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

## : TradPN13FHIR-MultiLine-Presc-Alt-METFORMINE-GLICLAZIDE - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="TradPN13FHIR-MultiLine-Presc-Alt-METFORMINE-GLICLAZIDE"/>
      <meta>
        <profile
                 value="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-prescription-bundle-for-example"/>
      </meta>
      <type value="searchset"/>
      <entry>
        <resource>
          <Patient>
            <id value="patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"/>
            <meta>
              <profile
                       value="https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-ins"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"> </a><p class="res-header-id"><b>Narratif généré : Patient patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE</b></p><a name="patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"> </a><a name="hcpatient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="https://hl7.fr/ig/fhir/core/2.1.0/StructureDefinition-fr-core-patient-ins.html">FR Core Patient INS Profile</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">ARASGAIN  Female, Date de Naissance :1989-01-02 ( Identifiant interne: 6032486 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Autre identifiant (voir ci-dessus)">Autre identifiant :</td><td colspan="3">NIR définitif/289062913400149 (utilisation : official, )</td></tr><tr><td style="background-color: #f3f5da" title="Noms alternatifs (voir plus bas)">Nom alternatif :</td><td colspan="3">MARSALI CUIMEANACH (Official)</td></tr><tr><td style="background-color: #f3f5da" title="The registered place of birth of the patient. A sytem may use the address.text if they don't store the birthPlace address in discrete elements."><a href="http://hl7.org/fhir/extensions/5.3.0/StructureDefinition-patient-birthPlace.html">Patient Birth Place</a></td><td colspan="3"></td></tr><tr><td style="background-color: #f3f5da" title="Reliabilility of the patient's identity | Précision sur le degré de fiabilité de l'identité du patient (si provisoire, validé... avec la justification : quelle type de pièce d'identité ?) avec la méthode de collection">FR Core Patient Ident Reliability Extension:</td><td colspan="3"><ul><li>identityStatus: <a href="https://hl7.fr/ig/fhir/core/2.1.0/CodeSystem-fr-core-cs-v2-0445.html#fr-core-cs-v2-0445-VALI">FR Core CodeSystem v2-0445: VALI</a> (Identité validée)</li></ul></td></tr></table></div>
            </text>
            <extension
                       url="https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-identity-reliability">
              <extension url="identityStatus">
                <valueCoding>
                  <system
                          value="https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0445"/>
                  <code value="VALI"/>
                </valueCoding>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/patient-birthPlace">
              <valueAddress>
                <extension
                           url="https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-address-insee-code">
                  <valueCoding>
                    <system
                            value="https://mos.esante.gouv.fr/NOS/TRE_R13-Commune/FHIR/TRE-R13-Commune"/>
                    <code value="29134"/>
                  </valueCoding>
                </extension>
              </valueAddress>
            </extension>
            <identifier>
              <use value="official"/>
              <type>
                <coding>
                  <system
                          value="https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203"/>
                  <code value="INS-NIR"/>
                  <display value="NIR définitif"/>
                </coding>
              </type>
              <system value="urn:oid:1.2.250.1.213.1.4.8"/>
              <value value="289062913400149"/>
            </identifier>
            <identifier>
              <use value="usual"/>
              <type>
                <coding>
                  <system
                          value="https://hl7.fr/ig/fhir/core/CodeSystem/fr-core-cs-v2-0203"/>
                  <code value="INTRN"/>
                  <display value="Identifiant interne"/>
                </coding>
              </type>
              <system value="urn:oid:1.2.250.1.507454354.43654.2346659"/>
              <value value="6032486"/>
            </identifier>
            <name>
              <use value="usual"/>
              <family value="ARASGAIN"/>
            </name>
            <name>
              <extension
                         url="https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient-birth-list-given-name">
                <valueString value="MARSALI MORAG MAIREAD"/>
              </extension>
              <use value="official"/>
              <family value="CUIMEANACH"/>
              <given value="MARSALI"/>
            </name>
            <gender value="female"/>
            <birthDate value="1989-01-02"/>
          </Patient>
        </resource>
      </entry>
      <entry>
        <resource>
          <MedicationRequest>
            <id value="medicationrequest-Trad-Presc-Alt-METFORMINE"/>
            <meta>
              <profile
                       value="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-inpatient-medicationrequest"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-Trad-Presc-Alt-METFORMINE"> </a><p class="res-header-id"><b>Narratif généré : PrescriptionMédicamenteuseTODO medicationrequest-Trad-Presc-Alt-METFORMINE</b></p><a name="medicationrequest-Trad-Presc-Alt-METFORMINE"> </a><a name="hcmedicationrequest-Trad-Presc-Alt-METFORMINE"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-fr-inpatient-medicationrequest.html">FR Inpatient MedicationRequest</a></p></div><p><b>identifier</b>: https://somehospital.fr/Medication-ID</p><p><b>status</b>: Active</p><p><b>intent</b>: Option</p><p><b>priority</b>: Routine</p><p><b>medication</b>: <span title="Codes :{http://data.esante.gouv.fr/ansm/medicament/UCD 3400890020275}">METFORMINE ACC 1000MG CPR</span></p><p><b>subject</b>: <code>#patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE</code></p><p><b>encounter</b>: Identifier: <code>https://somehospital.fr/Sejour</code>/765093464568</p><p><b>supportingInformation</b>: </p><ul><li>Identifier: <code>https://somehospital.fr/UF</code>/603</li><li>Identifier: <code>https://somehospital.fr/UF</code>/506</li></ul><p><b>authoredOn</b>: 2025-05-02 14:48:44+0200</p><p><b>requester</b>: Identifier: <code>urn:oid:1.2.250.1.71.4.2.1</code>/899999999999</p><p><b>groupIdentifier</b>: <code>https://somehospital.fr/Prescrption-ID</code>/10543744</p><p><b>note</b>: </p><blockquote><div><p>Prescription textuelle: Par voie orale : METFORMINE 1000MG 0,5 comprimé 2 fois par jour avec les repas -- À partir du 02/05/2025 à 19:00 jusqu'au 31/05/2025 à 19h00</p>
    </div></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: aux repas, 2</p><p><b>route</b>: <span title="Codes :{http://standardterms.edqm.eu 20053000}">Voie orale</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>0.5 Comprimé<span style="background: LightGoldenRodYellow"> (Détails : code EDQM Standard Terms15054000 = 'Tablet')</span></td></tr></table></blockquote></div>
            </text>
            <identifier>
              <value value="https://somehospital.fr/Medication-ID"/>
            </identifier>
            <status value="active"/>
            <intent value="option"/>
            <priority value="routine"/>
            <medicationCodeableConcept>
              <coding>
                <system value="http://data.esante.gouv.fr/ansm/medicament/UCD"/>
                <code value="3400890020275"/>
                <display value="METFORMINE ACC 1000MG CPR"/>
              </coding>
            </medicationCodeableConcept>
            <subject>
              <reference value="#patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"/>
            </subject>
            <encounter>
              <identifier>
                <system value="https://somehospital.fr/Sejour"/>
                <value value="765093464568"/>
              </identifier>
            </encounter>
            <supportingInformation>
              <extension
                         url="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-uf-role">
                <valueCode value="UFHEB"/>
              </extension>
              <type value="Organization"/>
              <identifier>
                <system value="https://somehospital.fr/UF"/>
                <value value="603"/>
              </identifier>
            </supportingInformation>
            <supportingInformation>
              <extension
                         url="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-uf-role">
                <valueCode value="UFMED"/>
              </extension>
              <type value="Organization"/>
              <identifier>
                <system value="https://somehospital.fr/UF"/>
                <value value="506"/>
              </identifier>
            </supportingInformation>
            <authoredOn value="2025-05-02T14:48:44+02:00"/>
            <requester>
              <identifier>
                <system value="urn:oid:1.2.250.1.71.4.2.1"/>
                <value value="899999999999"/>
              </identifier>
            </requester>
            <groupIdentifier>
              <system value="https://somehospital.fr/Prescrption-ID"/>
              <value value="10543744"/>
            </groupIdentifier>
            <note>
              <extension
                         url="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medicationrequest-note-scope">
                <valueCode value="LIPRESCTXT"/>
              </extension>
              <text
                    value="Prescription textuelle: Par voie orale : METFORMINE 1000MG 0,5 comprimé 2 fois par jour avec les repas -- À partir du 02/05/2025 à 19:00 jusqu'au 31/05/2025 à 19h00"/>
            </note>
            <dosageInstruction>
              <timing>
                <repeat>
                  <boundsPeriod>
                    <start value="2025-05-02T19:00:00+02:00"/>
                    <end value="2025-05-31T18:59:59+02:00"/>
                  </boundsPeriod>
                  <frequency value="2"/>
                  <periodUnit value="d"/>
                  <when value="C"/>
                </repeat>
              </timing>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20053000"/>
                  <display value="Voie orale"/>
                </coding>
                <text value="Voie orale"/>
              </route>
              <doseAndRate>
                <doseQuantity>
                  <value value="0.5"/>
                  <unit value="Comprimé"/>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="15054000"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <resource>
          <MedicationRequest>
            <id value="medicationrequest-Trad-Presc-Alt-GLICLAZIDE"/>
            <meta>
              <profile
                       value="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-inpatient-medicationrequest"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_medicationrequest-Trad-Presc-Alt-GLICLAZIDE"> </a><p class="res-header-id"><b>Narratif généré : PrescriptionMédicamenteuseTODO medicationrequest-Trad-Presc-Alt-GLICLAZIDE</b></p><a name="medicationrequest-Trad-Presc-Alt-GLICLAZIDE"> </a><a name="hcmedicationrequest-Trad-Presc-Alt-GLICLAZIDE"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-fr-inpatient-medicationrequest.html">FR Inpatient MedicationRequest</a></p></div><p><b>identifier</b>: https://somehospital.fr/Medication-ID</p><p><b>status</b>: Active</p><p><b>intent</b>: Option</p><p><b>priority</b>: Routine</p><p><b>medication</b>: <span title="Codes :{http://data.esante.gouv.fr/ansm/medicament/UCD 3400893541364}">GLICLAZIDE ARW 30MG CPR LM</span></p><p><b>subject</b>: <code>#patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE</code></p><p><b>encounter</b>: Identifier: <code>https://somehospital.fr/Sejour</code>/765093464568</p><p><b>supportingInformation</b>: </p><ul><li>Identifier: <code>https://somehospital.fr/UF</code>/603</li><li>Identifier: <code>https://somehospital.fr/UF</code>/506</li></ul><p><b>authoredOn</b>: 2025-05-02 14:48:44+0200</p><p><b>requester</b>: Identifier: <code>urn:oid:1.2.250.1.71.4.2.1</code>/899999999999</p><p><b>groupIdentifier</b>: <code>https://somehospital.fr/Prescrption-ID</code>/10543744</p><p><b>note</b>: </p><blockquote><div><p>Prescription textuelle: Par voie orale : GLICLAZIDE 30MG 3 comprimés au petit déjeuner -- À partir du 02/05/2025 à 19:00 jusqu'au 31/05/2025 à 19h00</p>
    </div></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: au petit déjeuner, Une fois</p><p><b>route</b>: <span title="Codes :{http://standardterms.edqm.eu 20053000}">Voie orale</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>3 Comprimé<span style="background: LightGoldenRodYellow"> (Détails : code EDQM Standard Terms15054000 = 'Tablet')</span></td></tr></table></blockquote></div>
            </text>
            <identifier>
              <value value="https://somehospital.fr/Medication-ID"/>
            </identifier>
            <status value="active"/>
            <intent value="option"/>
            <priority value="routine"/>
            <medicationCodeableConcept>
              <coding>
                <system value="http://data.esante.gouv.fr/ansm/medicament/UCD"/>
                <code value="3400893541364"/>
                <display value="GLICLAZIDE ARW 30MG CPR LM"/>
              </coding>
            </medicationCodeableConcept>
            <subject>
              <reference value="#patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"/>
            </subject>
            <encounter>
              <identifier>
                <system value="https://somehospital.fr/Sejour"/>
                <value value="765093464568"/>
              </identifier>
            </encounter>
            <supportingInformation>
              <extension
                         url="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-uf-role">
                <valueCode value="UFHEB"/>
              </extension>
              <type value="Organization"/>
              <identifier>
                <system value="https://somehospital.fr/UF"/>
                <value value="603"/>
              </identifier>
            </supportingInformation>
            <supportingInformation>
              <extension
                         url="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-uf-role">
                <valueCode value="UFMED"/>
              </extension>
              <type value="Organization"/>
              <identifier>
                <system value="https://somehospital.fr/UF"/>
                <value value="506"/>
              </identifier>
            </supportingInformation>
            <authoredOn value="2025-05-02T14:48:44+02:00"/>
            <requester>
              <identifier>
                <system value="urn:oid:1.2.250.1.71.4.2.1"/>
                <value value="899999999999"/>
              </identifier>
            </requester>
            <groupIdentifier>
              <system value="https://somehospital.fr/Prescrption-ID"/>
              <value value="10543744"/>
            </groupIdentifier>
            <note>
              <extension
                         url="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-medicationrequest-note-scope">
                <valueCode value="LIPRESCTXT"/>
              </extension>
              <text
                    value="Prescription textuelle: Par voie orale : GLICLAZIDE 30MG 3 comprimés au petit déjeuner -- À partir du 02/05/2025 à 19:00 jusqu'au 31/05/2025 à 19h00"/>
            </note>
            <dosageInstruction>
              <timing>
                <repeat>
                  <boundsPeriod>
                    <start value="2025-05-02T19:00:00+02:00"/>
                    <end value="2025-05-31T18:59:59+02:00"/>
                  </boundsPeriod>
                  <when value="CM"/>
                </repeat>
              </timing>
              <route>
                <coding>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="20053000"/>
                  <display value="Voie orale"/>
                </coding>
                <text value="Voie orale"/>
              </route>
              <doseAndRate>
                <doseQuantity>
                  <value value="3"/>
                  <unit value="Comprimé"/>
                  <system value="http://standardterms.edqm.eu"/>
                  <code value="15054000"/>
                </doseQuantity>
              </doseAndRate>
            </dosageInstruction>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <resource>
          <RequestGroup>
            <id value="requestgroup-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"/>
            <meta>
              <profile
                       value="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-requestgroup-for-prescription"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_requestgroup-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"> </a><p class="res-header-id"><b>Narratif généré : RequestGroup requestgroup-Trad-Presc-Alt-METFORMINE-GLICLAZIDE</b></p><a name="requestgroup-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"> </a><a name="hcrequestgroup-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-fr-requestgroup-for-prescription.html">FR RequestGroup For Prescription</a></p></div><p><b>groupIdentifier</b>: <code>https://somehospital.fr/Prescrption-ID</code>/10543744</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>priority</b>: Routine</p><p><b>subject</b>: <code>#patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE</code></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>20250502144844570</blockquote><p><b>description</b>: En cas d'intolérance digestive au METFORMINE</p><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td/><td>20250502144844569</td><td>Concurrent</td></tr></table><p><b>resource</b>: <code>#medicationrequest-Trad-Presc-Alt-GLICLAZIDE</code></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>20250502144844569</blockquote><p><b>description</b>: Sans intolérance digestive au METFORMINE</p><h3>RelatedActions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>ActionId</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td/><td>20250502144844570</td><td>Concurrent</td></tr></table><p><b>resource</b>: <code>#medicationrequest-Trad-Presc-Alt-METFORMINE</code></p></blockquote></div>
            </text>
            <groupIdentifier>
              <system value="https://somehospital.fr/Prescrption-ID"/>
              <value value="10543744"/>
            </groupIdentifier>
            <status value="active"/>
            <intent value="order"/>
            <priority value="routine"/>
            <subject>
              <reference value="#patient-Trad-Presc-Alt-METFORMINE-GLICLAZIDE"/>
            </subject>
            <action id="20250502144844570">
              <description value="En cas d'intolérance digestive au METFORMINE"/>
              <relatedAction>
                <extension
                           url="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-additional-action-relationship">
                  <valueCode value="ALT"/>
                </extension>
                <actionId value="20250502144844569"/>
                <relationship value="concurrent"/>
              </relatedAction>
              <resource>
                <reference value="#medicationrequest-Trad-Presc-Alt-GLICLAZIDE"/>
              </resource>
            </action>
            <action id="20250502144844569">
              <description value="Sans intolérance digestive au METFORMINE"/>
              <relatedAction>
                <extension
                           url="https://hl7.fr/ig/fhir/medication/StructureDefinition/fr-additional-action-relationship">
                  <valueCode value="ALT"/>
                </extension>
                <actionId value="20250502144844570"/>
                <relationship value="concurrent"/>
              </relatedAction>
              <resource>
                <reference value="#medicationrequest-Trad-Presc-Alt-METFORMINE"/>
              </resource>
            </action>
          </RequestGroup>
        </resource>
      </entry>
    </Bundle>