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

## Resource Profile: FR Medication History Composition

Official URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-composition | Version: 0.1.0
Draft as of 2026-05-19 | Computable Name: FRMedicationHistoryComposition

Profil de la ressource Composition du Bilan Médicamenteux. Medication Assessment Composition resource profile.

Ce profil est utilisé pour la Composition du Bundle portant le document FHIR Bilan Médicamenteux.

Utilisations:

- Référence ce Profil: FR Medication Reconciliation Composition

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

### 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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Bilan Médicamenteux
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
coding | Σ | 1..1 | Coding | Code defined by a terminology system Motif requis: Au moins les éléments suivants
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
subject | S Σ | 1..1 | Reference(FR Core Patient Profile) | Le patient
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). Motif requis: Patient
date | S Σ | 1..1 | dateTime | Date de réalisation du Bilan Médicamenteux
author | S Σ | 1..* | Reference(FR Core Practitioner Role) | Auteur du Bilan Médicamenteux
title | Σ | 1..1 | string | Human Readable name/title Valeur fixe: Bilan médicamenteux
attester |  | 1..1 | BackboneElement | Attests to accuracy of composition
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
party |  | 1..1 | Reference(FR Core Practitioner Role) | Who attested the composition
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
section | S C | 1..1 | BackboneElement | Les lignes de traitement médicamenteux Constraints: cmp-1, cmp-2
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:compositionSourcing | S | 0..* | (Complexe) | sourcing du Bilan Médicamenteux URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-sources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC) Valeur fixe: Liste des médicaments
mode | S | 1..1 | code | Liste courante exhaustive Binding: ListMode (required): The processing mode that applies to this section. Motif requis: working
orderedBy |  | 0..1 | CodeableConcept | Ordre des lignes du Bilan Médicamenteux Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(FR Medication History MedicationStatement) | La ligne de traitement médicamenteux
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | Std. FHIR
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | Std. FHIR
Composition.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | Std. FHIR
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | Std. FHIR
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Composition

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Bilan Médicamenteux
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content
type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible)
coding |  | 1..1 | Coding | Code defined by a terminology system Motif requis: Au moins les éléments suivants
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
subject | S | 1..1 | Reference(FR Core Patient Profile) | Le patient
type |  | 0..1 | uri | Type the reference refers to (e.g. "Patient") Motif requis: Patient
date | S | 1..1 | dateTime | Date de réalisation du Bilan Médicamenteux
author | S | 1..* | Reference(FR Core Practitioner Role) | Auteur du Bilan Médicamenteux
title |  | 1..1 | string | Human Readable name/title Valeur fixe: Bilan médicamenteux
attester |  | 1..1 | BackboneElement | Attests to accuracy of composition
party |  | 1..1 | Reference(FR Core Practitioner Role) | Who attested the composition
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
identifier |  | 0..0 |  | Logical reference, when literal reference is not known
section | S | 1..1 | BackboneElement | Les lignes de traitement médicamenteux
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:compositionSourcing | S | 0..* | (Complexe) | sourcing du Bilan Médicamenteux URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-sources
title |  | 0..1 | string | Label for section (e.g. for ToC) Valeur fixe: Liste des médicaments
code |  |  |  |
coding |  | 0..* | Coding | Code defined by a terminology system Valeur fixe: Comme indiqué
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
author | S | 0..0 |  | Who and/or what authored the section
focus | S | 0..0 |  | Who/what the section is about, when it is not about the subject of composition
mode | S | 1..1 | code | Liste courante exhaustive Motif requis: working
orderedBy |  | 0..1 | CodeableConcept | Ordre des lignes du Bilan Médicamenteux
entry | S | 0..* | Reference(FR Medication History MedicationStatement) | La ligne de traitement médicamenteux
section |  | 0..0 |  | Nested Section
Documentation pour ce format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Bilan Médicamenteux
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system Motif requis: Au moins les éléments suivants
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(FR Core Patient Profile) | Le patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | Σ C | 0..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). Motif requis: Patient
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | S Σ | 1..1 | dateTime | Date de réalisation du Bilan Médicamenteux
author | S Σ | 1..* | Reference(FR Core Practitioner Role) | Auteur du Bilan Médicamenteux
title | Σ | 1..1 | string | Human Readable name/title Valeur fixe: Bilan médicamenteux
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 1..1 | BackboneElement | Attests to accuracy of composition
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
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(FR Core Practitioner Role) | Who attested the composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | Σ C | 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
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
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
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
section | S C | 1..1 | BackboneElement | Les lignes de traitement médicamenteux Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:compositionSourcing | S | 0..* | (Complexe) | sourcing du Bilan Médicamenteux URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-sources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC) Valeur fixe: Liste des médicaments
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Valeur fixe: Comme indiqué
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode | S | 1..1 | code | Liste courante exhaustive Binding: ListMode (required): The processing mode that applies to this section. Motif requis: working
orderedBy |  | 0..1 | CodeableConcept | Ordre des lignes du Bilan Médicamenteux Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(FR Medication History MedicationStatement) | La ligne de traitement médicamenteux
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | Std. FHIR
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | Std. FHIR
Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | Std. FHIR
Composition.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | Std. FHIR
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | Std. FHIR
Composition.attester.​party.type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | Std. FHIR
Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.1
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | Std. FHIR
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | Std. FHIR
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | Std. FHIR
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Composition

Résumé

Obligatoire : 7 éléments
Must-Support : 10 éléments
Fixe : 3 éléments
Interdit : 5 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
- FR Core Practitioner Role (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role)
- FR Medication History MedicationStatement (https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-medicationstatement)

Extensions

Cette structure fait référence à ces extensions:

- https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-sources

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Bilan Médicamenteux
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
coding | Σ | 1..1 | Coding | Code defined by a terminology system Motif requis: Au moins les éléments suivants
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
subject | S Σ | 1..1 | Reference(FR Core Patient Profile) | Le patient
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). Motif requis: Patient
date | S Σ | 1..1 | dateTime | Date de réalisation du Bilan Médicamenteux
author | S Σ | 1..* | Reference(FR Core Practitioner Role) | Auteur du Bilan Médicamenteux
title | Σ | 1..1 | string | Human Readable name/title Valeur fixe: Bilan médicamenteux
attester |  | 1..1 | BackboneElement | Attests to accuracy of composition
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
party |  | 1..1 | Reference(FR Core Practitioner Role) | Who attested the composition
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
section | S C | 1..1 | BackboneElement | Les lignes de traitement médicamenteux Constraints: cmp-1, cmp-2
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:compositionSourcing | S | 0..* | (Complexe) | sourcing du Bilan Médicamenteux URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-sources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC) Valeur fixe: Liste des médicaments
mode | S | 1..1 | code | Liste courante exhaustive Binding: ListMode (required): The processing mode that applies to this section. Motif requis: working
orderedBy |  | 0..1 | CodeableConcept | Ordre des lignes du Bilan Médicamenteux Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(FR Medication History MedicationStatement) | La ligne de traitement médicamenteux
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | Std. FHIR
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | Std. FHIR
Composition.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | Std. FHIR
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | Std. FHIR
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Composition

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Bilan Médicamenteux
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content
type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible)
coding |  | 1..1 | Coding | Code defined by a terminology system Motif requis: Au moins les éléments suivants
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
subject | S | 1..1 | Reference(FR Core Patient Profile) | Le patient
type |  | 0..1 | uri | Type the reference refers to (e.g. "Patient") Motif requis: Patient
date | S | 1..1 | dateTime | Date de réalisation du Bilan Médicamenteux
author | S | 1..* | Reference(FR Core Practitioner Role) | Auteur du Bilan Médicamenteux
title |  | 1..1 | string | Human Readable name/title Valeur fixe: Bilan médicamenteux
attester |  | 1..1 | BackboneElement | Attests to accuracy of composition
party |  | 1..1 | Reference(FR Core Practitioner Role) | Who attested the composition
reference |  | 1..1 | string | Literal reference, Relative, internal or absolute URL
identifier |  | 0..0 |  | Logical reference, when literal reference is not known
section | S | 1..1 | BackboneElement | Les lignes de traitement médicamenteux
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:compositionSourcing | S | 0..* | (Complexe) | sourcing du Bilan Médicamenteux URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-sources
title |  | 0..1 | string | Label for section (e.g. for ToC) Valeur fixe: Liste des médicaments
code |  |  |  |
coding |  | 0..* | Coding | Code defined by a terminology system Valeur fixe: Comme indiqué
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
author | S | 0..0 |  | Who and/or what authored the section
focus | S | 0..0 |  | Who/what the section is about, when it is not about the subject of composition
mode | S | 1..1 | code | Liste courante exhaustive Motif requis: working
orderedBy |  | 0..1 | CodeableConcept | Ordre des lignes du Bilan Médicamenteux
entry | S | 0..* | Reference(FR Medication History MedicationStatement) | La ligne de traitement médicamenteux
section |  | 0..0 |  | Nested Section
Documentation pour ce format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Composition |  | 0..* | Composition | Bilan Médicamenteux
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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..1 | Identifier | Version-independent identifier for the Composition
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type | S Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system Motif requis: Au moins les éléments suivants
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | S Σ | 1..1 | Reference(FR Core Patient Profile) | Le patient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | Σ C | 0..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). Motif requis: Patient
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition
date | S Σ | 1..1 | dateTime | Date de réalisation du Bilan Médicamenteux
author | S Σ | 1..* | Reference(FR Core Practitioner Role) | Auteur du Bilan Médicamenteux
title | Σ | 1..1 | string | Human Readable name/title Valeur fixe: Bilan médicamenteux
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester |  | 1..1 | BackboneElement | Attests to accuracy of composition
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
mode |  | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time |  | 0..1 | dateTime | When the composition was attested
party |  | 1..1 | Reference(FR Core Practitioner Role) | Who attested the composition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | Σ C | 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
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
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
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
section | S C | 1..1 | BackboneElement | Les lignes de traitement médicamenteux Constraints: cmp-1, cmp-2
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:compositionSourcing | S | 0..* | (Complexe) | sourcing du Bilan Médicamenteux URL: https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-sources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | Label for section (e.g. for ToC) Valeur fixe: Liste des médicaments
code |  | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system Valeur fixe: Comme indiqué
id |  | 0..0 | string | Unique id for inter-element referencing
extension |  | 0..0 | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Valeur fixe : http://loinc.org
version |  | 0..0 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Valeur fixe : 10160-0
display |  | 1..1 | string | Representation defined by the system Valeur fixe : History of Medication use Narrative
userSelected |  | 0..0 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode | S | 1..1 | code | Liste courante exhaustive Binding: ListMode (required): The processing mode that applies to this section. Motif requis: working
orderedBy |  | 0..1 | CodeableConcept | Ordre des lignes du Bilan Médicamenteux Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(FR Medication History MedicationStatement) | La ligne de traitement médicamenteux
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Composition.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Composition.status | Base | required | CompositionStatus | 📍4.0.1 | Std. FHIR
Composition.type | Base | preferred | FHIR Document Type Codes | 📍4.0.1 | Std. FHIR
Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | Std. FHIR
Composition.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | Std. FHIR
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📍4.0.1 | Std. FHIR
Composition.attester.​party.type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | Std. FHIR
Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.1
Composition.section.​code | Base | example | Document Section Codes | 📍4.0.1 | Std. FHIR
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | Std. FHIR
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | Std. FHIR
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Composition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Composition

Résumé

Obligatoire : 7 éléments
Must-Support : 10 éléments
Fixe : 3 éléments
Interdit : 5 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
- FR Core Practitioner Role (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner-role)
- FR Medication History MedicationStatement (https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-medicationstatement)

Extensions

Cette structure fait référence à ces extensions:

- https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication-history-sources

Other representations of profile: CSV, Excel, Schematron