Guide d'implémentation du médicament
0.1.0 - ci-build FRANCE

Guide d'implémentation du médicament, publié par Interop'Santé. Ce guide n'est pas une publication autorisée ; C'est 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

## Data Type Profile: FRMPSubstance - Detailed Descriptions

Draft as of 2026-05-19

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

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. CodeableConcept
Définition | A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.
Court | RIUM Medicinal Product SubstanceConcept - reference to a terminology or just text
Commentaires | 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.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Est modificateur | false
Exemple | Glucose: { "coding" : [{ "system" : "http://data.esante.gouv.fr/ansm/medicament/codeSMS", "code" : "100000078171", "display" : "glucose" }], "text" : "glucose" } Périndopril tert-butylamine: { "coding" : [{ "system" : "http://data.esante.gouv.fr/ansm/medicament/codeSMS", "code" : "100000091602", "display" : "périndopril tert-butylamine" }], "text" : "périndopril tert-butylamine" }
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. CodeableConcept.coding
Définition | A reference to a code defined by a terminology system.
Court | Code defined by a terminology system
Commentaires | 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.
Contrôle | 0..*
Binding | Les codes DOIVENT (SHALL) être pris de Pour les codes, voir value set Interop'Santé - Codes identifiant les substances (required to `https://hl7.fr/ig/fhir/medication/ValueSet/fr-substance-code` ) Medicinal product Substance
Type | Coding
Est modificateur | false
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. CodeableConcept
Court | RIUM Medicinal Product Substance
Exemple | Glucose: { "coding" : [{ "system" : "http://data.esante.gouv.fr/ansm/medicament/codeSMS", "code" : "100000078171", "display" : "glucose" }], "text" : "glucose" } Périndopril tert-butylamine: { "coding" : [{ "system" : "http://data.esante.gouv.fr/ansm/medicament/codeSMS", "code" : "100000091602", "display" : "périndopril tert-butylamine" }], "text" : "périndopril tert-butylamine" }
2. CodeableConcept.coding
Binding | Les codes DOIVENT (SHALL) être pris de value set Interop'Santé - Codes identifiant les substances (required to `https://hl7.fr/ig/fhir/medication/ValueSet/fr-substance-code` ) Medicinal product Substance

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. CodeableConcept
Définition | A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.
Court | RIUM Medicinal Product Substance
Commentaires | 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.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Est modificateur | false
Exemple | Glucose: { "coding" : [{ "system" : "http://data.esante.gouv.fr/ansm/medicament/codeSMS", "code" : "100000078171", "display" : "glucose" }], "text" : "glucose" } Périndopril tert-butylamine: { "coding" : [{ "system" : "http://data.esante.gouv.fr/ansm/medicament/codeSMS", "code" : "100000091602", "display" : "périndopril tert-butylamine" }], "text" : "périndopril tert-butylamine" }
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
2. CodeableConcept.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
4. CodeableConcept.extension
Définition | 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.
Court | Additional 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.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-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()`)
Slicing | Cet élément introduit un ensemble de slices sur `CodeableConcept.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
6. CodeableConcept.coding
Définition | A reference to a code defined by a terminology system.
Court | Code defined by a terminology system
Commentaires | 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.
Contrôle | 0..*
Binding | Les codes DOIVENT (SHALL) être pris de value set Interop'Santé - Codes identifiant les substances (required to `https://hl7.fr/ig/fhir/medication/ValueSet/fr-substance-code` ) Medicinal product Substance
Type | Coding
Est modificateur | false
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. CodeableConcept.text
Définition | 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.
Court | Plain text representation of the concept
Commentaires | Very often the text is the same as a displayName of one of the codings.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | 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.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)