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: FRMedicationHistoryMedicationStatement - Detailed Descriptions

Draft as of 2026-05-19

Definitions for the fr-medication-history-medicationstatement resource profile.

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

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

0. MedicationStatement
Définition | Ligne de traitement médicamenteux du Bilan Médicamenteux, avec son sourcing (liste des sources concordantes attanchées à cette ligne). A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.
Court | Ligne de traitement médicamenteux du Bilan MédicamenteuxRecord of medication being taken by a patient
Commentaires | Les règles natives HL7-FHIR sont applicables et à respecter. When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error. When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.
Contrôle | 0..*
Est modificateur | false
Résumé | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) 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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. MedicationStatement.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..01
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | --> implementers and/or specification writers should avoid using this element
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicationStatement.language
Définition | The base language in which the resource is written.
Court | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. MedicationStatement.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. 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 | ExtensionAdditional 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 `MedicationStatement.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
8. MedicationStatement.extension:statementSourcing
Nom de la slice | statementSourcing
Définition | Sourcing de la ligne de traitement du Bilan Médicamenteux : nombre de sources ET liste des sources
Court | Sourcing de la ligne de traitement
Commentaires | Nombre de sources concordantes pour cette ligne de traitement (quel que soit leur nombre), supérieur à zéro ET la liste de ces sources, au moins une.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FRMedicationHistorySources) (Extension complexe)
Est modificateur | false
Doit être pris en charge (Must Support) | true
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()`)
10. MedicationStatement.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
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 | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
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())
12. MedicationStatement.status
Définition | A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed.
Court | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Commentaires | MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de Medication Status Codes http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` ) A coded concept indicating the current status of a MedicationStatement.
Type | code
Est modificateur | true parce que This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. MedicationStatement.medication[x]
Définition | Identifie le médicament constitutif de cette ligne. C'est lien vers une ressource Medication qui décrit ce médicament. Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
Court | Le médicament constitutif de cette ligneWhat medication was taken
Commentaires | Même si le médicament n'est composé que d'une spécialité (par exemple un comprimé), il est défini par référence à une Medication qui décrira sa composition d'une seule spécialité If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
Contrôle | 1..1
Type | Reference(FR Medication, Medication), CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | traitement univoque de l'élément medication[x]
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. MedicationStatement.medication[x].reference
Définition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Court | Literal reference, Relative, internal or absolute URL
Commentaires | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Contrôle | 10..1 Cet élément est affecté par les invariants suivants : ref-1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Identification du médicament uniquement par référence à une ressource Medication profilée fr-medication.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. MedicationStatement.medication[x].type
Définition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Court | Type the reference refers to (e.g. "Patient")
Commentaires | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Valeur de motif | `Medication`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. MedicationStatement.medication[x].identifier
Définition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Court | Logical reference, when literal reference is not known
Commentaires | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..01
Type | Identifier
Est modificateur | false
Résumé | true
Exigences | Identification du médicament uniquement par référence à une ressource Medication profilée fr-medication.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. MedicationStatement.subject
Définition | Le patient qui prend cette ligne de traitement médicamenteux. The person, animal or group who is/was taking the medication.
Court | Who is/was taking the medication
Commentaires | Obligatoire dans la ressource FHIR MedicationStatement originelle, donc DOIT ABSOLUMENT être identique au patient identifé dans la ressource Composition du Bilan Médicamenteux. Cf. Composition.subjet.
Contrôle | 1..1
Type | Reference(FR Core Patient Profile, Patient, Group)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Le Bilan Médicamenteux ne s'applique qu'à un seul patient. Toutes ses lignes doivent référencer le même patient, celui référencé par l'element subject de la ressource parente Composition.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. MedicationStatement.subject.type
Définition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Court | Type the reference refers to (e.g. "Patient")
Commentaires | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Valeur de motif | `Patient`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. MedicationStatement.informationSource
Définition | The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.
Court | Person or organization that provided the information about the taking of this medication
Commentaires | Dans le contexte de la Conciliation des Traitements médicamenteux, le sourcing des informations de la ligne du Bilan Médicamenteux doit être réalisé à travers l'extension statementSourcing et à travers elle seulement
Contrôle | 0..01
Type | Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Exigences | Garantir la règle de gestion du sourcing exclusivement à travers l'extension statementSourcing
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. MedicationStatement.dosage
Définition | Indicates how the medication is/was or should be taken by the patient.
Court | Details of how medication is/was taken or should be taken
Commentaires | The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.
Contrôle | 0..*
Type | Dosage
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. MedicationStatement.dosage.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
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 | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
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())
32. MedicationStatement.dosage.doseAndRate
Définition | The amount of medication administered.
Court | Amount of medication administered
Contrôle | 0..*
Type | Element
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. MedicationStatement.dosage.doseAndRate.dose[x]
Définition | Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions. Amount of medication per dose.
Court | Precise amount of medication per doseAmount of medication per dose
Commentaires | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Contrôle | 0..1
Type | Range(Range with UCUM or EDQM codes if code is used), Quantity(SimpleQuantity)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The amount of therapeutic or other substance given at one administration event.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. MedicationStatement.dosage.doseAndRate.rate[x]
Définition | Amount of medication per unit of time.
Court | Amount of medication per unit of time
Commentaires | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Contrôle | 0..1
Type | Ratio(Ratio with UCUM or EDQM codes if code is used), Quantity(SimpleQuantity), Range
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. MedicationStatement.dosage.maxDosePerPeriod
Définition | Upper limit on medication per unit of time. This datatype excludes measurements whose uncertainity is described by the simpleQuantity "comparator" element. Upper limit on medication per unit of time.
Court | Upper precise limit on medication per unit of timeUpper limit on medication per unit of time
Commentaires | This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
Contrôle | 0..1
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. MedicationStatement.dosage.maxDosePerAdministration
Définition | Fixed upper limit on medication per administration with UCUM or EDQM unit. Upper limit on medication per administration.
Court | Precise upper limit on medication per administration with UCUM or EDQM unitUpper limit on medication per administration
Commentaires | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used, SimpleQuantity)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. MedicationStatement.dosage.maxDosePerLifetime
Définition | Upper limit on medication per lifetime of the patient.
Court | A fixed measured or measurable amount with UCUM or EDQM unitUpper limit on medication per lifetime of the patient
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used, SimpleQuantity)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
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. MedicationStatement
Définition | Ligne de traitement médicamenteux du Bilan Médicamenteux, avec son sourcing (liste des sources concordantes attanchées à cette ligne).
Court | Ligne de traitement médicamenteux du Bilan Médicamenteux
Commentaires | Les règles natives HL7-FHIR sont applicables et à respecter. When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.
2. MedicationStatement.meta
4. MedicationStatement.meta.tag
Contrôle | 0..0
Exigences | applications are not required to consider the tags when interpreting the meaning of a resource
6. MedicationStatement.implicitRules
Contrôle | 0..0
Exigences | --> implementers and/or specification writers should avoid using this element
8. MedicationStatement.language
Signification si manquant | langage de la ressource parente *Composition*
10. MedicationStatement.extension
Slicing | Cet élément introduit un ensemble de slices sur `MedicationStatement.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
12. MedicationStatement.extension:statementSourcing
Nom de la slice | statementSourcing
Définition | Sourcing de la ligne de traitement du Bilan Médicamenteux : nombre de sources ET liste des sources
Court | Sourcing de la ligne de traitement
Commentaires | Nombre de sources concordantes pour cette ligne de traitement (quel que soit leur nombre), supérieur à zéro ET la liste de ces sources, au moins une.
Contrôle | 0..1
Type | Extension(FRMedicationHistorySources) (Extension complexe)
Doit être pris en charge (Must Support) | true
14. MedicationStatement.status
Doit être pris en charge (Must Support) | true
16. MedicationStatement.medication[x]
Définition | Identifie le médicament constitutif de cette ligne. C'est lien vers une ressource Medication qui décrit ce médicament.
Court | Le médicament constitutif de cette ligne
Commentaires | Même si le médicament n'est composé que d'une spécialité (par exemple un comprimé), il est défini par référence à une Medication qui décrira sa composition d'une seule spécialité
Type | Reference(FR Medication), CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Doit être pris en charge (Must Support) | true
Exigences | traitement univoque de l'élément medication[x]
18. MedicationStatement.medication[x].reference
Contrôle | 1..?
Exigences | Identification du médicament uniquement par référence à une ressource Medication profilée fr-medication.
20. MedicationStatement.medication[x].type
Valeur de motif | `Medication`
22. MedicationStatement.medication[x].identifier
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..0
Exigences | Identification du médicament uniquement par référence à une ressource Medication profilée fr-medication.
24. MedicationStatement.subject
Définition | Le patient qui prend cette ligne de traitement médicamenteux.
Commentaires | Obligatoire dans la ressource FHIR MedicationStatement originelle, donc DOIT ABSOLUMENT être identique au patient identifé dans la ressource Composition du Bilan Médicamenteux. Cf. Composition.subjet.
Type | Reference(FR Core Patient Profile)
Doit être pris en charge (Must Support) | true
Exigences | Le Bilan Médicamenteux ne s'applique qu'à un seul patient. Toutes ses lignes doivent référencer le même patient, celui référencé par l'element subject de la ressource parente Composition.
26. MedicationStatement.subject.type
Valeur de motif | `Patient`
28. MedicationStatement.informationSource
Commentaires | Dans le contexte de la Conciliation des Traitements médicamenteux, le sourcing des informations de la ligne du Bilan Médicamenteux doit être réalisé à travers l'extension statementSourcing et à travers elle seulement
Contrôle | 0..0
Doit être pris en charge (Must Support) | true
Exigences | Garantir la règle de gestion du sourcing exclusivement à travers l'extension statementSourcing
30. MedicationStatement.dosage
Doit être pris en charge (Must Support) | true
32. MedicationStatement.dosage.doseAndRate
34. MedicationStatement.dosage.doseAndRate.dose[x]
Définition | Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
Court | Precise amount of medication per dose
Type | Range(Range with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Doit être pris en charge (Must Support) | true
36. MedicationStatement.dosage.doseAndRate.rate[x]
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Doit être pris en charge (Must Support) | true
38. MedicationStatement.dosage.maxDosePerPeriod
Définition | Upper limit on medication per unit of time. This datatype excludes measurements whose uncertainity is described by the simpleQuantity "comparator" element.
Court | Upper precise limit on medication per unit of time
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Doit être pris en charge (Must Support) | true
40. MedicationStatement.dosage.maxDosePerAdministration
Définition | Fixed upper limit on medication per administration with UCUM or EDQM unit.
Court | Precise upper limit on medication per administration with UCUM or EDQM unit
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Doit être pris en charge (Must Support) | true
42. MedicationStatement.dosage.maxDosePerLifetime
Court | A fixed measured or measurable amount with UCUM or EDQM unit
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Doit être pris en charge (Must Support) | true

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

0. MedicationStatement
Définition | Ligne de traitement médicamenteux du Bilan Médicamenteux, avec son sourcing (liste des sources concordantes attanchées à cette ligne).
Court | Ligne de traitement médicamenteux du Bilan Médicamenteux
Commentaires | Les règles natives HL7-FHIR sont applicables et à respecter. When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.
Contrôle | 0..*
Est modificateur | false
Résumé | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) 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 (`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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. MedicationStatement.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Court | Logical id of this artifact
Commentaires | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Contrôle | 0..1
Type | id
Est modificateur | false
Résumé | true
4. MedicationStatement.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Court | Metadata about the resource
Contrôle | 0..1
Type | Meta
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. MedicationStatement.meta.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
8. MedicationStatement.meta.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 `MedicationStatement.meta.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
10. MedicationStatement.meta.versionId
Définition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Court | Version specific identifier
Commentaires | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Contrôle | 0..1
Type | id
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. MedicationStatement.meta.lastUpdated
Définition | When the resource last changed - e.g. when the version changed.
Court | When the resource version last changed
Commentaires | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Contrôle | 0..1
Type | instant
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. MedicationStatement.meta.source
Définition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Court | Identifies where the resource comes from
Commentaires | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Contrôle | 0..1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. MedicationStatement.meta.profile
Définition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Court | Profiles this resource claims to conform to
Commentaires | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Contrôle | 0..*
Type | canonical(StructureDefinition)
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
18. MedicationStatement.meta.security
Définition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Court | Security Labels applied to this resource
Commentaires | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Contrôle | 0..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` ) Security Labels from the Healthcare Privacy and Security Classification System.
Type | Coding
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. MedicationStatement.meta.tag
Définition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Court | Tags applied to this resource
Commentaires | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Contrôle | 0..0
Binding | Pour des exemples de codes, voir CommonTags (example to `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Type | Coding
Est modificateur | false
Résumé | true
Exigences | applications are not required to consider the tags when interpreting the meaning of a resource
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. MedicationStatement.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..0
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | --> implementers and/or specification writers should avoid using this element
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. MedicationStatement.language
Définition | The base language in which the resource is written.
Court | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. MedicationStatement.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Court | Text summary of the resource, for human interpretation
Commentaires | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Contrôle | 0..1
Type | Narrative
Est modificateur | false
Résumé | false
Noms alternatifs | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. MedicationStatement.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Court | Contained, inline Resources
Commentaires | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Contrôle | 0..*
Type | Resource
Est modificateur | false
Résumé | false
Noms alternatifs | inline resources, anonymous resources, contained resources
30. MedicationStatement.extension
Définition | An Extension
Court | Extension
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
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 `MedicationStatement.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
32. MedicationStatement.extension:statementSourcing
Nom de la slice | statementSourcing
Définition | Sourcing de la ligne de traitement du Bilan Médicamenteux : nombre de sources ET liste des sources
Court | Sourcing de la ligne de traitement
Commentaires | Nombre de sources concordantes pour cette ligne de traitement (quel que soit leur nombre), supérieur à zéro ET la liste de ces sources, au moins une.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FRMedicationHistorySources) (Extension complexe)
Est modificateur | false
Doit être pris en charge (Must Support) | true
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()`)
34. MedicationStatement.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
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 | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
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()`)
36. MedicationStatement.identifier
Définition | Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
Court | External identifier
Commentaires | This is a business identifier, not a resource identifier.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. MedicationStatement.basedOn
Définition | A plan, proposal or order that is fulfilled in whole or in part by this event.
Court | Fulfils plan, proposal or order
Contrôle | 0..*
Type | Reference(MedicationRequest, CarePlan, ServiceRequest)
Est modificateur | false
Résumé | true
Exigences | Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. MedicationStatement.partOf
Définition | A larger event of which this particular event is a component or step.
Court | Part of referenced event
Contrôle | 0..*
Type | Reference(MedicationAdministration, MedicationDispense, MedicationStatement, Procedure, Observation)
Est modificateur | false
Résumé | true
Exigences | This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. MedicationStatement.status
Définition | A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed.
Court | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Commentaires | MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de Medication Status Codes (required to `http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1` ) A coded concept indicating the current status of a MedicationStatement.
Type | code
Est modificateur | true parce que This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. MedicationStatement.statusReason
Définition | Captures the reason for the current state of the MedicationStatement.
Court | Reason for current status
Commentaires | This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir SNOMEDCTDrugTherapyStatusCodes (example to `http://hl7.org/fhir/ValueSet/reason-medication-status-codes|4.0.1` ) A coded concept indicating the reason for the status of the statement.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. MedicationStatement.category
Définition | Indicates where the medication is expected to be consumed or administered.
Court | Type of medication usage
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de Medication usage category codes (preferred to `http://hl7.org/fhir/ValueSet/medication-statement-category|4.0.1` ) A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. MedicationStatement.medication[x]
Définition | Identifie le médicament constitutif de cette ligne. C'est lien vers une ressource Medication qui décrit ce médicament.
Court | Le médicament constitutif de cette ligne
Commentaires | Même si le médicament n'est composé que d'une spécialité (par exemple un comprimé), il est défini par référence à une Medication qui décrira sa composition d'une seule spécialité
Contrôle | 1..1
Type | Reference(FR Medication)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | traitement univoque de l'élément medication[x]
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. MedicationStatement.medication[x].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
52. MedicationStatement.medication[x].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 `MedicationStatement.medication[x].extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
54. MedicationStatement.medication[x].reference
Définition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Court | Literal reference, Relative, internal or absolute URL
Commentaires | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Contrôle | 1..1 Cet élément est affecté par les invariants suivants : ref-1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Identification du médicament uniquement par référence à une ressource Medication profilée fr-medication.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. MedicationStatement.medication[x].type
Définition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Court | Type the reference refers to (e.g. "Patient")
Commentaires | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Valeur de motif | `Medication`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. MedicationStatement.medication[x].identifier
Définition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Court | Logical reference, when literal reference is not known
Commentaires | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..0
Type | Identifier
Est modificateur | false
Résumé | true
Exigences | Identification du médicament uniquement par référence à une ressource Medication profilée fr-medication.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. MedicationStatement.medication[x].display
Définition | Plain text narrative that identifies the resource in addition to the resource reference.
Court | Text alternative for the resource
Commentaires | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. MedicationStatement.subject
Définition | Le patient qui prend cette ligne de traitement médicamenteux.
Court | Who is/was taking the medication
Commentaires | Obligatoire dans la ressource FHIR MedicationStatement originelle, donc DOIT ABSOLUMENT être identique au patient identifé dans la ressource Composition du Bilan Médicamenteux. Cf. Composition.subjet.
Contrôle | 1..1
Type | Reference(FR Core Patient Profile)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Le Bilan Médicamenteux ne s'applique qu'à un seul patient. Toutes ses lignes doivent référencer le même patient, celui référencé par l'element subject de la ressource parente Composition.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. MedicationStatement.subject.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
66. MedicationStatement.subject.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 `MedicationStatement.subject.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
68. MedicationStatement.subject.reference
Définition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Court | Literal reference, Relative, internal or absolute URL
Commentaires | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ref-1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. MedicationStatement.subject.type
Définition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Court | Type the reference refers to (e.g. "Patient")
Commentaires | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Valeur de motif | `Patient`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. MedicationStatement.subject.identifier
Définition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Court | Logical reference, when literal reference is not known
Commentaires | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..1
Type | Identifier
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. MedicationStatement.subject.display
Définition | Plain text narrative that identifies the resource in addition to the resource reference.
Court | Text alternative for the resource
Commentaires | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. MedicationStatement.context
Définition | The encounter or episode of care that establishes the context for this MedicationStatement.
Court | Encounter / Episode associated with MedicationStatement
Contrôle | 0..1
Type | Reference(Encounter, EpisodeOfCare)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. MedicationStatement.effective[x]
Définition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No).
Court | The date/time or interval when the medication is/was/will be taken
Commentaires | This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text.
Contrôle | 0..1
Type | Choix de : dateTime, Period
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. MedicationStatement.dateAsserted
Définition | The date when the medication statement was asserted by the information source.
Court | When the statement was asserted?
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. MedicationStatement.informationSource
Définition | The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.
Court | Person or organization that provided the information about the taking of this medication
Commentaires | Dans le contexte de la Conciliation des Traitements médicamenteux, le sourcing des informations de la ligne du Bilan Médicamenteux doit être réalisé à travers l'extension statementSourcing et à travers elle seulement
Contrôle | 0..0
Type | Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Exigences | Garantir la règle de gestion du sourcing exclusivement à travers l'extension statementSourcing
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. MedicationStatement.derivedFrom
Définition | Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.
Court | Additional supporting information
Commentaires | Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.
Contrôle | 0..*
Type | Reference(Resource)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. MedicationStatement.reasonCode
Définition | A reason for why the medication is being/was taken.
Court | Reason for why the medication is being/was taken
Commentaires | This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir Condition/Problem/DiagnosisCodes (example to `http://hl7.org/fhir/ValueSet/condition-code|4.0.1` ) A coded concept identifying why the medication is being taken.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. MedicationStatement.reasonReference
Définition | Condition or observation that supports why the medication is being/was taken.
Court | Condition or observation that supports why the medication is being/was taken
Commentaires | This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode.
Contrôle | 0..*
Type | Reference(Condition, Observation, DiagnosticReport)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. MedicationStatement.note
Définition | Provides extra information about the medication statement that is not conveyed by the other attributes.
Court | Further information about the statement
Contrôle | 0..*
Type | Annotation
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. MedicationStatement.dosage
Définition | Indicates how the medication is/was or should be taken by the patient.
Court | Details of how medication is/was taken or should be taken
Commentaires | The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.
Contrôle | 0..*
Type | Dosage
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. MedicationStatement.dosage.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
96. MedicationStatement.dosage.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 `MedicationStatement.dosage.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
98. MedicationStatement.dosage.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
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 | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
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()`)
100. MedicationStatement.dosage.sequence
Définition | Indicates the order in which the dosage instructions should be applied or interpreted.
Court | The order of the dosage instructions
Contrôle | 0..1
Type | integer
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. MedicationStatement.dosage.text
Définition | Free text dosage instructions e.g. SIG.
Court | Free text dosage instructions e.g. SIG
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 | Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. MedicationStatement.dosage.additionalInstruction
Définition | Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").
Court | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Commentaires | Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir SNOMEDCTAdditionalDosageInstructions (example to `http://hl7.org/fhir/ValueSet/additional-instruction-codes|4.0.1` ) A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. MedicationStatement.dosage.patientInstruction
Définition | Instructions in terms that are understood by the patient or consumer.
Court | Patient or consumer oriented instructions
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. MedicationStatement.dosage.timing
Définition | When medication should be administered.
Court | When medication should be administered
Commentaires | This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
Contrôle | 0..1
Type | Timing
Est modificateur | false
Résumé | true
Exigences | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. MedicationStatement.dosage.asNeeded[x]
Définition | Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).
Court | Take "as needed" (for x)
Commentaires | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed".
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SNOMEDCTMedicationAsNeededReasonCodes (example to `http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1` ) 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.
Type | Choix de : boolean, CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. MedicationStatement.dosage.site
Définition | Body site to administer to.
Court | Body site to administer to
Commentaires | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example to `http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1` ) A coded concept describing the site location the medicine enters into or onto the body.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | A coded specification of the anatomic site where the medication first enters the body.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. MedicationStatement.dosage.route
Définition | How drug should enter body.
Court | How drug should enter body
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SNOMEDCTRouteCodes (example to `http://hl7.org/fhir/ValueSet/route-codes|4.0.1` ) A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. MedicationStatement.dosage.method
Définition | Technique for administering medication.
Court | Technique for administering medication
Commentaires | Terminologies used often pre-coordinate this term with the route and or form of administration.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SNOMEDCTAdministrationMethodCodes (example to `http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1` ) A coded concept describing the technique by which the medicine is administered.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. MedicationStatement.dosage.doseAndRate
Définition | The amount of medication administered.
Court | Amount of medication administered
Contrôle | 0..*
Type | Element
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. MedicationStatement.dosage.doseAndRate.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
122. MedicationStatement.dosage.doseAndRate.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 `MedicationStatement.dosage.doseAndRate.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
124. MedicationStatement.dosage.doseAndRate.type
Définition | The kind of dose or rate specified, for example, ordered or calculated.
Court | The kind of dose or rate specified
Contrôle | 0..1
Binding | Pour des exemples de codes, voir DoseAndRateType (example to `http://hl7.org/fhir/ValueSet/dose-rate-type|4.0.1` ) The kind of dose or rate specified.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | If the type is not populated, assume to be "ordered".
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. MedicationStatement.dosage.doseAndRate.dose[x]
Définition | Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
Court | Precise amount of medication per dose
Commentaires | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Contrôle | 0..1
Type | Range(Range with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The amount of therapeutic or other substance given at one administration event.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. MedicationStatement.dosage.doseAndRate.rate[x]
Définition | Amount of medication per unit of time.
Court | Amount of medication per unit of time
Commentaires | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Contrôle | 0..1
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. MedicationStatement.dosage.maxDosePerPeriod
Définition | Upper limit on medication per unit of time. This datatype excludes measurements whose uncertainity is described by the simpleQuantity "comparator" element.
Court | Upper precise limit on medication per unit of time
Commentaires | This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
Contrôle | 0..1
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. MedicationStatement.dosage.maxDosePerAdministration
Définition | Fixed upper limit on medication per administration with UCUM or EDQM unit.
Court | Precise upper limit on medication per administration with UCUM or EDQM unit
Commentaires | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. MedicationStatement.dosage.maxDosePerLifetime
Définition | Upper limit on medication per lifetime of the patient.
Court | A fixed measured or measurable amount with UCUM or EDQM unit
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)