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: FrMedicationReconciliationMedicationStatement

Official URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medication-reconciliation-statement Version: 0.1.0
Draft as of 2024-12-26 Computable Name: FrMedicationReconciliationMedicationStatement

Profil de la ressource MedicationStatement référencée dans la ressource Composition de la Fiche de Conciliation des Traitements médicamenteux (FCT).

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
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
... 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
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medicationstatement-reconciliation-properties
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.


ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(FR Core Patient Profile) Who is/was taking the medication
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


ele-1: All FHIR elements must have a @value or children
Fixed Value: Patient
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
ele-1: All FHIR elements must have a @value or children
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... note S 0..* Annotation Further information about the statement
ele-1: All FHIR elements must have a @value or children
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... doseAndRate Σ 0..* Element Amount of medication administered
ele-1: All FHIR elements must have a @value or children
..... dose[x] SΣ 0..1 Precise amount of medication per dose
ele-1: All FHIR elements must have a @value or children
...... doseRange Range(FrRangeUcum)
...... doseQuantity Quantity(FrSimpleQuantityUcum)
..... rate[x] SΣ 0..1 Precise amount of medication per unit of time
ele-1: All FHIR elements must have a @value or children
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod SΣ 0..1 FrRatioUcum Upper limit on medication per unit of time
ele-1: All FHIR elements must have a @value or children
.... maxDosePerAdministration SΣ 0..1 FrSimpleQuantityUcum Upper limit on medication per administration
ele-1: All FHIR elements must have a @value or children
.... maxDosePerLifetime SΣ 0..1 FrSimpleQuantityUcum Upper limit on medication per lifetime of the patient
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA 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 MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
... meta
.... tag 0..0
... implicitRules 0..0
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medicationstatement-reconciliation-properties
... medication[x] S 1..1 Reference(FrMedication) Le médicament constitutif de cette ligne | What medication was taken
... subject S 1..1 Reference(FR Core Patient Profile) Who is/was taking the medication
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..1 uri Type the reference refers to (e.g. "Patient")
Fixed Value: Patient
.... identifier 0..0
... informationSource S 0..0
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0
... note S 0..* Annotation Further information about the statement
... dosage
.... doseAndRate
..... dose[x] S 0..1 Precise amount of medication per dose
...... doseRange Range(FrRangeUcum)
...... doseQuantity Quantity(FrSimpleQuantityUcum)
..... rate[x] S 0..1 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod S 0..1 FrRatioUcum Upper limit on medication per unit of time
.... maxDosePerAdministration S 0..1 FrSimpleQuantityUcum Upper limit on medication per administration
.... maxDosePerLifetime S 0..1 FrSimpleQuantityUcum Upper limit on medication per lifetime of the patient

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medicationstatement-reconciliation-properties
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.

... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category Σ 0..1 CodeableConcept Type of medication usage
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.

... medication[x] SΣ 1..1 Reference(FrMedication) Le médicament constitutif de cette ligne | What medication was taken
... subject SΣ 1..1 Reference(FR Core Patient Profile) Who is/was taking the 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
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
.... display Σ 0..1 string Text alternative for the resource
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... display Σ 0..1 string Text alternative for the resource
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... display Σ 0..1 string Text alternative for the resource
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] SΣ 0..1 Precise amount of medication per dose
...... doseRange Range(FrRangeUcum)
...... doseQuantity Quantity(FrSimpleQuantityUcum)
..... rate[x] SΣ 0..1 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod SΣ 0..1 FrRatioUcum Upper limit on medication per unit of time
.... maxDosePerAdministration SΣ 0..1 FrSimpleQuantityUcum Upper limit on medication per administration
.... maxDosePerLifetime SΣ 0..1 FrSimpleQuantityUcum Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.derivedFrom:fromMedicationHistory.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.derivedFrom:fromCurrentMedication.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
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
... 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
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medicationstatement-reconciliation-properties
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.


ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(FR Core Patient Profile) Who is/was taking the medication
ele-1: All FHIR elements must have a @value or children
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


ele-1: All FHIR elements must have a @value or children
Fixed Value: Patient
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
ele-1: All FHIR elements must have a @value or children
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
... note S 0..* Annotation Further information about the statement
ele-1: All FHIR elements must have a @value or children
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... doseAndRate Σ 0..* Element Amount of medication administered
ele-1: All FHIR elements must have a @value or children
..... dose[x] SΣ 0..1 Precise amount of medication per dose
ele-1: All FHIR elements must have a @value or children
...... doseRange Range(FrRangeUcum)
...... doseQuantity Quantity(FrSimpleQuantityUcum)
..... rate[x] SΣ 0..1 Precise amount of medication per unit of time
ele-1: All FHIR elements must have a @value or children
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod SΣ 0..1 FrRatioUcum Upper limit on medication per unit of time
ele-1: All FHIR elements must have a @value or children
.... maxDosePerAdministration SΣ 0..1 FrSimpleQuantityUcum Upper limit on medication per administration
ele-1: All FHIR elements must have a @value or children
.... maxDosePerLifetime SΣ 0..1 FrSimpleQuantityUcum Upper limit on medication per lifetime of the patient
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA 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 MedicationStatement

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
... meta
.... tag 0..0
... implicitRules 0..0
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medicationstatement-reconciliation-properties
... medication[x] S 1..1 Reference(FrMedication) Le médicament constitutif de cette ligne | What medication was taken
... subject S 1..1 Reference(FR Core Patient Profile) Who is/was taking the medication
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..1 uri Type the reference refers to (e.g. "Patient")
Fixed Value: Patient
.... identifier 0..0
... informationSource S 0..0
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0
... note S 0..* Annotation Further information about the statement
... dosage
.... doseAndRate
..... dose[x] S 0..1 Precise amount of medication per dose
...... doseRange Range(FrRangeUcum)
...... doseQuantity Quantity(FrSimpleQuantityUcum)
..... rate[x] S 0..1 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod S 0..1 FrRatioUcum Upper limit on medication per unit of time
.... maxDosePerAdministration S 0..1 FrSimpleQuantityUcum Upper limit on medication per administration
.... maxDosePerLifetime S 0..1 FrSimpleQuantityUcum Upper limit on medication per lifetime of the patient

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationStatement 0..* MedicationStatement Ligne de traitement médicamenteux de la FCT (Fiche de Conciliation ds Traitements médicamenteux)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... reconciliation S 0..1 (Complex) Propriétés de la conciliation de cette ligne de traitement médicamenteux
URL: https://hl7.fr/fhir/fr/medication/StructureDefinition/fr-medicationstatement-reconciliation-properties
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier
... basedOn Σ 0..* Reference(MedicationRequest | CarePlan | ServiceRequest) Fulfils plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) Part of referenced event
... status ?!SΣ 1..1 code active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.

... statusReason 0..* CodeableConcept Reason for current status
Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.


... category Σ 0..1 CodeableConcept Type of medication usage
Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.

... medication[x] SΣ 1..1 Reference(FrMedication) Le médicament constitutif de cette ligne | What medication was taken
... subject SΣ 1..1 Reference(FR Core Patient Profile) Who is/was taking the 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
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
.... display Σ 0..1 string Text alternative for the resource
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with MedicationStatement
... effective[x] Σ 0..1 The date/time or interval when the medication is/was/will be taken
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dateAsserted Σ 0..1 dateTime When the statement was asserted?
... Slices for derivedFrom S 1..2 Reference(Resource) Additional supporting information
Slice: Unordered, Open by
.... derivedFrom:fromMedicationHistory S 0..1 Reference(FrMedicationHistoryMedicationStatement) Ligne du Bilan Médicamenteux
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... display Σ 0..1 string Text alternative for the resource
.... derivedFrom:fromCurrentMedication S 0..1 Reference(FrCurrentMedicationMedicationStatement) Ligne du Traitement Médicamenteux Courant
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... display Σ 0..1 string Text alternative for the resource
... reasonCode 0..* CodeableConcept Reason for why the medication is being/was taken
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.


... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication is being/was taken
... note S 0..* Annotation Further information about the statement
... dosage 0..* Dosage Details of how medication is/was taken or should be taken
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] SΣ 0..1 Precise amount of medication per dose
...... doseRange Range(FrRangeUcum)
...... doseQuantity Quantity(FrSimpleQuantityUcum)
..... rate[x] SΣ 0..1 Precise amount of medication per unit of time
...... rateRatio Ratio(FrRatioUcum)
...... rateRange Range(FrRangeUcum)
...... rateQuantity Quantity(FrSimpleQuantityUcum)
.... maxDosePerPeriod SΣ 0..1 FrRatioUcum Upper limit on medication per unit of time
.... maxDosePerAdministration SΣ 0..1 FrSimpleQuantityUcum Upper limit on medication per administration
.... maxDosePerLifetime SΣ 0..1 FrSimpleQuantityUcum Upper limit on medication per lifetime of the patient

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationStatement.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationStatement.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationStatement.statusrequiredMedication Status Codes
http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1
from the FHIR Standard
MedicationStatement.statusReasonexampleSNOMEDCTDrugTherapyStatusCodes
http://hl7.org/fhir/ValueSet/reason-medication-status-codes
from the FHIR Standard
MedicationStatement.categorypreferredMedication usage category codes
http://hl7.org/fhir/ValueSet/medication-statement-category
from the FHIR Standard
MedicationStatement.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.derivedFrom:fromMedicationHistory.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.derivedFrom:fromCurrentMedication.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationStatement.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationStatement.dosage.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationStatement.dosage.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationStatement.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationStatement.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationStatement.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationStatement.dosage.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationStatementIf 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-4errorMedicationStatementIf 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-5errorMedicationStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationStatementA 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()

 

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