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

Guide d'implémentation du médicament, publié par Interop'Santé. Ce guide n'est pas une publication autorisée ; C'est la version en intégration continue pour la version 0.1.0 construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/Interop-Sante/hl7.fhir.fr.medication/ et change régulièrement. Voir le répertoire des versions publiées

## Resource Profile: FR Current Medication MedicationStatement

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

Profil de la ressource MedicationStatement du traitement médicamenteux courant. Current Medication MedicationStatement resource profile

### Usage

Chaque ressource MedicationStatement y représente une ligne de médicament du traitement médicamenteux courant.

When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:

- 1. MedicationStatement.status + MedicationStatement.wasNotTaken
- 1. Status=Active + NotTaken=T = Not currently taking
- 1. Status=Completed + NotTaken=T = Not taken in the past
- 1. Status=Intended + NotTaken=T = No intention of taking
- 1. Status=Active + NotTaken=F = Taking, but not as prescribed
- 1. Status=Active + NotTaken=F = Taking
- 1. Status=Intended +NotTaken= F = Will be taking (not started)
- 1. Status=Completed + NotTaken=F = Taken in past
- 1. Status=In Error + NotTaken=N/A = In Error.

Utilisations:

- Référence ce Profil: FR Current Medication Composition and FR Medication Reconciliation MedicationStatement

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Ligne de traitement médicamenteux du Traitement Médicamenteux Courant
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x] | S Σ | 1..1 | Reference(FR Medication) | Le médicament constitutif de cette ligne
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Motif requis: Medication
subject | S Σ | 1..1 | Reference(FR Core Patient Profile) | Le patient qui prend cette ligne de traitement médicamenteux
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Motif requis: Patient
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
doseAndRate | S Σ | 0..* | Element | Amount of medication administered
dose[x] | S Σ | 0..1 | FrRangeMedication | Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
rate[x] | S Σ | 0..1 | FrRatioMedication | Amount of medication per unit of time
maxDosePerPeriod | S Σ | 0..1 | FrRatioMedication | Upper limit on medication per unit of time
maxDosePerAdministration | S Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per administration
maxDosePerLifetime | S Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per lifetime of the patient
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​medication[x].type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationStatement.​subject.type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationStatement

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Ligne de traitement médicamenteux du Traitement Médicamenteux Courant
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content
status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
medication[x] | S | 1..1 | Reference(FR Medication) | Le médicament constitutif de cette ligne
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
type |  | 0..1 | uri | Type the reference refers to (e.g. "Patient") Motif requis: Medication
identifier | S | 0..0 |  | Logical reference, when literal reference is not known
subject | S | 1..1 | Reference(FR Core Patient Profile) | Le patient qui prend cette ligne de traitement médicamenteux
type |  | 0..1 | uri | Type the reference refers to (e.g. "Patient") Motif requis: Patient
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
doseAndRate | S | 0..* | Element | Amount of medication administered
dose[x] | S | 0..1 | FrRangeMedication | Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
rate[x] | S | 0..1 | FrRatioMedication | Amount of medication per unit of time
maxDosePerPeriod | S | 0..1 | FrRatioMedication | Upper limit on medication per unit of time
maxDosePerAdministration | S | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per administration
maxDosePerLifetime | S | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per lifetime of the patient
Documentation pour ce format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Ligne de traitement médicamenteux du Traitement Médicamenteux Courant
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External identifier
basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event
status | ?!S Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason |  | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x] | S Σ | 1..1 | Reference(FR Medication) | Le médicament constitutif de cette ligne
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Motif requis: Medication
display | Σ | 0..1 | string | Text alternative for the resource
subject | S Σ | 1..1 | Reference(FR Core Patient Profile) | Le patient qui prend cette ligne de traitement médicamenteux
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Motif requis: Patient
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted?
informationSource |  | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication
derivedFrom |  | 0..* | Reference(Resource) | Additional supporting information
reasonCode |  | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
note |  | 0..* | Annotation | Further information about the statement
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | S Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | S Σ | 0..1 | FrRangeMedication | Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
rate[x] | S Σ | 0..1 | FrRatioMedication | Amount of medication per unit of time
maxDosePerPeriod | S Σ | 0..1 | FrRatioMedication | Upper limit on medication per unit of time
maxDosePerAdministration | S Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per administration
maxDosePerLifetime | S Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per lifetime of the patient
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​medication[x].type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationStatement.​subject.type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationStatement.​reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationStatement

Résumé

Obligatoire : 1 élément
Must-Support : 12 éléments
Interdit : 2 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR Medication (https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication)
- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
- Range with UCUM or EDQM codes if code is used (https://hl7.fr/ig/fhir/medication/StructureDefinition/FrRangeMedication)
- Ratio with UCUM or EDQM codes if code is used (https://hl7.fr/ig/fhir/medication/StructureDefinition/FrRatioMedication)
- SimpleQuantity with UCUM or EDQM codes or code not used (https://hl7.fr/ig/fhir/medication/StructureDefinition/FrSimpleQuantityMedication)

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Ligne de traitement médicamenteux du Traitement Médicamenteux Courant
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
medication[x] | S Σ | 1..1 | Reference(FR Medication) | Le médicament constitutif de cette ligne
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Motif requis: Medication
subject | S Σ | 1..1 | Reference(FR Core Patient Profile) | Le patient qui prend cette ligne de traitement médicamenteux
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Motif requis: Patient
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
doseAndRate | S Σ | 0..* | Element | Amount of medication administered
dose[x] | S Σ | 0..1 | FrRangeMedication | Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
rate[x] | S Σ | 0..1 | FrRatioMedication | Amount of medication per unit of time
maxDosePerPeriod | S Σ | 0..1 | FrRatioMedication | Upper limit on medication per unit of time
maxDosePerAdministration | S Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per administration
maxDosePerLifetime | S Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per lifetime of the patient
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​medication[x].type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationStatement.​subject.type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from MedicationStatement

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Ligne de traitement médicamenteux du Traitement Médicamenteux Courant
implicitRules |  | 0..0 |  | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content
status | S | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
medication[x] | S | 1..1 | Reference(FR Medication) | Le médicament constitutif de cette ligne
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
type |  | 0..1 | uri | Type the reference refers to (e.g. "Patient") Motif requis: Medication
identifier | S | 0..0 |  | Logical reference, when literal reference is not known
subject | S | 1..1 | Reference(FR Core Patient Profile) | Le patient qui prend cette ligne de traitement médicamenteux
type |  | 0..1 | uri | Type the reference refers to (e.g. "Patient") Motif requis: Patient
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
doseAndRate | S | 0..* | Element | Amount of medication administered
dose[x] | S | 0..1 | FrRangeMedication | Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
rate[x] | S | 0..1 | FrRatioMedication | Amount of medication per unit of time
maxDosePerPeriod | S | 0..1 | FrRatioMedication | Upper limit on medication per unit of time
maxDosePerAdministration | S | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per administration
maxDosePerLifetime | S | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per lifetime of the patient
Documentation pour ce format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Ligne de traitement médicamenteux du Traitement Médicamenteux Courant
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External identifier
basedOn | Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event
status | ?!S Σ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement.
statusReason |  | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category | Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x] | S Σ | 1..1 | Reference(FR Medication) | Le médicament constitutif de cette ligne
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Motif requis: Medication
display | Σ | 0..1 | string | Text alternative for the resource
subject | S Σ | 1..1 | Reference(FR Core Patient Profile) | Le patient qui prend cette ligne de traitement médicamenteux
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Motif requis: Patient
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | Σ | 0..1 |  | The date/time or interval when the medication is/was/will be taken
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted?
informationSource |  | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication
derivedFrom |  | 0..* | Reference(Resource) | Additional supporting information
reasonCode |  | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference |  | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
note |  | 0..* | Annotation | Further information about the statement
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | S Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | S Σ | 0..1 | FrRangeMedication | Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.
rate[x] | S Σ | 0..1 | FrRatioMedication | Amount of medication per unit of time
maxDosePerPeriod | S Σ | 0..1 | FrRatioMedication | Upper limit on medication per unit of time
maxDosePerAdministration | S Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per administration
maxDosePerLifetime | S Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per lifetime of the patient
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​medication[x].type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationStatement.​subject.type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationStatement.​reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationStatement

Résumé

Obligatoire : 1 élément
Must-Support : 12 éléments
Interdit : 2 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR Medication (https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medication)
- FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
- Range with UCUM or EDQM codes if code is used (https://hl7.fr/ig/fhir/medication/StructureDefinition/FrRangeMedication)
- Ratio with UCUM or EDQM codes if code is used (https://hl7.fr/ig/fhir/medication/StructureDefinition/FrRatioMedication)
- SimpleQuantity with UCUM or EDQM codes or code not used (https://hl7.fr/ig/fhir/medication/StructureDefinition/FrSimpleQuantityMedication)

Other representations of profile: CSV, Excel, Schematron