Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication(4.0.1)	Definition of a Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:productName	S	1..1	string	Nom de marque du produit. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname Constraints: ext-1
extension:classification	S	0..*	CodeableConcept	Classification ATC. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: medicinal-product-classification (??) (example) Constraints: ext-1
extension:conditionnement		0..*	(Complex)	Présentation / conditionnement. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic Constraints: ext-1
extension:unitOfPresentation	S	0..1	CodeableConcept	Unité de présentation du produit de santé (comprimé, ampoule, tube). En général, le plus petit objet dénombrable du package. EDQM Standard Terms (0.4.0.127.0.16.1.1.2.1) / classe UOP (Unit of Presentation).. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: unit-of-presentation (??) (example) Constraints: ext-1
extension:sizeOfItem	S	0..1	Quantity	Quantité de produit par unité (ex : 3 ml / 1 flacon). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
code	SΣ	1..1	CodeableConcept	Code du produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: FRValueSetMedicationTranslationDocument (0.1.0) (required)
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: FRValueSetEDQMFormDocument (0.1.0) (required)
ingredient		0..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConcept	Code SMS de la substance active Binding: ValueSet_SMS_All (20241114120000) (required)
text	SΣ	0..1	string	Nom de la substance
item[x]:itemReference	S	0..1	Reference(Medication - FR Medication Document(0.1.0))	The actual ingredient or content
strength	S	0..1	Ratio	Quantité de substance présente dans le médicament
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance	S	0..1	CodeableConcept	Substance concernée. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: substance-codes (??) (example) Constraints: ext-1
numerator	SΣ	1..1	Quantity	Numerator value
denominator	SΣ	1..1	Quantity	Denominator value
batch		0..1	BackboneElement	Details about packaged medications
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
lotNumber	S	0..1	string	Numéro de lot
expirationDate	S	0..1	dateTime	Date d'expiration du produit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.code	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
Medication.code.coding	Base	required	ValueSet - FR ValueSet Medication Translation Document	📍0.1.0	This IG
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	required	ValueSet - FR ValueSet EDQM Form Document	📍0.1.0	This IG
Medication.ingredient.​item[x]:itemCodeableConcept	Base	required	ValueSet_SMS_All	📍20241114120000	Terminologies de Santé v1.11

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Medication.implicitRules, Medication.extension, Medication.extension:productName, Medication.extension:classification, Medication.extension:conditionnement, Medication.extension:unitOfPresentation, Medication.extension:sizeOfItem, Medication.modifierExtension, Medication.code, Medication.code.coding, Medication.status, Medication.form, Medication.ingredient, Medication.ingredient.modifierExtension, Medication.ingredient.item[x], Medication.ingredient.item[x]:itemCodeableConcept, Medication.ingredient.item[x]:itemCodeableConcept.text, Medication.ingredient.item[x]:itemReference, Medication.ingredient.strength, Medication.ingredient.strength.extension:basisOfStrengthSubstance, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator, Medication.batch, Medication.batch.modifierExtension, Medication.batch.lotNumber, Medication.batch.expirationDate	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension, Medication.extension:productName, Medication.extension:classification, Medication.extension:conditionnement, Medication.extension:unitOfPresentation, Medication.extension:sizeOfItem, Medication.modifierExtension, Medication.ingredient.modifierExtension, Medication.ingredient.strength.extension:basisOfStrengthSubstance, Medication.batch.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication(4.0.1)	Definition of a Medication
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName	S	1..1	string	Nom de marque du produit. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification	S	0..*	CodeableConcept	Classification ATC. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: medicinal-product-classification (??) (example)
extension:conditionnement		0..*	(Complex)	Présentation / conditionnement. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation	S	0..1	CodeableConcept	Unité de présentation du produit de santé (comprimé, ampoule, tube). En général, le plus petit objet dénombrable du package. EDQM Standard Terms (0.4.0.127.0.16.1.1.2.1) / classe UOP (Unit of Presentation).. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: unit-of-presentation (??) (example)
extension:sizeOfItem	S	0..1	Quantity	Quantité de produit par unité (ex : 3 ml / 1 flacon). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
code	S	1..1	CodeableConcept	Code du produit de santé
coding		0..*	Coding	Code defined by a terminology system Binding: FRValueSetMedicationTranslationDocument (0.1.0) (required)
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: FRValueSetEDQMFormDocument (0.1.0) (required)
ingredient
Slices for item[x]		1..1	CodeableConcept, Reference(Substance | Medication)	The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemCodeableConcept	S	0..1	CodeableConcept	Code SMS de la substance active Binding: ValueSet_SMS_All (20241114120000) (required)
text	S	0..1	string	Nom de la substance
item[x]:itemReference	S	0..1	Reference(Medication - FR Medication Document(0.1.0))	The actual ingredient or content
strength	S	0..1	Ratio	Quantité de substance présente dans le médicament
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance	S	0..1	CodeableConcept	Substance concernée. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: substance-codes (??) (example)
numerator	S	1..1	Quantity	Numerator value
denominator	S	1..1	Quantity	Denominator value
batch
lotNumber	S	0..1	string	Numéro de lot
expirationDate	S	0..1	dateTime	Date d'expiration du produit
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.code.coding	Base	required	ValueSet - FR ValueSet Medication Translation Document	📍0.1.0	This IG
Medication.form	Base	required	ValueSet - FR ValueSet EDQM Form Document	📍0.1.0	This IG
Medication.ingredient.​item[x]:itemCodeableConcept	Base	required	ValueSet_SMS_All	📍20241114120000	Terminologies de Santé v1.11

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication(4.0.1)	Definition of a Medication
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:productName	S	1..1	string	Nom de marque du produit. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname Constraints: ext-1
extension:classification	S	0..*	CodeableConcept	Classification ATC. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: medicinal-product-classification (??) (example) Constraints: ext-1
extension:conditionnement		0..*	(Complex)	Présentation / conditionnement. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic Constraints: ext-1
extension:unitOfPresentation	S	0..1	CodeableConcept	Unité de présentation du produit de santé (comprimé, ampoule, tube). En général, le plus petit objet dénombrable du package. EDQM Standard Terms (0.4.0.127.0.16.1.1.2.1) / classe UOP (Unit of Presentation).. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: unit-of-presentation (??) (example) Constraints: ext-1
extension:sizeOfItem	S	0..1	Quantity	Quantité de produit par unité (ex : 3 ml / 1 flacon). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	SΣ	1..1	CodeableConcept	Code du produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: FRValueSetMedicationTranslationDocument (0.1.0) (required)
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: FRValueSetEDQMFormDocument (0.1.0) (required)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConcept	Code SMS de la substance active Binding: ValueSet_SMS_All (20241114120000) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Nom de la substance
item[x]:itemReference	S	0..1	Reference(Medication - FR Medication Document(0.1.0))	The actual ingredient or content
isActive		0..1	boolean	Active ingredient indicator
strength	S	0..1	Ratio	Quantité de substance présente dans le médicament
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:basisOfStrengthSubstance	S	0..1	CodeableConcept	Substance concernée. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: substance-codes (??) (example) Constraints: ext-1
numerator	SΣ	1..1	Quantity	Numerator value
denominator	SΣ	1..1	Quantity	Denominator value
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
lotNumber	S	0..1	string	Numéro de lot
expirationDate	S	0..1	dateTime	Date d'expiration du produit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Medication.code	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
Medication.code.coding	Base	required	ValueSet - FR ValueSet Medication Translation Document	📍0.1.0	This IG
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	required	ValueSet - FR ValueSet EDQM Form Document	📍0.1.0	This IG
Medication.ingredient.​item[x]:itemCodeableConcept	Base	required	ValueSet_SMS_All	📍20241114120000	Terminologies de Santé v1.11

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Medication.meta, Medication.implicitRules, Medication.language, Medication.text, Medication.extension, Medication.extension:productName, Medication.extension:classification, Medication.extension:conditionnement, Medication.extension:unitOfPresentation, Medication.extension:sizeOfItem, Medication.modifierExtension, Medication.identifier, Medication.code, Medication.code.extension, Medication.code.coding, Medication.code.text, Medication.status, Medication.manufacturer, Medication.form, Medication.amount, Medication.ingredient, Medication.ingredient.extension, Medication.ingredient.modifierExtension, Medication.ingredient.item[x], Medication.ingredient.item[x]:itemCodeableConcept, Medication.ingredient.item[x]:itemCodeableConcept.extension, Medication.ingredient.item[x]:itemCodeableConcept.coding, Medication.ingredient.item[x]:itemCodeableConcept.text, Medication.ingredient.item[x]:itemReference, Medication.ingredient.isActive, Medication.ingredient.strength, Medication.ingredient.strength.extension, Medication.ingredient.strength.extension:basisOfStrengthSubstance, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator, Medication.batch, Medication.batch.extension, Medication.batch.modifierExtension, Medication.batch.lotNumber, Medication.batch.expirationDate	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension, Medication.extension:productName, Medication.extension:classification, Medication.extension:conditionnement, Medication.extension:unitOfPresentation, Medication.extension:sizeOfItem, Medication.modifierExtension, Medication.code.extension, Medication.ingredient.extension, Medication.ingredient.modifierExtension, Medication.ingredient.item[x]:itemCodeableConcept.extension, Medication.ingredient.strength.extension, Medication.ingredient.strength.extension:basisOfStrengthSubstance, Medication.batch.extension, Medication.batch.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-document|0.1.0)

Extensions

This structure refers to these extensions:

• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance|1.0.0-comment-2

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.ingredient.item[x]

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication(4.0.1)	Definition of a Medication
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:productName	S	1..1	string	Nom de marque du produit. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname Constraints: ext-1
extension:classification	S	0..*	CodeableConcept	Classification ATC. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: medicinal-product-classification (??) (example) Constraints: ext-1
extension:conditionnement		0..*	(Complex)	Présentation / conditionnement. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic Constraints: ext-1
extension:unitOfPresentation	S	0..1	CodeableConcept	Unité de présentation du produit de santé (comprimé, ampoule, tube). En général, le plus petit objet dénombrable du package. EDQM Standard Terms (0.4.0.127.0.16.1.1.2.1) / classe UOP (Unit of Presentation).. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: unit-of-presentation (??) (example) Constraints: ext-1
extension:sizeOfItem	S	0..1	Quantity	Quantité de produit par unité (ex : 3 ml / 1 flacon). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
code	SΣ	1..1	CodeableConcept	Code du produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: FRValueSetMedicationTranslationDocument (0.1.0) (required)
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: FRValueSetEDQMFormDocument (0.1.0) (required)
ingredient		0..*	BackboneElement	Active or inactive ingredient
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConcept	Code SMS de la substance active Binding: ValueSet_SMS_All (20241114120000) (required)
text	SΣ	0..1	string	Nom de la substance
item[x]:itemReference	S	0..1	Reference(Medication - FR Medication Document(0.1.0))	The actual ingredient or content
strength	S	0..1	Ratio	Quantité de substance présente dans le médicament
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance	S	0..1	CodeableConcept	Substance concernée. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: substance-codes (??) (example) Constraints: ext-1
numerator	SΣ	1..1	Quantity	Numerator value
denominator	SΣ	1..1	Quantity	Denominator value
batch		0..1	BackboneElement	Details about packaged medications
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
lotNumber	S	0..1	string	Numéro de lot
expirationDate	S	0..1	dateTime	Date d'expiration du produit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.code	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
Medication.code.coding	Base	required	ValueSet - FR ValueSet Medication Translation Document	📍0.1.0	This IG
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	required	ValueSet - FR ValueSet EDQM Form Document	📍0.1.0	This IG
Medication.ingredient.​item[x]:itemCodeableConcept	Base	required	ValueSet_SMS_All	📍20241114120000	Terminologies de Santé v1.11

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Medication.implicitRules, Medication.extension, Medication.extension:productName, Medication.extension:classification, Medication.extension:conditionnement, Medication.extension:unitOfPresentation, Medication.extension:sizeOfItem, Medication.modifierExtension, Medication.code, Medication.code.coding, Medication.status, Medication.form, Medication.ingredient, Medication.ingredient.modifierExtension, Medication.ingredient.item[x], Medication.ingredient.item[x]:itemCodeableConcept, Medication.ingredient.item[x]:itemCodeableConcept.text, Medication.ingredient.item[x]:itemReference, Medication.ingredient.strength, Medication.ingredient.strength.extension:basisOfStrengthSubstance, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator, Medication.batch, Medication.batch.modifierExtension, Medication.batch.lotNumber, Medication.batch.expirationDate	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension, Medication.extension:productName, Medication.extension:classification, Medication.extension:conditionnement, Medication.extension:unitOfPresentation, Medication.extension:sizeOfItem, Medication.modifierExtension, Medication.ingredient.modifierExtension, Medication.ingredient.strength.extension:basisOfStrengthSubstance, Medication.batch.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication(4.0.1)	Definition of a Medication
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:productName	S	1..1	string	Nom de marque du produit. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname
extension:classification	S	0..*	CodeableConcept	Classification ATC. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: medicinal-product-classification (??) (example)
extension:conditionnement		0..*	(Complex)	Présentation / conditionnement. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic
extension:unitOfPresentation	S	0..1	CodeableConcept	Unité de présentation du produit de santé (comprimé, ampoule, tube). En général, le plus petit objet dénombrable du package. EDQM Standard Terms (0.4.0.127.0.16.1.1.2.1) / classe UOP (Unit of Presentation).. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: unit-of-presentation (??) (example)
extension:sizeOfItem	S	0..1	Quantity	Quantité de produit par unité (ex : 3 ml / 1 flacon). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem
code	S	1..1	CodeableConcept	Code du produit de santé
coding		0..*	Coding	Code defined by a terminology system Binding: FRValueSetMedicationTranslationDocument (0.1.0) (required)
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: FRValueSetEDQMFormDocument (0.1.0) (required)
ingredient
Slices for item[x]		1..1	CodeableConcept, Reference(Substance | Medication)	The actual ingredient or content Slice: Unordered, Open by type:$this
item[x]:itemCodeableConcept	S	0..1	CodeableConcept	Code SMS de la substance active Binding: ValueSet_SMS_All (20241114120000) (required)
text	S	0..1	string	Nom de la substance
item[x]:itemReference	S	0..1	Reference(Medication - FR Medication Document(0.1.0))	The actual ingredient or content
strength	S	0..1	Ratio	Quantité de substance présente dans le médicament
Slices for extension				Content/Rules for all slices
extension:basisOfStrengthSubstance	S	0..1	CodeableConcept	Substance concernée. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: substance-codes (??) (example)
numerator	S	1..1	Quantity	Numerator value
denominator	S	1..1	Quantity	Denominator value
batch
lotNumber	S	0..1	string	Numéro de lot
expirationDate	S	0..1	dateTime	Date d'expiration du produit
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Medication.code.coding	Base	required	ValueSet - FR ValueSet Medication Translation Document	📍0.1.0	This IG
Medication.form	Base	required	ValueSet - FR ValueSet EDQM Form Document	📍0.1.0	This IG
Medication.ingredient.​item[x]:itemCodeableConcept	Base	required	ValueSet_SMS_All	📍20241114120000	Terminologies de Santé v1.11

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Medication		0..*	Medication(4.0.1)	Definition of a Medication
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:productName	S	1..1	string	Nom de marque du produit. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname Constraints: ext-1
extension:classification	S	0..*	CodeableConcept	Classification ATC. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification Binding: medicinal-product-classification (??) (example) Constraints: ext-1
extension:conditionnement		0..*	(Complex)	Présentation / conditionnement. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic Constraints: ext-1
extension:unitOfPresentation	S	0..1	CodeableConcept	Unité de présentation du produit de santé (comprimé, ampoule, tube). En général, le plus petit objet dénombrable du package. EDQM Standard Terms (0.4.0.127.0.16.1.1.2.1) / classe UOP (Unit of Presentation).. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation Binding: unit-of-presentation (??) (example) Constraints: ext-1
extension:sizeOfItem	S	0..1	Quantity	Quantité de produit par unité (ex : 3 ml / 1 flacon). URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Business identifier for this medication
code	SΣ	1..1	CodeableConcept	Code du produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: FRValueSetMedicationTranslationDocument (0.1.0) (required)
text	Σ	0..1	string	Plain text representation of the concept
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer	Σ	0..1	Reference(Organization)	Manufacturer of the item
form	S	0..1	CodeableConcept	powder | tablets | capsule + Binding: FRValueSetEDQMFormDocument (0.1.0) (required)
amount	Σ	0..1	Ratio	Amount of drug in package
ingredient		0..*	BackboneElement	Active or inactive ingredient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for item[x]		1..1		The actual ingredient or content Slice: Unordered, Closed by type:$this
itemCodeableConcept			CodeableConcept
itemReference			Reference(Substance | Medication)
item[x]:itemCodeableConcept	S	0..1	CodeableConcept	Code SMS de la substance active Binding: ValueSet_SMS_All (20241114120000) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Nom de la substance
item[x]:itemReference	S	0..1	Reference(Medication - FR Medication Document(0.1.0))	The actual ingredient or content
isActive		0..1	boolean	Active ingredient indicator
strength	S	0..1	Ratio	Quantité de substance présente dans le médicament
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:basisOfStrengthSubstance	S	0..1	CodeableConcept	Substance concernée. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance Binding: substance-codes (??) (example) Constraints: ext-1
numerator	SΣ	1..1	Quantity	Numerator value
denominator	SΣ	1..1	Quantity	Denominator value
batch		0..1	BackboneElement	Details about packaged medications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
lotNumber	S	0..1	string	Numéro de lot
expirationDate	S	0..1	dateTime	Date d'expiration du produit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Medication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Medication.code	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
Medication.code.coding	Base	required	ValueSet - FR ValueSet Medication Translation Document	📍0.1.0	This IG
Medication.status	Base	required	Medication status codes	📍4.0.1	FHIR Std.
Medication.form	Base	required	ValueSet - FR ValueSet EDQM Form Document	📍0.1.0	This IG
Medication.ingredient.​item[x]:itemCodeableConcept	Base	required	ValueSet_SMS_All	📍20241114120000	Terminologies de Santé v1.11

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Medication	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Medication	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Medication	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Medication	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Medication	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Medication.meta, Medication.implicitRules, Medication.language, Medication.text, Medication.extension, Medication.extension:productName, Medication.extension:classification, Medication.extension:conditionnement, Medication.extension:unitOfPresentation, Medication.extension:sizeOfItem, Medication.modifierExtension, Medication.identifier, Medication.code, Medication.code.extension, Medication.code.coding, Medication.code.text, Medication.status, Medication.manufacturer, Medication.form, Medication.amount, Medication.ingredient, Medication.ingredient.extension, Medication.ingredient.modifierExtension, Medication.ingredient.item[x], Medication.ingredient.item[x]:itemCodeableConcept, Medication.ingredient.item[x]:itemCodeableConcept.extension, Medication.ingredient.item[x]:itemCodeableConcept.coding, Medication.ingredient.item[x]:itemCodeableConcept.text, Medication.ingredient.item[x]:itemReference, Medication.ingredient.isActive, Medication.ingredient.strength, Medication.ingredient.strength.extension, Medication.ingredient.strength.extension:basisOfStrengthSubstance, Medication.ingredient.strength.numerator, Medication.ingredient.strength.denominator, Medication.batch, Medication.batch.extension, Medication.batch.modifierExtension, Medication.batch.lotNumber, Medication.batch.expirationDate	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Medication.extension, Medication.extension:productName, Medication.extension:classification, Medication.extension:conditionnement, Medication.extension:unitOfPresentation, Medication.extension:sizeOfItem, Medication.modifierExtension, Medication.code.extension, Medication.ingredient.extension, Medication.ingredient.modifierExtension, Medication.ingredient.item[x]:itemCodeableConcept.extension, Medication.ingredient.strength.extension, Medication.ingredient.strength.extension:basisOfStrengthSubstance, Medication.batch.extension, Medication.batch.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-document|0.1.0)

Extensions

This structure refers to these extensions:

• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-productname|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-characteristic|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-unitofpresentation|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-sizeofitem|1.0.0-comment-2
• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-strengthsubstance|1.0.0-comment-2

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Medication.ingredient.item[x]