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: FRMedicationHistoryComposition - Detailed Descriptions

Draft as of 2026-05-19

Definitions for the fr-medication-history-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 | Bilan Médicamenteux : liste des traitements médicamenteux du patient avant son entrée à l'hôpital. 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 | Bilan MédicamenteuxA set of resources composed into a single coherent clinical statement with clinical attestation
Commentaires | Ce Bilan Médicamenteux est la première étape de la Conciliation Médicamenteuse. Voir le guide de la HAS. 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.language
Définition | The base language in which the resource is written.
Court | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. 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())
8. 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 | 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
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()))
10. 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 | Les codes DEVRAIENT (SHOULD) être pris de FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1` ) Type of a composition.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Coder le contexte Bilan Médicamenteux de cette Composition. Key metadata element describing the composition, used in searching/filtering.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Composition.type.coding
Définition | A reference to a code defined by a terminology system.
Court | Code defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Contrôle | 10..1*
Type | Coding
Est modificateur | false
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
Valeur de motif | `{ "system" : "http://loinc.org", "code" : "10160-0", "display" : "History of Medication use Narrative" }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Composition.subject
Définition | Le patient auquel se rapporte ce document Bilan 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 | Un Bilan 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 un Bilan 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()))
16. 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()))
18. Composition.date
Définition | Date de réalisation du Bilan Médicamenteux par son auteur. //The composition editing time, when the composition was last logically changed by the author. The composition editing time, when the composition was last logically changed by the author.
Court | Date de réalisation du Bilan MédicamenteuxComposition 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
Doit être pris en charge (Must Support) | true
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()))
20. Composition.author
Définition | Auteur du Bilan Médicamenteux, défini ès qualités (ressource FrPractionerRoleProfession) ET, de préférence, aussi nominativement (la ressource FrPractionerRoleProfession instanciée réfère une instance de ressource FrPractioner). Identifies who is responsible for the information in the composition, not necessarily who typed it in.
Court | Auteur du Bilan MédicamenteuxWho and/or what authored the composition
Commentaires | Il est vivement recommandé d'identifier nominativement le ou les auteurs : la ressource FrPractionerRoleProfession instanciée (ex: Pharmacien) réfère une instance de ressource FrPractioner (ex: Dr UNTEL).
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 | Identifer le ou les auteurs du Bilan 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()))
22. 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
Exigences | titre de ce document en français
Valeur fixe | `Bilan médicamenteux`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. 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 | 10..1*
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()))
26. 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())
28. 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 http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 (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()))
30. Composition.attester.party
Définition | Professionnel de santé défini ès qualités (ressource FrPractionerRoleProfession) ET, de préférence, aussi nominativement (la ressource FrPractionerRoleProfession instanciée réfère une instance de ressource FrPractioner). Who attested the composition in the specified way.
Court | Who attested the composition
Contrôle | 10..1
Type | Reference(FR Core Practitioner Role, Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)
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()))
32. 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 | 10..1 Cet élément est affecté par les invariants suivants : ref-1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. 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..01
Type | Identifier
Est modificateur | false
Résumé | true
Exigences | Identification du professionnel de santé uniquement par référence à une ressource PractitionerRole profilée fr-practitioner-role.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Composition.section
Définition | Les lignes de traitement médicamenteux du Bilan, 1 ligne par <entry> The root of the sections that make up the composition.
Court | Les lignes de traitement médicamenteuxComposition is broken into sections
Commentaires | 1 seule section dans le BIlan Médicamenteux, le Bilan
Contrôle | 10..1*
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Composition univoque de la ressource Bilan 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())
38. Composition.section.extension
Définition | An Extension 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 | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `Composition.section.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
40. Composition.section.extension:compositionSourcing
Nom de la slice | compositionSourcing
Définition | sources consultées pour réaliser le Bilan Médicamenteux
Court | sourcing du Bilan Médicamenteux
Commentaires | Ce sourcing est obligatoire : il n'est pas possible de réaliser un Bilan Médicamenteux sans jamais consulter aucune source.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FRMedicationHistorySources) (Extension complexe)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Exigences | Décrire obligatoirement les sources consultées.
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()`)
42. 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())
44. 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
Valeur fixe | `Liste des médicaments`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. 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..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 de la section est celui de l'ensemble du document 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()))
48. Composition.section.focus
Définition | Le sujet sur lequel porte la section, quand ce n'est pas celui sur lequel porte la Composition. 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 Blian Médicamenteux ne concerne que le patient courant, sujet de la Composition. La manière de décrire pour le nouveau-né ou le nourisson, les substances prises par sa mère qu'il absorberait par allaitement maternel, n'a pas été explicitement définie. Il s'agirait, de toute façon, si cette substance devait figurer dans le Bilan Médicamenteux du bébé, d'une <entry> de cette section, une ressource MedicationStatement profilée fr_medication-history-medication-statement dont il serait précisé qu'elle provient de l'allaitement maternel. Cas d'usage non détaillé. 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 Blian Médicamenteux ne concerne que le patient courant (voir élément subject de la Composition).
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Composition.section.mode
Définition | Liste courante exhaustive à sa date de réalisation (cf. element date) par son auteur (cf. element author). 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 exhaustiveworking | 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()))
52. Composition.section.orderedBy
Définition | L'ordre des lignes de traitement du Bilan Médicamenteux, c'est à dire, l'ordre des <entry> de son unique <section>. Specifies the order applied to the items in the section entries.
Court | Ordre des lignes du Bilan MédicamenteuxOrder of section entries
Commentaires | Il est recommandé d'utiliser la valeur codée user si l'ordre des <entry> provient d'un choix de l'auteur à travers l'IHM de son logiciel qui est conservé dans la génération de la ressource Bilan Médicamenteux. Car, rappel des spécifications HL7-FHIR : If there is no order specified, the order is unknown, though there may still be some order. 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 http://hl7.org/fhir/ValueSet/list-order|4.0.1 (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()))
54. Composition.section.entry
Définition | Référence à la ligne de traitement médicamenteux, ressource MedicationStatement profilée fr-medication-history-medication-statement A reference to the actual resource from which the narrative in the section is derived.
Court | La ligne de traitement médicamenteuxA reference to data that supports this section
Commentaires | 0 à n lignes de traitement médicamenteux dans le Bilan. 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 History MedicationStatement, Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Porter les lignes de traitement médicamenteux du Bilan
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. 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..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()))

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

0. Composition
Définition | Bilan Médicamenteux : liste des traitements médicamenteux du patient avant son entrée à l'hôpital.
Court | Bilan Médicamenteux
Commentaires | Ce Bilan Médicamenteux est la première étape de la Conciliation Médicamenteuse. Voir le guide de la HAS.
2. Composition.implicitRules
Contrôle | 0..0
4. Composition.language
Valeur par défaut | `fr-FR`
6. Composition.type
Doit être pris en charge (Must Support) | true
Exigences | Coder le contexte Bilan Médicamenteux de cette Composition.
8. Composition.type.coding
Contrôle | 1..1
Valeur de motif | `{ "system" : "http://loinc.org", "code" : "10160-0", "display" : "History of Medication use Narrative" }`
10. Composition.subject
Définition | Le patient auquel se rapporte ce document Bilan Médicamenteux.
Court | Le patient
Commentaires | Un Bilan Médicamenteux se rapporte obligatoirement à un patient, référencé en tant que ressource Patient profilée fr-patient.
Contrôle | 1..?
Type | Reference(FR Core Patient Profile)
Doit être pris en charge (Must Support) | true
Exigences | Identifier le patient auquel se rapporte obligatoirement un Bilan Médicamenteux, patient référencé en tant que ressource Patient profilée fr-patient.
12. Composition.subject.type
Valeur de motif | `Patient`
14. Composition.date
Définition | Date de réalisation du Bilan Médicamenteux par son auteur. //The composition editing time, when the composition was last logically changed by the author.
Court | Date de réalisation du Bilan Médicamenteux
Doit être pris en charge (Must Support) | true
16. Composition.author
Définition | Auteur du Bilan Médicamenteux, défini ès qualités (ressource FrPractionerRoleProfession) ET, de préférence, aussi nominativement (la ressource FrPractionerRoleProfession instanciée réfère une instance de ressource FrPractioner).
Court | Auteur du Bilan Médicamenteux
Commentaires | Il est vivement recommandé d'identifier nominativement le ou les auteurs : la ressource FrPractionerRoleProfession instanciée (ex: Pharmacien) réfère une instance de ressource FrPractioner (ex: Dr UNTEL).
Type | Reference(FR Core Practitioner Role)
Doit être pris en charge (Must Support) | true
Exigences | Identifer le ou les auteurs du Bilan Médicamenteux.
18. Composition.title
Exigences | titre de ce document en français
Valeur fixe | `Bilan médicamenteux`
20. Composition.attester
Contrôle | 1..1
22. Composition.attester.party
Définition | Professionnel de santé défini ès qualités (ressource FrPractionerRoleProfession) ET, de préférence, aussi nominativement (la ressource FrPractionerRoleProfession instanciée réfère une instance de ressource FrPractioner).
Contrôle | 1..?
Type | Reference(FR Core Practitioner Role)
24. Composition.attester.party.reference
Contrôle | 1..?
26. Composition.attester.party.identifier
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..0
Exigences | Identification du professionnel de santé uniquement par référence à une ressource PractitionerRole profilée fr-practitioner-role.
28. Composition.section
Définition | Les lignes de traitement médicamenteux du Bilan, 1 ligne par <entry>
Court | Les lignes de traitement médicamenteux
Commentaires | 1 seule section dans le BIlan Médicamenteux, le Bilan
Contrôle | 1..1
Doit être pris en charge (Must Support) | true
Exigences | Composition univoque de la ressource Bilan Médicamenteux
Signification si manquant | absence de traitement médicamenteux avant l'hospitalisation
30. Composition.section.extension
Slicing | Cet élément introduit un ensemble de slices sur `Composition.section.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
32. Composition.section.extension:compositionSourcing
Nom de la slice | compositionSourcing
Définition | sources consultées pour réaliser le Bilan Médicamenteux
Court | sourcing du Bilan Médicamenteux
Commentaires | Ce sourcing est obligatoire : il n'est pas possible de réaliser un Bilan Médicamenteux sans jamais consulter aucune source.
Contrôle | 0..*
Type | Extension(FRMedicationHistorySources) (Extension complexe)
Doit être pris en charge (Must Support) | true
Exigences | Décrire obligatoirement les sources consultées.
34. Composition.section.title
Valeur fixe | `Liste des médicaments`
36. Composition.section.code
38. Composition.section.code.coding
Valeur fixe | `{ "system" : "http://loinc.org", "code" : "10160-0", "display" : "History of Medication use Narrative" }`
40. Composition.section.author
Contrôle | 0..0
Doit être pris en charge (Must Support) | true
Exigences | L'auteur de la section est celui de l'ensemble du document
42. Composition.section.focus
Définition | Le sujet sur lequel porte la section, quand ce n'est pas celui sur lequel porte la Composition.
Commentaires | Le Blian Médicamenteux ne concerne que le patient courant, sujet de la Composition. La manière de décrire pour le nouveau-né ou le nourisson, les substances prises par sa mère qu'il absorberait par allaitement maternel, n'a pas été explicitement définie. Il s'agirait, de toute façon, si cette substance devait figurer dans le Bilan Médicamenteux du bébé, d'une <entry> de cette section, une ressource MedicationStatement profilée fr_medication-history-medication-statement dont il serait précisé qu'elle provient de l'allaitement maternel. Cas d'usage non détaillé.
Contrôle | 0..0
Doit être pris en charge (Must Support) | true
Exigences | Le Blian Médicamenteux ne concerne que le patient courant (voir élément subject de la Composition).
44. Composition.section.mode
Définition | Liste courante exhaustive à sa date de réalisation (cf. element date) par son auteur (cf. element author).
Court | Liste courante exhaustive
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..?
Doit être pris en charge (Must Support) | true
Exigences | Contraindre une gestion univoque de cette liste représentant le Bilan Médicamenteux.
Valeur de motif | `working`
46. Composition.section.orderedBy
Définition | L'ordre des lignes de traitement du Bilan Médicamenteux, c'est à dire, l'ordre des <entry> de son unique <section>.
Court | Ordre des lignes du Bilan Médicamenteux
Commentaires | Il est recommandé d'utiliser la valeur codée user si l'ordre des <entry> provient d'un choix de l'auteur à travers l'IHM de son logiciel qui est conservé dans la génération de la ressource Bilan Médicamenteux. Car, rappel des spécifications HL7-FHIR : If there is no order specified, the order is unknown, though there may still be some order.
48. Composition.section.entry
Définition | Référence à la ligne de traitement médicamenteux, ressource MedicationStatement profilée fr-medication-history-medication-statement
Court | La ligne de traitement médicamenteux
Commentaires | 0 à n lignes de traitement médicamenteux dans le Bilan.
Type | Reference(FR Medication History MedicationStatement)
Doit être pris en charge (Must Support) | true
Exigences | Porter les lignes de traitement médicamenteux du Bilan
Signification si manquant | Aucun traitement avant l'hospitalisation
50. Composition.section.section
Contrôle | 0..0

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

0. Composition
Définition | Bilan Médicamenteux : liste des traitements médicamenteux du patient avant son entrée à l'hôpital.
Court | Bilan Médicamenteux
Commentaires | Ce Bilan Médicamenteux est la première étape de la Conciliation Médicamenteuse. Voir le guide de la HAS.
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 | 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 (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
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 | Les codes DEVRAIENT (SHOULD) être pris de FHIRDocumentTypeCodes (preferred to `http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1` ) Type of a composition.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Coder le contexte Bilan Médicamenteux de cette Composition.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Composition.type.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
26. Composition.type.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.type.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
28. Composition.type.coding
Définition | A reference to a code defined by a terminology system.
Court | Code defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Contrôle | 1..1
Type | Coding
Est modificateur | false
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
Valeur de motif | `{ "system" : "http://loinc.org", "code" : "10160-0", "display" : "History of Medication use Narrative" }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Composition.type.text
Définition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Court | Plain text representation of the concept
Commentaires | Very often the text is the same as a displayName of one of the codings.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. 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())`)
34. Composition.subject
Définition | Le patient auquel se rapporte ce document Bilan Médicamenteux.
Court | Le patient
Commentaires | Un Bilan 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 un Bilan 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())`)
36. 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
38. 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
40. 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())`)
42. 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())`)
44. 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())`)
46. 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())`)
48. 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())`)
50. Composition.date
Définition | Date de réalisation du Bilan Médicamenteux par son auteur. //The composition editing time, when the composition was last logically changed by the author.
Court | Date de réalisation du Bilan Médicamenteux
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
Doit être pris en charge (Must Support) | true
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())`)
52. Composition.author
Définition | Auteur du Bilan Médicamenteux, défini ès qualités (ressource FrPractionerRoleProfession) ET, de préférence, aussi nominativement (la ressource FrPractionerRoleProfession instanciée réfère une instance de ressource FrPractioner).
Court | Auteur du Bilan Médicamenteux
Commentaires | Il est vivement recommandé d'identifier nominativement le ou les auteurs : la ressource FrPractionerRoleProfession instanciée (ex: Pharmacien) réfère une instance de ressource FrPractioner (ex: Dr UNTEL).
Contrôle | 1..*
Type | Reference(FR Core Practitioner Role)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Identifer le ou les auteurs du Bilan Médicamenteux.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. 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
Exigences | titre de ce document en français
Valeur fixe | `Bilan médicamenteux`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. 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())`)
58. 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 | 1..1
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())`)
60. 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
62. 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()`)
64. 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()`)
66. 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())`)
68. 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())`)
70. Composition.attester.party
Définition | Professionnel de santé défini ès qualités (ressource FrPractionerRoleProfession) ET, de préférence, aussi nominativement (la ressource FrPractionerRoleProfession instanciée réfère une instance de ressource FrPractioner).
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())`)
72. 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
74. 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
76. 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())`)
78. 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
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. 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
Exigences | Identification du professionnel de santé uniquement par référence à une ressource PractitionerRole profilée fr-practitioner-role.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. 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())`)
84. 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())`)
86. 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())`)
88. 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
90. 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()`)
92. 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()`)
94. 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())`)
96. 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())`)
98. 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())`)
100. 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
102. 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()`)
104. 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()`)
106. 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())`)
108. 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())`)
110. 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())`)
112. Composition.section
Définition | Les lignes de traitement médicamenteux du Bilan, 1 ligne par <entry>
Court | Les lignes de traitement médicamenteux
Commentaires | 1 seule section dans le BIlan Médicamenteux, le Bilan
Contrôle | 1..1
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Composition univoque de la ressource Bilan 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())`)
114. 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
116. Composition.section.extension
Définition | An Extension
Court | Extension
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `Composition.section.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
118. Composition.section.extension:compositionSourcing
Nom de la slice | compositionSourcing
Définition | sources consultées pour réaliser le Bilan Médicamenteux
Court | sourcing du Bilan Médicamenteux
Commentaires | Ce sourcing est obligatoire : il n'est pas possible de réaliser un Bilan Médicamenteux sans jamais consulter aucune source.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FRMedicationHistorySources) (Extension complexe)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Exigences | Décrire obligatoirement les sources consultées.
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()`)
120. 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()`)
122. 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
Valeur fixe | `Liste des médicaments`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. 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())`)
126. Composition.section.code.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
128. Composition.section.code.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.section.code.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
130. Composition.section.code.coding
Définition | A reference to a code defined by a terminology system.
Court | Code defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Contrôle | 0..*
Type | Coding
Est modificateur | false
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
Valeur fixe | `{ "system" : "http://loinc.org", "code" : "10160-0", "display" : "History of Medication use Narrative" }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. Composition.section.code.text
Définition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Court | Plain text representation of the concept
Commentaires | Very often the text is the same as a displayName of one of the codings.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. 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..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 de la section est celui de l'ensemble du document
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Composition.section.focus
Définition | Le sujet sur lequel porte la section, quand ce n'est pas celui sur lequel porte la Composition.
Court | Who/what the section is about, when it is not about the subject of composition
Commentaires | Le Blian Médicamenteux ne concerne que le patient courant, sujet de la Composition. La manière de décrire pour le nouveau-né ou le nourisson, les substances prises par sa mère qu'il absorberait par allaitement maternel, n'a pas été explicitement définie. Il s'agirait, de toute façon, si cette substance devait figurer dans le Bilan Médicamenteux du bébé, d'une <entry> de cette section, une ressource MedicationStatement profilée fr_medication-history-medication-statement dont il serait précisé qu'elle provient de l'allaitement maternel. Cas d'usage non détaillé.
Contrôle | 0..0
Type | Reference(Resource)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Le Blian Médicamenteux ne concerne que le patient courant (voir élément subject de la Composition).
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. 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())`)
140. Composition.section.mode
Définition | Liste courante exhaustive à sa date de réalisation (cf. element date) par son auteur (cf. element author).
Court | Liste courante exhaustive
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())`)
142. Composition.section.orderedBy
Définition | L'ordre des lignes de traitement du Bilan Médicamenteux, c'est à dire, l'ordre des <entry> de son unique <section>.
Court | Ordre des lignes du Bilan Médicamenteux
Commentaires | Il est recommandé d'utiliser la valeur codée user si l'ordre des <entry> provient d'un choix de l'auteur à travers l'IHM de son logiciel qui est conservé dans la génération de la ressource Bilan Médicamenteux. Car, rappel des spécifications HL7-FHIR : 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())`)
144. Composition.section.entry
Définition | Référence à la ligne de traitement médicamenteux, ressource MedicationStatement profilée fr-medication-history-medication-statement
Court | La ligne de traitement médicamenteux
Commentaires | 0 à n lignes de traitement médicamenteux dans le Bilan.
Contrôle | 0..* Cet élément est affecté par les invariants suivants : cmp-2
Type | Reference(FR Medication History MedicationStatement)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Porter les lignes de traitement médicamenteux du Bilan
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. 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())`)
148. 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..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())`)