified by a UCD code.


    The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

    CourtThe actual compoundThe actual ingredient or content
    Contrôle1..1
    TypeChoix de : CodeableConcept, Reference(Substance, Medication)
    Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
    Est modificateurfalse
    Résuméfalse
    Exigences

    The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingCet élément introduit un ensemble de slices sur Medication.ingredient.item[x]. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
    • type @ $this
    • 20. Medication.ingredient.item[x]:itemReference
      Nom de la sliceitemReference
      Définition

      The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

      CourtThe actual ingredient or content
      Contrôle01..1
      TypeReference(FR Medication Non Compound, Substance, Medication), CodeableConcept
      Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
      Est modificateurfalse
      Résuméfalse
      Exigences

      The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. Medication.batch
      Définition

      Information that only applies to packages (not products).

      CourtDetails about packaged medications
      Contrôle0..01
      TypeBackboneElement
      Est modificateurfalse
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

      0. Medication
      Définition

      Medication compound of a Medication representing the composition of a MedicationRequest, a MedicationDispense or a MedicationUsage (pka MedicationStatement). For instance, Glucose 5% 1L part of an infusion made of 3 compounds, Glucose 5% 1L + Sodium chloride 3g + Potassium chloride 2g.

      CourtDefinition of a Medication compound of a MedicinalRequest, Dispense or Usage
      2. Medication.form
      BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de French Medicinal product Dose form
      (extensible to https://hl7.fr/ig/fhir/medication/ValueSet/fr-mp-dose-form)
      4. Medication.ingredient
      Définition

      Identifies a medicinal component of the compound medicinal product

      CourtMedication component of compound medication
      Commentaires

      The Medication SHALL contain ALL the items of the item element list AND ONLY the items of the item element list.

      Contrôle1..?
      6. Medication.ingredient.extension
      SlicingCet élément introduit un ensemble de slices sur Medication.ingredient.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
      • value @ url
      • 8. Medication.ingredient.extension:IsVehicle
        Nom de la sliceIsVehicle
        Contrôle0..1
        TypeExtension(Medication component which is the vehicle of the compound Medication) (Type dextension : boolean)
        10. Medication.ingredient.item[x]
        Définition

        The actual compound, either nonproprietary named medication or branded named medication identified by a UCD code.

        CourtThe actual compound
        Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
        SlicingCet élément introduit un ensemble de slices sur Medication.ingredient.item[x]. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
        • type @ $this
        • 12. Medication.ingredient.item[x]:itemReference
          Nom de la sliceitemReference
          Contrôle0..1
          TypeReference(FR Medication Non Compound)
          Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
          14. Medication.batch
          Contrôle0..0

          Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

          0. Medication
          Définition

          Medication compound of a Medication representing the composition of a MedicationRequest, a MedicationDispense or a MedicationUsage (pka MedicationStatement). For instance, Glucose 5% 1L part of an infusion made of 3 compounds, Glucose 5% 1L + Sodium chloride 3g + Potassium chloride 2g.

          CourtDefinition of a Medication compound of a MedicinalRequest, Dispense or Usage
          Contrôle0..*
          Est modificateurfalse
          Résuméfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. Medication.id
          Définition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          CourtLogical id of this artifact
          Commentaires

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Contrôle0..1
          Typeid
          Est modificateurfalse
          Résumétrue
          4. Medication.meta
          Définition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          CourtMetadata about the resource
          Contrôle0..1
          TypeMeta
          Est modificateurfalse
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. Medication.implicitRules
          Définition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          CourtA set of rules under which this content was created
          Commentaires

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Contrôle0..1
          Typeuri
          Est modificateurtrue parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. Medication.language
          Définition

          The base language in which the resource is written.

          CourtLanguage of the resource content
          Commentaires

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Contrôle0..1
          BindingLes codes DEVRAIENT (SHOULD) être pris de CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

          A human language.

          Bindings AdditionnelsBut
          AllLanguagesBinding Max
          Typecode
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. Medication.text
          Définition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          CourtText summary of the resource, for human interpretation
          Commentaires

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Contrôle0..1
          TypeNarrative
          Est modificateurfalse
          Résuméfalse
          Noms alternatifsnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Medication.contained
          Définition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          CourtContained, inline Resources
          Commentaires

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Contrôle0..*
          TypeResource
          Est modificateurfalse
          Résuméfalse
          Noms alternatifsinline resources, anonymous resources, contained resources
          14. Medication.extension
          Définition

          May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          CourtAdditional content defined by implementations
          Commentaires

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Contrôle0..*
          TypeExtension
          Est modificateurfalse
          Résuméfalse
          Noms alternatifsextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          16. Medication.modifierExtension
          Définition

          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          CourtExtensions that cannot be ignored
          Commentaires

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Contrôle0..*
          TypeExtension
          Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Résuméfalse
          Exigences

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Noms alternatifsextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. Medication.identifier
          Définition

          Business identifier for this medication.

          CourtBusiness identifier for this medication
          Commentaires

          The serial number could be included as an identifier.

          NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
          Contrôle0..*
          TypeIdentifier
          Est modificateurfalse
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. Medication.code
          Définition

          A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

          CourtCodes that identify this medication
          Commentaires

          Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

          Contrôle0..1
          BindingPour des exemples de codes, voir SNOMEDCTMedicationCodes
          (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

          A coded concept that defines the type of a medication.

          TypeCodeableConcept
          Est modificateurfalse
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. Medication.status
          Définition

          A code to indicate if the medication is in active use.

          Courtactive | inactive | entered-in-error
          Commentaires

          This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

          Contrôle0..1
          BindingLes codes DOIVENT (SHALL) être pris de Medication Status Codes
          (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

          A coded concept defining if the medication is in active use.

          Typecode
          Est modificateurtrue parce que This element changes the interpretation of all descriptive attributes.
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. Medication.manufacturer
          Définition

          Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

          CourtManufacturer of the item
          Contrôle0..1
          TypeReference(Organization)
          Est modificateurfalse
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. Medication.form
          Définition

          Describes the form of the item. Powder; tablets; capsule.

          Courtpowder | tablets | capsule +
          Commentaires

          When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

          Contrôle0..1
          BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de French Medicinal product Dose form
          (extensible to https://hl7.fr/ig/fhir/medication/ValueSet/fr-mp-dose-form)
          TypeCodeableConcept
          Est modificateurfalse
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Medication.amount
          Définition

          Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

          CourtAmount of drug in package
          Contrôle0..1
          TypeRatio
          Est modificateurfalse
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. Medication.ingredient
          Définition

          Identifies a medicinal component of the compound medicinal product

          CourtMedication component of compound medication
          Commentaires

          The Medication SHALL contain ALL the items of the item element list AND ONLY the items of the item element list.

          Contrôle1..*
          TypeBackboneElement
          Est modificateurfalse
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          32. Medication.ingredient.id
          Définition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          CourtUnique id for inter-element referencing
          Contrôle0..1
          Typestring
          Est modificateurfalse
          Format XMLDans le format XML, cette propriété est représentée comme attribut.
          Résuméfalse
          34. Medication.ingredient.extension
          Définition

          An Extension

          CourtExtension
          Contrôle0..*
          TypeExtension
          Est modificateurfalse
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingCet élément introduit un ensemble de slices sur Medication.ingredient.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
          • value @ url
          • 36. Medication.ingredient.extension:IsVehicle
            Nom de la sliceIsVehicle
            Définition

            Medication component which is the vehicle of the compound Medication

            CourtMedication component which is the vehicle of the compound Medication
            Contrôle0..1
            Cet élément est affecté par les invariants suivants : ele-1
            TypeExtension(Medication component which is the vehicle of the compound Medication) (Type dextension : boolean)
            Est modificateurfalse
            Résuméfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            38. Medication.ingredient.modifierExtension
            Définition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            CourtExtensions that cannot be ignored even if unrecognized
            Commentaires

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Contrôle0..*
            TypeExtension
            Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Résumétrue
            Exigences

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Noms alternatifsextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            40. Medication.ingredient.item[x]
            Définition

            The actual compound, either nonproprietary named medication or branded named medication identified by a UCD code.

            CourtThe actual compound
            Contrôle1..1
            TypeChoix de : CodeableConcept, Reference(Substance, Medication)
            Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
            Est modificateurfalse
            Résuméfalse
            Exigences

            The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingCet élément introduit un ensemble de slices sur Medication.ingredient.item[x]. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
            • type @ $this
            • 42. Medication.ingredient.item[x]:itemReference
              Nom de la sliceitemReference
              Définition

              The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

              CourtThe actual ingredient or content
              Contrôle0..1
              TypeReference(FR Medication Non Compound)
              Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
              Est modificateurfalse
              Résuméfalse
              Exigences

              The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Medication.ingredient.isActive
              Définition

              Indication of whether this ingredient affects the therapeutic action of the drug.

              CourtActive ingredient indicator
              Contrôle0..1
              Typeboolean
              Est modificateurfalse
              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
              Résuméfalse
              Exigences

              True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              46. Medication.ingredient.strength
              Définition

              Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

              CourtQuantity of ingredient present
              Contrôle0..1
              TypeRatio
              Est modificateurfalse
              Résuméfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              48. Medication.batch
              Définition

              Information that only applies to packages (not products).

              CourtDetails about packaged medications
              Contrôle0..0
              TypeBackboneElement
              Est modificateurfalse
              Résuméfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))