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

Data Type Profile: FrMPSubstanceActive - Detailed Descriptions

Draft as of 2021-10-18

Definitions for the fr-mp-substance-active data type profile.

Guidance on how to interpret the contents of this table can be found here

0. CodeableConcept
Definition

A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.

ShortSNOMED CT Medicinal Product SubstanceConcept - reference to a terminology or just text
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Example<br/><b>Glucose</b>:{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "67079006", "display" : "glucose (substance)" }], "text" : "glucose" } <br/><b>Perindopril erbumine</b>:{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "129485000", "display" : "perindopril erbumine (substance)|" }], "text" : "perindopril erbumine (substance)" }
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. CodeableConcept.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
BindingUnless not suitable, these codes SHALL be taken from For codes, see French Medicinal product Active substance
(extensible to https://hl7.fr/fhir/fr/medication/ValueSet/fr-mp-substance-active)

Medicinal product Substance

TypeCoding
Is Modifierfalse
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

Guidance on how to interpret the contents of this table can be found here

0. CodeableConcept
ShortSNOMED CT Medicinal Product Substance
Example<br/><b>Glucose</b>:{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "67079006", "display" : "glucose (substance)" }], "text" : "glucose" } <br/><b>Perindopril erbumine</b>:{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "129485000", "display" : "perindopril erbumine (substance)|" }], "text" : "perindopril erbumine (substance)" }
2. CodeableConcept.coding
BindingUnless not suitable, these codes SHALL be taken from French Medicinal product Active substance
(extensible to https://hl7.fr/fhir/fr/medication/ValueSet/fr-mp-substance-active)

Medicinal product Substance

Guidance on how to interpret the contents of this table can be found here

0. CodeableConcept
Definition

A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.

ShortSNOMED CT Medicinal Product Substance
Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Example<br/><b>Glucose</b>:{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "67079006", "display" : "glucose (substance)" }], "text" : "glucose" } <br/><b>Perindopril erbumine</b>:{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "129485000", "display" : "perindopril erbumine (substance)|" }], "text" : "perindopril erbumine (substance)" }
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. CodeableConcept.id
Definition

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

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
4. CodeableConcept.extension
Definition

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.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, 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())
SlicingThis element introduces a set of slices on CodeableConcept.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. CodeableConcept.coding
    Definition

    A reference to a code defined by a terminology system.

    ShortCode defined by a terminology system
    Comments

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from French Medicinal product Active substance
    (extensible to https://hl7.fr/fhir/fr/medication/ValueSet/fr-mp-substance-active)

    Medicinal product Substance

    TypeCoding
    Is Modifierfalse
    Summarytrue
    Requirements

    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. CodeableConcept.text
    Definition

    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

    ShortPlain text representation of the concept
    Comments

    Very often the text is the same as a displayName of one of the codings.

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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