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: FROnAdmissionRetroactiveReconciliationComposition - Detailed Descriptions

Draft as of 2026-05-19

Definitions for the fr-on-admission-retroactive-reconciliation-composition 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. Composition
Définition | Fiche de Conciliation des Traitements médicamenteux (FCT) : Liste des traitements médicamenteux conciliés à partir du Bilan Médicamenteux (traitements avant l'hospitalisation) et du Traitement Médicamenteux Courant, conforme aux recommandations du guide de la HAS. référence le Bilan Médicamenteux ; référence le Traitement Médicamenteux Courant ; liste des lignes de traitement conciliées avec, pour chacune, la référence à la ligne de traitement médicamenteux du Bilan Médicamenteux si elle existe, la référence à la ligne de traitement médicamenteux du Traitement Médicamenteux Courant si elle existe, au moins une de ces deux lignes doit exister et être référencée, ses propriétés de conciliation. A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).
Court | Fiche de Conciliation des Traitements médicamenteux (FCT) rétroactive d'admissionA set of resources composed into a single coherent clinical statement with clinical attestation
Commentaires | Cette Composition comporte 3 <section> et 3 seulement : La référence au Bilan Médicamenteux, une ressource Composition profilée fr-medication-history-composition La référence au Traitement Médicamenteux Courant, une ressource Composition profilée fr-current-medication-composition La liste des traitements médicamenteux conciliés avec chacune ses propriétés de conciliation, une <entry> (de cette 3ème section) par ligne de traitement référençant une ressource MedicationStatement profilée fr-medication-reconciliation-medication-statement While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.
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. Composition.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
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Composition.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())
6. Composition.status
Définition | The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.
Court | preliminary | final | amended | entered-in-error
Commentaires | Une FCT ne peut être au statut final que si elle est complète, à la fois du point de vue de la documentation des lignes de traitement médicamenteux conciliées (cf. les propriétés de conciliation de chacune de ses lignes de traitement) et du point de vue des auteurs qui assument ces contenus (cf. élément <author> de cette Composition). Une FCT peut être produite en plusieurs étapes pouvant mettre à disposition des versions intermédiaires, préliminaires, précédant la version finale. Cet élément <status> de la Composition permet alors de rendre compte de ces contenus intermédiaires préliminaires. Le projet d'établissement et ses choix d'intégration inter applications peut légitimement se limiter à ne partager que la FCT à l'état final, les éventuelles versions intermédiaires préliminaires ne sortant pas du module qui en a la charge. If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements. Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` ) The workflow/clinical status of the composition.
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
Exigences | Need to be able to mark interim, amended, or withdrawn compositions or documents.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Composition.type
Définition | Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.
Court | Kind of composition (LOINC if possible)
Commentaires | For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Les codes DEVRAIENT (SHOULD) être pris de value set Interop'Santé - type de document de la ressource Composition d'une FCT http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1 (extensible to `https://hl7.fr/ig/fhir/medication/ValueSet/fr-medication-reconciliation-document-type` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Key metadata element describing the composition, used in searching/filtering.
Valeur de motif | `{ "coding" : [{ "system" : "https://hl7.fr/fhir/fr/medication/CodeSystem/fr-document-type", "code" : "10000002", "display" : "FCT rétroactive d'admission" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Composition.subject
Définition | Le patient auquel se rapporte ce document FCT (Fiche de Conciliation des Traitements médicamenteux). Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).
Court | Le patientWho and/or what the composition is about
Commentaires | Une FCT (Fiche de Conciliation des Traitements médicamenteux) se rapporte obligatoirement à un patient, référencé en tant que ressource Patient profilée fr-patient. For clinical documents, this is usually the patient.
Contrôle | 10..1
Type | Reference(FR Core Patient Profile, Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Identifier le patient auquel se rapporte obligatoirement une FCT (Fiche de Conciliation des Traitements médicamenteux), patient référencé en tant que ressource Patient profilée fr-patient. Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Composition.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()))
14. Composition.date
Définition | The composition editing time, when the composition was last logically changed by the author.
Court | Composition editing time
Commentaires | The Last Modified Date on the composition may be after the date of the document was attested without being changed.
Contrôle | 1..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging. dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Composition.author
Définition | Le ou les auteurs de cette FCT (Fiche de Conciliation des Traitements médicamenteux), défini ès qualités (ressource PractitionerRole profilée fr-practitioner-role-profession) ET, de préférence, aussi nominativement (la ressource PractionerRole profilée fr-practitioner-role instanciée réfère une instance de ressource Practioner profilée fr-practitioner). Identifies who is responsible for the information in the composition, not necessarily who typed it in.
Court | Le ou les auteursWho and/or what authored the composition
Commentaires | Il est vivement recommandé d'identifier nominativement les auteurs : la ressource PractitionerRole profilée fr-practitioner-role-profession instanciée (ex: Médecin) réfère une instance de ressource Practitioner profilée fr-practitioner (ex: Dr UNTEL). En l'absence de signature électronique, la fiche est réputée signée par ses co-auteurs (voir élement <author> de cardinalité [1..*]. Les règles de gestion de ce co-authoring peuvent être limitée au seul pharmacien (1 seul auteur) qui assumerait la seule version finale de cette Fiche qui serait communiquée. Un projet plus ambitieux pourrait produire une version préliminaire de la Fiche avec comme seul auteur le pharmacien qui établit la liste des traitements à concilier avec leurs propriétés de conciliation partiellement documentées, puis, une version finale avec comme co-auteurs le phamacien et le prescripteur des lignes de traitement qui ont alors toutes leurs propriétés de conciliation documentées.
Contrôle | 1..*
Type | Reference(FR Core Practitioner Role, Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Identifier les co-auteurs de la FCT (Fiche de Conciliation des Traitements médicamenteux). Identifies who is responsible for the content.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Composition.author.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 | `PractitionerRole`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Composition.title
Définition | Official human-readable label for the composition.
Court | Human Readable name/title
Commentaires | For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.
Contrôle | 1..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()))
22. Composition.section
Définition | The root of the sections that make up the composition.
Court | Composition is broken into sections
Commentaires | 3 sections, prédéfinies et ces 3 sections seulement
Contrôle | 30..3*
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Structure de la FCT française conforme au du guide de la HAS.
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (`text.exists() or entry.exists() or section.exists()`) cmp-2: A section can only have an emptyReason if it is empty (`emptyReason.empty() or entry.empty()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
Slicing | Cet élément introduit un ensemble de slices sur `Composition.section`. Les slices sontNon ordonné et Closed, et ne définit aucun discriminateur pour différencier les slices
24. Composition.section.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())
26. Composition.section:MedicationHistory
Nom de la slice | MedicationHistory
Définition | Le Bilan Médicamenteux auquel se réfère la FCT (Fiche de Conciliation des Traitements médicamenteux). The root of the sections that make up the composition.
Court | Bilan MédicamenteuxComposition is broken into sections
Commentaires | Une FCT (Fiche de Conciliation des Traitements médicamenteux) doit se référer à un Bilan Médicamenteux. Cette section n'a qu'une seule <entry> qui référence une ressource Composition profilée fr-medication-history-Composition portant le Bilan Médicamenteux attaché à la FCT.
Contrôle | 10..1*
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Référencer le Bilan Médicamenteux de cette conciliation des traitements médicamenteux.
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (`text.exists() or entry.exists() or section.exists()`) cmp-2: A section can only have an emptyReason if it is empty (`emptyReason.empty() or entry.empty()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
28. Composition.section:MedicationHistory.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())
30. Composition.section:MedicationHistory.title
Définition | The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
Court | Label for section (e.g. for ToC)
Commentaires | The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
Contrôle | 10..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
Noms alternatifs | header, label, caption
Valeur de motif | `Bilan Médicamenteux`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Composition.section:MedicationHistory.code
Définition | A code identifying the kind of content contained within the section. This must be consistent with the section title.
Court | Classification of section (recommended)
Commentaires | The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1` ) Classification of a section of a composition/document.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Provides computable standardized labels to topics within the document.
Valeur de motif | `{ "coding" : [{ "system" : "http://loinc.org", "code" : "10160-0" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Composition.section:MedicationHistory.author
Définition | Identifies who is responsible for the information in this section, not necessarily who typed it in.
Court | Who and/or what authored the section
Commentaires | L'auteur du Bilan Médicamenteux est celui du Bilan référencé par l'élément <entry>. L'auteur de l'inclusion de ce bilan dans la fiche de conciliation est celui de la Composition.
Contrôle | 0..0*
Type | Reference(Practitioner, PractitionerRole, Device, Patient, 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 | L'auteur du Bilan Médicamenteux est celui du Bilan référencé par l'élément <entry>. L'auteur de l'inclusion de ce bilan dans cette fiche de conciliation est celui de la Composition. Identifies who is responsible for the content.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Composition.section:MedicationHistory.focus
Définition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
Court | Who/what the section is about, when it is not about the subject of composition
Commentaires | Le Bilan Médicamenteux ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir element subject de la Composition). Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
Contrôle | 0..01
Type | Reference(Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Le Bilan Médicamenteux ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir element subject de la Composition).
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Composition.section:MedicationHistory.mode
Définition | How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
Court | Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\).working | snapshot | changes
Commentaires | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Dans ce profil, sa valeur est fixée à working. This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
Contrôle | 10..1
Binding | Les codes DOIVENT (SHALL) être pris de ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 (required to `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` ) The processing mode that applies to this section.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Contraindre une gestion univoque de cette liste représentant le Bilan Médicamenteux. Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
Valeur de motif | `working`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Composition.section:MedicationHistory.entry
Définition | A reference to the actual resource from which the narrative in the section is derived.
Court | La référence à la ressource *Composition* du Bilan Médicamenteux. Ce Bilan peut être vide si le patient ne prend pas de médicament en dehors de l'hospitalisation au titre de laquelle la Conciliation est réalisée.A reference to data that supports this section
Commentaires | Un Bilan Médicamenteux, même vide si la patient ne prenait pas de médicament avant son hospitalisation, doit être attaché à la FCT (Fiche de Concimaition des Traitements médicamenteux). If there are no entries in the list, an emptyReason SHOULD be provided.
Contrôle | 10..1* Cet élément est affecté par les invariants suivants : cmp-2
Type | Reference(FR Medication History Composition, Resource)
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()))
42. Composition.section:MedicationHistory.section
Définition | A nested sub-section within this section.
Court | Nested Section
Commentaires | Nested sections are primarily used to help human readers navigate to particular portions of the document.
Contrôle | 0..0* Cet élément est affecté par les invariants suivants : cmp-1
Type | Voirttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | pas de sous-section dans le bilan médicamenteux (toutes les lignes de traitement sont au même niveau)
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Composition.section:CurrentMedication
Nom de la slice | CurrentMedication
Définition | La liste des traitements médicamenteux prescrit à l'admission (Ordonnance Médicale d'admission - OMA), confrontée au Bilan Médicamenteux et qui l'objet de la conciliation des traitements. The root of the sections that make up the composition.
Court | Ordonnance Médicale d'admission (OMA)Composition is broken into sections
Commentaires | Formellement, cette liste peut être vide.
Contrôle | 10..1*
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Référencer l'Ordonnance Médicale d'Admission qui fait l'objet de cette conciliation des traitements.
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (`text.exists() or entry.exists() or section.exists()`) cmp-2: A section can only have an emptyReason if it is empty (`emptyReason.empty() or entry.empty()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
46. Composition.section:CurrentMedication.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())
48. Composition.section:CurrentMedication.title
Définition | The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
Court | Label for section (e.g. for ToC)
Commentaires | The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
Contrôle | 10..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
Noms alternatifs | header, label, caption
Valeur fixe | `Traitement Médicamenteux Courant`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Composition.section:CurrentMedication.author
Définition | Identifies who is responsible for the information in this section, not necessarily who typed it in.
Court | Who and/or what authored the section
Contrôle | 0..0*
Type | Reference(Practitioner, PractitionerRole, Device, Patient, 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 | L'auteur du Traitement Médicamenteux Courant est celui du document référencé par l'élément <entry>. L'auteur de l'inclusion de ce document dans cette fiche de conciliation est celui de la Composition. Identifies who is responsible for the content.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Composition.section:CurrentMedication.focus
Définition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
Court | Who/what the section is about, when it is not about the subject of composition
Commentaires | Le Traitement Médicamenteux Courant ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir element subject de la Composition). Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
Contrôle | 0..01
Type | Reference(Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Le Traitement Médicamenteux Courant ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir element subject de la Composition).
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Composition.section:CurrentMedication.mode
Définition | How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
Court | Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\).working | snapshot | changes
Commentaires | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Dans ce profil, sa valeur est fixée à working. This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
Contrôle | 10..1
Binding | Les codes DOIVENT (SHALL) être pris de ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 (required to `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` ) The processing mode that applies to this section.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Contraindre une gestion univoque de cette liste représentant le Traitement Médicamenteux Courant. Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
Valeur fixe | `working`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Composition.section:CurrentMedication.entry
Définition | La référence à la ressource Composition de l'Ordonnance Médicale d'Admission (OMA). Cette Ordonnance peut, formellement, être vide si le patient n'a aucun médicament prescrit à son admission. A reference to the actual resource from which the narrative in the section is derived.
Court | La composition de l'Ordonnance Médicale d'Admission (OMA) attachéeA reference to data that supports this section
Commentaires | Une Ordonnance Médicale d'Admission (OMA), même vide si la patient n'a aucun médicament prescrit lors de son admission, doit être attachée à la FCT (Fiche de Concimaition des Traitements médicamenteux). If there are no entries in the list, an emptyReason SHOULD be provided.
Contrôle | 10..1* Cet élément est affecté par les invariants suivants : cmp-2
Type | Reference(FR On Admission Medication Composition, Resource)
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()))
58. Composition.section:CurrentMedication.section
Définition | A nested sub-section within this section.
Court | Nested Section
Commentaires | Nested sections are primarily used to help human readers navigate to particular portions of the document.
Contrôle | 0..0* Cet élément est affecté par les invariants suivants : cmp-1
Type | Voirttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | pas de sous-section dans le traitement médicamenteux courant (toutes les lignes de traitement sont au même niveau)
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Composition.section:Reconciliation
Nom de la slice | Reconciliation
Définition | Conciliation proprement dite : synthèse des médicaments du Bilan Médicamenteux et du Traitement médicamenteux courant avec documentation des écarts The root of the sections that make up the composition.
Court | Conciliation proprement diteComposition is broken into sections
Contrôle | 10..1*
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | décrire la conciliation proprement dite, à ses différentes étapes de réalisation
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (`text.exists() or entry.exists() or section.exists()`) cmp-2: A section can only have an emptyReason if it is empty (`emptyReason.empty() or entry.empty()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists()) cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
62. Composition.section:Reconciliation.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())
64. Composition.section:Reconciliation.title
Définition | The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
Court | Label for section (e.g. for ToC)
Commentaires | The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
Contrôle | 10..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
Noms alternatifs | header, label, caption
Valeur de motif | `Fiche de Conciliation des Traitements médicamenteux`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Composition.section:Reconciliation.author
Définition | Identifies who is responsible for the information in this section, not necessarily who typed it in.
Court | Who authored the sectionWho and/or what authored the section
Contrôle | 0..0*
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
Est modificateur | false
Résumé | false
Exigences | L'auteur du contenu de cette section conciliation proprement-dite est celui de la composition. Identifies who is responsible for the content.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
71. Composition.section:Reconciliation.focus
Définition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
Court | Who/what the section is about, when it is not about the subject of composition
Commentaires | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
Contrôle | 0..01
Type | Reference(Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | La fiche de conciliation ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir élement <subject> de cette Composition).
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
73. Composition.section:Reconciliation.mode
Définition | How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
Court | Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\).working | snapshot | changes
Commentaires | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Dans ce profil, sa valeur est fixée à working. This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
Contrôle | 10..1
Binding | Les codes DOIVENT (SHALL) être pris de ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 (required to `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` ) The processing mode that applies to this section.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Contraindre une gestion univoque de cette liste de traitements médicamenteux à concilier. Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
Valeur de motif | `working`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
75. Composition.section:Reconciliation.entry
Définition | A reference to the actual resource from which the narrative in the section is derived.
Court | Ligne de traitement médicamenteux de la FCT (Fiche de Concilitaion des Traitements médicamenteux)A reference to data that supports this section
Commentaires | Chaque ligne est associée à une ligne du Bilan Médicamenteux et/ou une ligne du Traitement Médicamenteux courant et est documentée par étape par le pharmacien et par le prescripteur. If there are no entries in the list, an emptyReason SHOULD be provided.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : cmp-2
Type | Reference(FR Medication Reconciliation MedicationStatement, Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Décrire chaque ligne de traitement médicamenteux à concilier, avec ses propriétés de conciliation
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
77. Composition.section:Reconciliation.section
Définition | A nested sub-section within this section.
Court | Nested Section
Commentaires | Nested sections are primarily used to help human readers navigate to particular portions of the document.
Contrôle | 0..0* Cet élément est affecté par les invariants suivants : cmp-1
Type | Voirttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | pas de sous-section dans la fiche de conciliation (toutes les lignes de traitement conciliées sont au même niveau)
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. Composition
Court | Fiche de Conciliation des Traitements médicamenteux (FCT) rétroactive d'admission
2. Composition.type
Valeur de motif | `{ "coding" : [{ "system" : "https://hl7.fr/fhir/fr/medication/CodeSystem/fr-document-type", "code" : "10000002", "display" : "FCT rétroactive d'admission" }] }`
4. Composition.section:CurrentMedication
Nom de la slice | CurrentMedication
Définition | La liste des traitements médicamenteux prescrit à l'admission (Ordonnance Médicale d'admission - OMA), confrontée au Bilan Médicamenteux et qui l'objet de la conciliation des traitements.
Court | Ordonnance Médicale d'admission (OMA)
Exigences | Référencer l'Ordonnance Médicale d'Admission qui fait l'objet de cette conciliation des traitements.
6. Composition.section:CurrentMedication.entry
Définition | La référence à la ressource Composition de l'Ordonnance Médicale d'Admission (OMA). Cette Ordonnance peut, formellement, être vide si le patient n'a aucun médicament prescrit à son admission.
Court | La composition de l'Ordonnance Médicale d'Admission (OMA) attachée
Commentaires | Une Ordonnance Médicale d'Admission (OMA), même vide si la patient n'a aucun médicament prescrit lors de son admission, doit être attachée à la FCT (Fiche de Concimaition des Traitements médicamenteux).
Type | Reference(FR On Admission Medication Composition)

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

0. Composition
Définition | Fiche de Conciliation des Traitements médicamenteux (FCT) : Liste des traitements médicamenteux conciliés à partir du Bilan Médicamenteux (traitements avant l'hospitalisation) et du Traitement Médicamenteux Courant, conforme aux recommandations du guide de la HAS. référence le Bilan Médicamenteux ; référence le Traitement Médicamenteux Courant ; liste des lignes de traitement conciliées avec, pour chacune, la référence à la ligne de traitement médicamenteux du Bilan Médicamenteux si elle existe, la référence à la ligne de traitement médicamenteux du Traitement Médicamenteux Courant si elle existe, au moins une de ces deux lignes doit exister et être référencée, ses propriétés de conciliation.
Court | Fiche de Conciliation des Traitements médicamenteux (FCT) rétroactive d'admission
Commentaires | Cette Composition comporte 3 <section> et 3 seulement : La référence au Bilan Médicamenteux, une ressource Composition profilée fr-medication-history-composition La référence au Traitement Médicamenteux Courant, une ressource Composition profilée fr-current-medication-composition La liste des traitements médicamenteux conciliés avec chacune ses propriétés de conciliation, une <entry> (de cette 3ème section) par ligne de traitement référençant une ressource MedicationStatement profilée fr-medication-reconciliation-medication-statement
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. Composition.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. Composition.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. Composition.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
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Composition.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())`)
10. Composition.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())`)
12. Composition.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
14. Composition.extension
Définition | 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 | 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()`)
16. Composition.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()`)
18. Composition.identifier
Définition | A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.
Court | Version-independent identifier for the Composition
Commentaires | Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.
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())`)
20. Composition.status
Définition | The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.
Court | preliminary | final | amended | entered-in-error
Commentaires | Une FCT ne peut être au statut final que si elle est complète, à la fois du point de vue de la documentation des lignes de traitement médicamenteux conciliées (cf. les propriétés de conciliation de chacune de ses lignes de traitement) et du point de vue des auteurs qui assument ces contenus (cf. élément <author> de cette Composition). Une FCT peut être produite en plusieurs étapes pouvant mettre à disposition des versions intermédiaires, préliminaires, précédant la version finale. Cet élément <status> de la Composition permet alors de rendre compte de ces contenus intermédiaires préliminaires. Le projet d'établissement et ses choix d'intégration inter applications peut légitimement se limiter à ne partager que la FCT à l'état final, les éventuelles versions intermédiaires préliminaires ne sortant pas du module qui en a la charge.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de CompositionStatus (required to `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` ) The workflow/clinical status of the composition.
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
Exigences | Need to be able to mark interim, amended, or withdrawn compositions or documents.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Composition.type
Définition | Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.
Court | Kind of composition (LOINC if possible)
Commentaires | For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de value set Interop'Santé - type de document de la ressource Composition d'une FCT (extensible to `https://hl7.fr/ig/fhir/medication/ValueSet/fr-medication-reconciliation-document-type` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Key metadata element describing the composition, used in searching/filtering.
Valeur de motif | `{ "coding" : [{ "system" : "https://hl7.fr/fhir/fr/medication/CodeSystem/fr-document-type", "code" : "10000002", "display" : "FCT rétroactive d'admission" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Composition.category
Définition | A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.
Court | Categorization of Composition
Commentaires | This is a metadata field from XDS/MHD.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir DocumentClassValueSet (example to `http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1` ) High-level kind of a clinical document at a macro level.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Composition.subject
Définition | Le patient auquel se rapporte ce document FCT (Fiche de Conciliation des Traitements médicamenteux).
Court | Le patient
Commentaires | Une FCT (Fiche de Conciliation des Traitements médicamenteux) se rapporte obligatoirement à un patient, référencé en tant que ressource Patient profilée fr-patient.
Contrôle | 1..1
Type | Reference(FR Core Patient Profile)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Identifier le patient auquel se rapporte obligatoirement une FCT (Fiche de Conciliation des Traitements médicamenteux), patient référencé en tant que ressource Patient profilée fr-patient.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Composition.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
30. Composition.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 `Composition.subject.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
32. Composition.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())`)
34. Composition.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())`)
36. Composition.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())`)
38. Composition.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())`)
40. Composition.encounter
Définition | Describes the clinical encounter or type of care this documentation is associated with.
Court | Context of the Composition
Contrôle | 0..1
Type | Reference(Encounter)
Est modificateur | false
Résumé | true
Exigences | Provides context for the composition and supports searching.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Composition.date
Définition | The composition editing time, when the composition was last logically changed by the author.
Court | Composition editing time
Commentaires | The Last Modified Date on the composition may be after the date of the document was attested without being changed.
Contrôle | 1..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. Composition.author
Définition | Le ou les auteurs de cette FCT (Fiche de Conciliation des Traitements médicamenteux), défini ès qualités (ressource PractitionerRole profilée fr-practitioner-role-profession) ET, de préférence, aussi nominativement (la ressource PractionerRole profilée fr-practitioner-role instanciée réfère une instance de ressource Practioner profilée fr-practitioner).
Court | Le ou les auteurs
Commentaires | Il est vivement recommandé d'identifier nominativement les auteurs : la ressource PractitionerRole profilée fr-practitioner-role-profession instanciée (ex: Médecin) réfère une instance de ressource Practitioner profilée fr-practitioner (ex: Dr UNTEL). En l'absence de signature électronique, la fiche est réputée signée par ses co-auteurs (voir élement <author> de cardinalité [1..*]. Les règles de gestion de ce co-authoring peuvent être limitée au seul pharmacien (1 seul auteur) qui assumerait la seule version finale de cette Fiche qui serait communiquée. Un projet plus ambitieux pourrait produire une version préliminaire de la Fiche avec comme seul auteur le pharmacien qui établit la liste des traitements à concilier avec leurs propriétés de conciliation partiellement documentées, puis, une version finale avec comme co-auteurs le phamacien et le prescripteur des lignes de traitement qui ont alors toutes leurs propriétés de conciliation documentées.
Contrôle | 1..*
Type | Reference(FR Core Practitioner Role)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Identifier les co-auteurs de la FCT (Fiche de Conciliation des Traitements médicamenteux).
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Composition.author.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
48. Composition.author.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 `Composition.author.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
50. Composition.author.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())`)
52. Composition.author.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 | `PractitionerRole`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Composition.author.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())`)
56. Composition.author.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())`)
58. Composition.title
Définition | Official human-readable label for the composition.
Court | Human Readable name/title
Commentaires | For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.
Contrôle | 1..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())`)
60. Composition.confidentiality
Définition | The code specifying the level of confidentiality of the Composition.
Court | As defined by affinity domain
Commentaires | The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de v3.ConfidentialityClassification (2014-03-26) (required to `http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26` ) Codes specifying the level of confidentiality of the composition.
Type | code
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. Composition.attester
Définition | A participant who has attested to the accuracy of the composition/document.
Court | Attests to accuracy of composition
Commentaires | Only list each attester once.
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | false
Exigences | Identifies responsibility for the accuracy of the composition content.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Composition.attester.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. Composition.attester.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()`)
68. Composition.attester.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()`)
70. Composition.attester.mode
Définition | The type of attestation the authenticator offers.
Court | personal | professional | legal | official
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de CompositionAttestationMode (required to `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1` ) The way in which a person authenticated a composition.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Indicates the level of authority of the attestation.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Composition.attester.time
Définition | When the composition was attested by the party.
Court | When the composition was attested
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Composition.attester.party
Définition | Who attested the composition in the specified way.
Court | Who attested the composition
Contrôle | 1..1
Type | Reference(FR Core Practitioner Role)
Est modificateur | false
Résumé | false
Exigences | Identifies who has taken on the responsibility for accuracy of the composition content.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Composition.attester.party.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
78. Composition.attester.party.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 `Composition.attester.party.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
80. Composition.attester.party.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
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Composition.attester.party.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 | `Practitioner`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Composition.attester.party.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
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Composition.attester.party.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())`)
88. Composition.custodian
Définition | Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.
Court | Organization which maintains the composition
Commentaires | This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.
Contrôle | 0..1
Type | Reference(Organization)
Est modificateur | false
Résumé | true
Exigences | Identifies where to go to find the current version, where to report issues, etc.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. Composition.relatesTo
Définition | Relationships that this composition has with other compositions or documents that already exist.
Court | Relationships to other compositions/documents
Commentaires | A document is a version specific composition.
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Composition.relatesTo.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
94. Composition.relatesTo.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()`)
96. Composition.relatesTo.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()`)
98. Composition.relatesTo.code
Définition | The type of relationship that this composition has with anther composition or document.
Court | replaces | transforms | signs | appends
Commentaires | If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de DocumentRelationshipType (required to `http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1` ) The type of relationship between documents.
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())`)
100. Composition.relatesTo.target[x]
Définition | The target composition/document of this relationship.
Court | Target of the relationship
Contrôle | 1..1
Type | Choix de : Identifier, Reference(Composition)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Composition.event
Définition | The clinical service, such as a colonoscopy or an appendectomy, being documented.
Court | The clinical service(s) being documented
Commentaires | The event needs to be consistent with the type element, though can provide further information if desired.
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | true
Exigences | Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Composition.event.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
106. Composition.event.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()`)
108. Composition.event.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()`)
110. Composition.event.code
Définition | This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.
Court | Code(s) that apply to the event being documented
Commentaires | An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir v3 Code System ActCode (example to `http://terminology.hl7.org/ValueSet/v3-ActCode` ) This list of codes represents the main clinical acts being documented.
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())`)
112. Composition.event.period
Définition | The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.
Court | The period covered by the documentation
Contrôle | 0..1
Type | Period
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. Composition.event.detail
Définition | The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.
Court | The event(s) being documented
Contrôle | 0..*
Type | Reference(Resource)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Composition.section
Définition | The root of the sections that make up the composition.
Court | Composition is broken into sections
Commentaires | 3 sections, prédéfinies et ces 3 sections seulement
Contrôle | 3..3
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Structure de la FCT française conforme au du guide de la HAS.
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (`text.exists() or entry.exists() or section.exists()`) cmp-2: A section can only have an emptyReason if it is empty (`emptyReason.empty() or entry.empty()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `Composition.section`. Les slices sontNon ordonné et Closed, et ne définit aucun discriminateur pour différencier les slices
118. Composition.section.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
120. Composition.section.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()`)
122. Composition.section.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()`)
124. Composition.section.title
Définition | The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
Court | Label for section (e.g. for ToC)
Commentaires | The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
Noms alternatifs | header, label, caption
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Composition.section.code
Définition | A code identifying the kind of content contained within the section. This must be consistent with the section title.
Court | Classification of section (recommended)
Commentaires | The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir DocumentSectionCodes (example to `http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1` ) Classification of a section of a composition/document.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Provides computable standardized labels to topics within the document.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. Composition.section.author
Définition | Identifies who is responsible for the information in this section, not necessarily who typed it in.
Court | Who and/or what authored the section
Contrôle | 0..*
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
Est modificateur | false
Résumé | false
Exigences | Identifies who is responsible for the content.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Composition.section.focus
Définition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
Court | Who/what the section is about, when it is not about the subject of composition
Commentaires | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
Contrôle | 0..1
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())`)
132. Composition.section.text
Définition | A human-readable narrative that contains the attested content of the section, 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.
Court | Text summary of the section, for human interpretation
Commentaires | Document profiles may define what content should be represented in the narrative to ensure clinical safety.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : cmp-1
Type | Narrative
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. Composition.section.mode
Définition | How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
Court | working | snapshot | changes
Commentaires | This element is labeled as a modifier because a change list must not be misunderstood as a complete list.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de ListMode (required to `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` ) The processing mode that applies to this section.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Composition.section.orderedBy
Définition | Specifies the order applied to the items in the section entries.
Court | Order of section entries
Commentaires | Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de ListOrderCodes (preferred to `http://hl7.org/fhir/ValueSet/list-order|4.0.1` ) What order applies to the items in the entry.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. Composition.section.entry
Définition | A reference to the actual resource from which the narrative in the section is derived.
Court | A reference to data that supports this section
Commentaires | If there are no entries in the list, an emptyReason SHOULD be provided.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : cmp-2
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())`)
140. Composition.section.emptyReason
Définition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
Court | Why the section is empty
Commentaires | The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : cmp-2
Binding | Les codes DEVRAIENT (SHOULD) être pris de ListEmptyReasons (preferred to `http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1` ) If a section is empty, why it is empty.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Allows capturing things like "none exist" or "not asked" which can be important for most lists.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. Composition.section.section
Définition | A nested sub-section within this section.
Court | Nested Section
Commentaires | Nested sections are primarily used to help human readers navigate to particular portions of the document.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : cmp-1
Type | Voirttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Composition.section:MedicationHistory
Nom de la slice | MedicationHistory
Définition | Le Bilan Médicamenteux auquel se réfère la FCT (Fiche de Conciliation des Traitements médicamenteux).
Court | Bilan Médicamenteux
Commentaires | Une FCT (Fiche de Conciliation des Traitements médicamenteux) doit se référer à un Bilan Médicamenteux. Cette section n'a qu'une seule <entry> qui référence une ressource Composition profilée fr-medication-history-Composition portant le Bilan Médicamenteux attaché à la FCT.
Contrôle | 1..1
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Référencer le Bilan Médicamenteux de cette conciliation des traitements médicamenteux.
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (`text.exists() or entry.exists() or section.exists()`) cmp-2: A section can only have an emptyReason if it is empty (`emptyReason.empty() or entry.empty()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. Composition.section:MedicationHistory.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
148. Composition.section:MedicationHistory.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()`)
150. Composition.section:MedicationHistory.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()`)
152. Composition.section:MedicationHistory.title
Définition | The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
Court | Label for section (e.g. for ToC)
Commentaires | The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
Contrôle | 1..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
Noms alternatifs | header, label, caption
Valeur de motif | `Bilan Médicamenteux`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. Composition.section:MedicationHistory.code
Définition | A code identifying the kind of content contained within the section. This must be consistent with the section title.
Court | Classification of section (recommended)
Commentaires | The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir DocumentSectionCodes (example to `http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1` ) Classification of a section of a composition/document.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Provides computable standardized labels to topics within the document.
Valeur de motif | `{ "coding" : [{ "system" : "http://loinc.org", "code" : "10160-0" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. Composition.section:MedicationHistory.author
Définition | Identifies who is responsible for the information in this section, not necessarily who typed it in.
Court | Who and/or what authored the section
Commentaires | L'auteur du Bilan Médicamenteux est celui du Bilan référencé par l'élément <entry>. L'auteur de l'inclusion de ce bilan dans la fiche de conciliation est celui de la Composition.
Contrôle | 0..0
Type | Reference(Practitioner, PractitionerRole, Device, Patient, 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 | L'auteur du Bilan Médicamenteux est celui du Bilan référencé par l'élément <entry>. L'auteur de l'inclusion de ce bilan dans cette fiche de conciliation est celui de la Composition.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. Composition.section:MedicationHistory.focus
Définition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
Court | Who/what the section is about, when it is not about the subject of composition
Commentaires | Le Bilan Médicamenteux ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir element subject de la Composition).
Contrôle | 0..0
Type | Reference(Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Le Bilan Médicamenteux ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir element subject de la Composition).
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. Composition.section:MedicationHistory.text
Définition | A human-readable narrative that contains the attested content of the section, 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.
Court | Text summary of the section, for human interpretation
Commentaires | Document profiles may define what content should be represented in the narrative to ensure clinical safety.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : cmp-1
Type | Narrative
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. Composition.section:MedicationHistory.mode
Définition | How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
Court | Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\).
Commentaires | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Dans ce profil, sa valeur est fixée à working.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de ListMode (required to `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` ) The processing mode that applies to this section.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Contraindre une gestion univoque de cette liste représentant le Bilan Médicamenteux.
Valeur de motif | `working`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. Composition.section:MedicationHistory.orderedBy
Définition | Specifies the order applied to the items in the section entries.
Court | Order of section entries
Commentaires | Non concerné car il n'y a qu'une seule <entry> dans cette <section>. L'ordre des lignes du Bilan Médicamenteux attaché, sera porté par l'élément orderedBy de la seule <section> de la Composition référencée.
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de ListOrderCodes (preferred to `http://hl7.org/fhir/ValueSet/list-order|4.0.1` ) What order applies to the items in the entry.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. Composition.section:MedicationHistory.entry
Définition | A reference to the actual resource from which the narrative in the section is derived.
Court | La référence à la ressource *Composition* du Bilan Médicamenteux. Ce Bilan peut être vide si le patient ne prend pas de médicament en dehors de l'hospitalisation au titre de laquelle la Conciliation est réalisée.
Commentaires | Un Bilan Médicamenteux, même vide si la patient ne prenait pas de médicament avant son hospitalisation, doit être attaché à la FCT (Fiche de Concimaition des Traitements médicamenteux).
Contrôle | 1..1 Cet élément est affecté par les invariants suivants : cmp-2
Type | Reference(FR Medication History Composition)
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())`)
168. Composition.section:MedicationHistory.emptyReason
Définition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
Court | Why the section is empty
Commentaires | The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : cmp-2
Binding | Les codes DEVRAIENT (SHOULD) être pris de ListEmptyReasons (preferred to `http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1` ) If a section is empty, why it is empty.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Allows capturing things like "none exist" or "not asked" which can be important for most lists.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. Composition.section:MedicationHistory.section
Définition | A nested sub-section within this section.
Court | Nested Section
Commentaires | Nested sections are primarily used to help human readers navigate to particular portions of the document.
Contrôle | 0..0 Cet élément est affecté par les invariants suivants : cmp-1
Type | Voirttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | pas de sous-section dans le bilan médicamenteux (toutes les lignes de traitement sont au même niveau)
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. Composition.section:CurrentMedication
Nom de la slice | CurrentMedication
Définition | La liste des traitements médicamenteux prescrit à l'admission (Ordonnance Médicale d'admission - OMA), confrontée au Bilan Médicamenteux et qui l'objet de la conciliation des traitements.
Court | Ordonnance Médicale d'admission (OMA)
Commentaires | Formellement, cette liste peut être vide.
Contrôle | 1..1
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Référencer l'Ordonnance Médicale d'Admission qui fait l'objet de cette conciliation des traitements.
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (`text.exists() or entry.exists() or section.exists()`) cmp-2: A section can only have an emptyReason if it is empty (`emptyReason.empty() or entry.empty()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
174. Composition.section:CurrentMedication.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
176. Composition.section:CurrentMedication.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()`)
178. Composition.section:CurrentMedication.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()`)
180. Composition.section:CurrentMedication.title
Définition | The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
Court | Label for section (e.g. for ToC)
Commentaires | The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
Contrôle | 1..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
Noms alternatifs | header, label, caption
Valeur fixe | `Traitement Médicamenteux Courant`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. Composition.section:CurrentMedication.code
Définition | A code identifying the kind of content contained within the section. This must be consistent with the section title.
Court | Classification of section (recommended)
Commentaires | The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir DocumentSectionCodes (example to `http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1` ) Classification of a section of a composition/document.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Provides computable standardized labels to topics within the document.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
184. Composition.section:CurrentMedication.author
Définition | Identifies who is responsible for the information in this section, not necessarily who typed it in.
Court | Who and/or what authored the section
Contrôle | 0..0
Type | Reference(Practitioner, PractitionerRole, Device, Patient, 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 | L'auteur du Traitement Médicamenteux Courant est celui du document référencé par l'élément <entry>. L'auteur de l'inclusion de ce document dans cette fiche de conciliation est celui de la Composition.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. Composition.section:CurrentMedication.focus
Définition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
Court | Who/what the section is about, when it is not about the subject of composition
Commentaires | Le Traitement Médicamenteux Courant ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir element subject de la Composition).
Contrôle | 0..0
Type | Reference(Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Le Traitement Médicamenteux Courant ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir element subject de la Composition).
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. Composition.section:CurrentMedication.text
Définition | A human-readable narrative that contains the attested content of the section, 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.
Court | Text summary of the section, for human interpretation
Commentaires | Document profiles may define what content should be represented in the narrative to ensure clinical safety.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : cmp-1
Type | Narrative
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. Composition.section:CurrentMedication.mode
Définition | How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
Court | Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\).
Commentaires | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Dans ce profil, sa valeur est fixée à working.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de ListMode (required to `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` ) The processing mode that applies to this section.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Contraindre une gestion univoque de cette liste représentant le Traitement Médicamenteux Courant.
Valeur fixe | `working`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
192. Composition.section:CurrentMedication.orderedBy
Définition | Specifies the order applied to the items in the section entries.
Court | Order of section entries
Commentaires | Non concerné car il n'y a qu'une seule <entry> dans cette <section>. L'ordre des lignes du Traitement Médicamenteux Courant attaché, sera porté par l'élément orderedBy de la seule <section> de la Composition référencée.
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de ListOrderCodes (preferred to `http://hl7.org/fhir/ValueSet/list-order|4.0.1` ) What order applies to the items in the entry.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
194. Composition.section:CurrentMedication.entry
Définition | La référence à la ressource Composition de l'Ordonnance Médicale d'Admission (OMA). Cette Ordonnance peut, formellement, être vide si le patient n'a aucun médicament prescrit à son admission.
Court | La composition de l'Ordonnance Médicale d'Admission (OMA) attachée
Commentaires | Une Ordonnance Médicale d'Admission (OMA), même vide si la patient n'a aucun médicament prescrit lors de son admission, doit être attachée à la FCT (Fiche de Concimaition des Traitements médicamenteux).
Contrôle | 1..1 Cet élément est affecté par les invariants suivants : cmp-2
Type | Reference(FR On Admission Medication Composition)
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())`)
196. Composition.section:CurrentMedication.emptyReason
Définition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
Court | Why the section is empty
Commentaires | The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : cmp-2
Binding | Les codes DEVRAIENT (SHOULD) être pris de ListEmptyReasons (preferred to `http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1` ) If a section is empty, why it is empty.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Allows capturing things like "none exist" or "not asked" which can be important for most lists.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. Composition.section:CurrentMedication.section
Définition | A nested sub-section within this section.
Court | Nested Section
Commentaires | Nested sections are primarily used to help human readers navigate to particular portions of the document.
Contrôle | 0..0 Cet élément est affecté par les invariants suivants : cmp-1
Type | Voirttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | pas de sous-section dans le traitement médicamenteux courant (toutes les lignes de traitement sont au même niveau)
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
200. Composition.section:Reconciliation
Nom de la slice | Reconciliation
Définition | Conciliation proprement dite : synthèse des médicaments du Bilan Médicamenteux et du Traitement médicamenteux courant avec documentation des écarts
Court | Conciliation proprement dite
Contrôle | 1..1
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | décrire la conciliation proprement dite, à ses différentes étapes de réalisation
Invariants | cmp-1: A section must contain at least one of text, entries, or sub-sections (`text.exists() or entry.exists() or section.exists()`) cmp-2: A section can only have an emptyReason if it is empty (`emptyReason.empty() or entry.empty()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. Composition.section:Reconciliation.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
204. Composition.section:Reconciliation.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()`)
206. Composition.section:Reconciliation.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()`)
208. Composition.section:Reconciliation.title
Définition | The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.
Court | Label for section (e.g. for ToC)
Commentaires | The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.
Contrôle | 1..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.
Noms alternatifs | header, label, caption
Valeur de motif | `Fiche de Conciliation des Traitements médicamenteux`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
210. Composition.section:Reconciliation.code
Définition | A code identifying the kind of content contained within the section. This must be consistent with the section title.
Court | Classification of section (recommended)
Commentaires | The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir DocumentSectionCodes (example to `http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1` ) Classification of a section of a composition/document.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Provides computable standardized labels to topics within the document.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
212. Composition.section:Reconciliation.author
Définition | Identifies who is responsible for the information in this section, not necessarily who typed it in.
Court | Who authored the section
Contrôle | 0..0
Type | Reference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
Est modificateur | false
Résumé | false
Exigences | L'auteur du contenu de cette section conciliation proprement-dite est celui de la composition.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
220. Composition.section:Reconciliation.focus
Définition | The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).
Court | Who/what the section is about, when it is not about the subject of composition
Commentaires | Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.
Contrôle | 0..0
Type | Reference(Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | La fiche de conciliation ne peut concerner que le patient déclaré comme sujet de cette Conciliation Médicamenteuse (voir élement <subject> de cette Composition).
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
222. Composition.section:Reconciliation.text
Définition | A human-readable narrative that contains the attested content of the section, 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.
Court | Text summary of the section, for human interpretation
Commentaires | Document profiles may define what content should be represented in the narrative to ensure clinical safety.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : cmp-1
Type | Narrative
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
224. Composition.section:Reconciliation.mode
Définition | How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.
Court | Liste courante exhaustive à sa date de réalisation (cf. element *date*\) par son auteur (cf. element *author*\).
Commentaires | This element is labeled as a modifier because a change list must not be misunderstood as a complete list. Dans ce profil, sa valeur est fixée à working.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de ListMode (required to `http://hl7.org/fhir/ValueSet/list-mode|4.0.1` ) The processing mode that applies to this section.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Contraindre une gestion univoque de cette liste de traitements médicamenteux à concilier.
Valeur de motif | `working`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
226. Composition.section:Reconciliation.orderedBy
Définition | Specifies the order applied to the items in the section entries.
Court | Order of section entries
Commentaires | Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de ListOrderCodes (preferred to `http://hl7.org/fhir/ValueSet/list-order|4.0.1` ) What order applies to the items in the entry.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
228. Composition.section:Reconciliation.entry
Définition | A reference to the actual resource from which the narrative in the section is derived.
Court | Ligne de traitement médicamenteux de la FCT (Fiche de Concilitaion des Traitements médicamenteux)
Commentaires | Chaque ligne est associée à une ligne du Bilan Médicamenteux et/ou une ligne du Traitement Médicamenteux courant et est documentée par étape par le pharmacien et par le prescripteur.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : cmp-2
Type | Reference(FR Medication Reconciliation MedicationStatement)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Décrire chaque ligne de traitement médicamenteux à concilier, avec ses propriétés de conciliation
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
230. Composition.section:Reconciliation.emptyReason
Définition | If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.
Court | Why the section is empty
Commentaires | The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : cmp-2
Binding | Les codes DEVRAIENT (SHOULD) être pris de ListEmptyReasons (preferred to `http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1` ) If a section is empty, why it is empty.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Exigences | Allows capturing things like "none exist" or "not asked" which can be important for most lists.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
232. Composition.section:Reconciliation.section
Définition | A nested sub-section within this section.
Court | Nested Section
Commentaires | Nested sections are primarily used to help human readers navigate to particular portions of the document.
Contrôle | 0..0 Cet élément est affecté par les invariants suivants : cmp-1
Type | Voirttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | pas de sous-section dans la fiche de conciliation (toutes les lignes de traitement conciliées sont au même niveau)
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)