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

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Resource Profile: French compound Medication

A complex medication composed of two to many simple médication. The simple medications component are described in as many ingredient.itemReference referencing a Medication resource profiled fr-medication-1.

Compound medication description

Usage:

• Refer to this Resource Profile: French Inpatient MedicationRequest

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of a Medication compound of a MedicinalRequest, Dispense or Usage 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
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
code	Σ	1..1	CodeableConcept	No code that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	Generaly no code for compound medicinal product ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible) ele-1: All FHIR elements must have a @value or children
amount	Σ	0..1	FrRatioUcum	Amount of drug in package ele-1: All FHIR elements must have a @value or children
ingredient		1..*	BackboneElement	Medication component of compound medication 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
item[x]		1..1	Reference(French non proprietary name Medication | French branded name Medication)	The actual compound ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	extensible	FrMpDoseForm https://hl7.fr/fhir/fr/medication/ValueSet/fr-mp-dose-form from this IG

Constraints

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

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of a Medication compound of a MedicinalRequest, Dispense or Usage
code		1..1	CodeableConcept	No code that identify this medication
coding		0..*	Coding	Generaly no code for compound medicinal product
text		1..1	string	Plain text representation of the concept
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount		0..1	FrRatioUcum	Amount of drug in package
ingredient		1..*	BackboneElement	Medication component of compound medication
item[x]		1..1	Reference(French non proprietary name Medication | French branded name Medication)	The actual compound
strength		0..0
batch		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.form	extensible	FrMpDoseForm https://hl7.fr/fhir/fr/medication/ValueSet/fr-mp-dose-form from this IG

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of a Medication compound of a MedicinalRequest, Dispense or Usage
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	No code that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
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	Generaly no code for compound medicinal product
text	Σ	1..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	Σ	0..1	FrRatioUcum	Amount of drug in package
ingredient		1..*	BackboneElement	Medication component of compound medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1	Reference(French non proprietary name Medication | French branded name Medication)	The actual compound
isActive		0..1	boolean	Active ingredient indicator
Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from Medication

Summary

Mandatory: 3 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Ratio with UCUM quantity units (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrRatioUcum)
• French non proprietary name Medication (https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-nonproprietary-name)
• French branded name Medication (https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-ucd)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of a Medication compound of a MedicinalRequest, Dispense or Usage 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
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
code	Σ	1..1	CodeableConcept	No code that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication. ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	Generaly no code for compound medicinal product ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use. ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible) ele-1: All FHIR elements must have a @value or children
amount	Σ	0..1	FrRatioUcum	Amount of drug in package ele-1: All FHIR elements must have a @value or children
ingredient		1..*	BackboneElement	Medication component of compound medication 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
item[x]		1..1	Reference(French non proprietary name Medication | French branded name Medication)	The actual compound ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Medication.code	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
Medication.status	required	Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 from the FHIR Standard
Medication.form	extensible	FrMpDoseForm https://hl7.fr/fhir/fr/medication/ValueSet/fr-mp-dose-form from this IG

Constraints

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

Differential View

This structure is derived from Medication

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of a Medication compound of a MedicinalRequest, Dispense or Usage
code		1..1	CodeableConcept	No code that identify this medication
coding		0..*	Coding	Generaly no code for compound medicinal product
text		1..1	string	Plain text representation of the concept
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount		0..1	FrRatioUcum	Amount of drug in package
ingredient		1..*	BackboneElement	Medication component of compound medication
item[x]		1..1	Reference(French non proprietary name Medication | French branded name Medication)	The actual compound
strength		0..0
batch		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Medication.form	extensible	FrMpDoseForm https://hl7.fr/fhir/fr/medication/ValueSet/fr-mp-dose-form from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Medication		0..*	Medication	Definition of a Medication compound of a MedicinalRequest, Dispense or Usage
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	Σ	1..1	CodeableConcept	No code that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
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	Generaly no code for compound medicinal product
text	Σ	1..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form		0..1	CodeableConcept	powder | tablets | capsule + Binding: French Medicinal product Dose form (extensible)
amount	Σ	0..1	FrRatioUcum	Amount of drug in package
ingredient		1..*	BackboneElement	Medication component of compound medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
item[x]		1..1	Reference(French non proprietary name Medication | French branded name Medication)	The actual compound
isActive		0..1	boolean	Active ingredient indicator
Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from Medication

Summary

Mandatory: 3 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Ratio with UCUM quantity units (https://hl7.fr/fhir/fr/medication/StructureDefinition/FrRatioUcum)
• French non proprietary name Medication (https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-nonproprietary-name)
• French branded name Medication (https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-ucd)

Other representations of profile: CSV, Excel, Schematron