FR Document Core (FHIR)
0.1.0 - ci-build

FR Document Core (FHIR), publié par Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. 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/ansforge/interop-IG-fhir-document-core/ et change régulièrement. Voir le répertoire des versions publiées

## Profil de ressource: MedicationRequest - FR Medication Request Document

URL officielle: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-request-document | Version: 0.1.0 | Surligner les changements ?
Draft à partir de 2026-08-07 | Nom computable: FRMedicationRequestDocument

FRMedicationRequestDocument permet de décrire un traitement prescrit avec notamment le médicament, le mode d’administration, la quantité, la durée et la fréquence d'administration.

Utilisations:

- Référence ce Profil: CarePlan - FR Care Plan Document, Immunization - FR Immunization Document, ImmunizationRecommendation - FR Immunization Recommendation Document, MedicationAdministration - FR Medication Administration Document... Show 3 more, MedicationDispense - FR Medication Dispense Document, MedicationRequest - FR Medication Request Document and MedicationStatement - FR Medication Statement Document

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

### Vues formelles du contenu du profil

Description des profils, des différentiels, des instantanés et de leurs représentations.

- Tableau des éléments clés
- Tableau différentiel (differential)
- Tableau récapitulatif (snapshot)
- Statistiques/Références
- Tous

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest(4.0.1) | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:horsAMM | S | 0..* | (Complexe) | Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel Constraints: ext-1
extension:notCovered |  | 0..1 | boolean | Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier |  | 0..* | Identifier | Identifiant prescription
status | ?!S Σ | 1..1 | code | Statut Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Motif requis: completed
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Motif requis: order
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
medication[x] | S Σ | 1..1 |  | Produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document(0.1.0)) |
subject | Σ | 1..1 | Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0)) | Who or group medication request is for
encounter |  | 0..1 | Reference(FR Encounter Care Document(0.1.0)) | Encounter created as part of encounter/admission/stay
authoredOn | S Σ | 0..1 | dateTime | When request was initially authored
requester | S Σ | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0)) | Prescripteur
reasonReference | S | 0..* | Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0)) | Motif du traitement
instantiatesUri | Σ | 0..* | uri | Référence de la prescription
basedOn | S Σ | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0)) | Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
dosageInstruction |  | 0..* | Dosage | How the medication should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence | S Σ | 0..1 | integer | The order of the dosage instructions
additionalInstruction | Σ | 0..* | CodeableConcept | Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
timing | S Σ | 0..1 | Timing | Durée du traitement et fréquence d'administration.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
repeat | S Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
Slices pour bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits Slice: Non ordonné, Ouvert par type:$this
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
bounds[x]:boundsPeriod | Σ | 0..1 | Period | Durée du traitement
start | Σ C | 0..1 | dateTime | Date de début du traitement
end | Σ C | 0..1 | dateTime | Date de fin du traitement
frequency | S Σ | 0..1 | positiveInt | Event occurs frequency times per period
period | S Σ | 0..1 | decimal | Event occurs frequency times per period
periodUnit | S Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
when | S Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | S Σ | 0..1 | unsignedInt | Minutes from event (before or after)
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S Σ | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
Slices pour dose[x] | Σ | 0..1 |  | Amount of medication per dose Slice: Non ordonné, Ouvert par type:$this
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
dose[x]:doseRange | S Σ | 0..1 | Range | Dose à administrer
low | S Σ | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S Σ | 1..1 | SimpleQuantity(4.0.1) | High limit
Slices pour rate[x] | Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRange | S Σ | 0..1 | Range | Rythme d'administration
low | S Σ | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S Σ | 1..1 | SimpleQuantity(4.0.1) | High limit
maxDosePerPeriod | S Σ | 0..1 | Ratio | Dose maximale
numerator | S Σ | 1..1 | Quantity | Numerator value
denominator | S Σ | 1..1 | Quantity | Denominator value
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:dispenserInstructionR5 |  | 0..1 | (Complexe) | R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction"
value[x] |  | 1..1 | Annotation | instructions au dispensateur
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
validityPeriod | S | 0..1 | Period | Période de validité
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Nombre de renouvellement(s) possible(s)
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Quantité à dispenser
substitution | S | 1..1 | BackboneElement | Autorisation de substitution
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices pour allowed[x] | S | 1..1 |  | Whether substitution is allowed or not Slice: Non ordonné, Ouvert par type:$this Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
allowed[x]:allowedCodeableConcept |  | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason | S | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
text | Σ | 0..1 | string | Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | Std. FHIR
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | Std. FHIR
MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | cet IG
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept | Base | required | ActSubstanceAdminSubstitutionCode | 📍20260619134042 | Terminologies de Santé v1.11
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.3

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | MedicationRequest.implicitRules, MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.intent, MedicationRequest.doNotPerform, MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.reasonReference, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.repeat, MedicationRequest.dosageInstruction.timing.repeat.bounds[x], MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end, MedicationRequest.dosageInstruction.timing.repeat.frequency, MedicationRequest.dosageInstruction.timing.repeat.period, MedicationRequest.dosageInstruction.timing.repeat.periodUnit, MedicationRequest.dosageInstruction.timing.repeat.when, MedicationRequest.dosageInstruction.timing.repeat.offset, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5.value[x], MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.substitution, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.allowed[x]:allowedCodeableConcept, MedicationRequest.substitution.reason, MedicationRequest.substitution.reason.text | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.substitution.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

Cette structure est dérivée de MedicationRequest

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest(4.0.1) | Ordering of medication for patient or group
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:horsAMM | S | 0..* | (Complexe) | Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
extension:notCovered |  | 0..1 | boolean | Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension
identifier |  | 0..* | Identifier | Identifiant prescription
status | S | 1..1 | code | Statut Motif requis: completed
intent |  | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Motif requis: order
medication[x] | S | 1..1 |  | Produit de santé
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document(0.1.0)) |
subject |  | 1..1 | Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0)) | Who or group medication request is for
encounter |  | 0..1 | Reference(FR Encounter Care Document(0.1.0)) | Encounter created as part of encounter/admission/stay
authoredOn | S | 0..1 | dateTime | When request was initially authored
requester | S | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0)) | Prescripteur
reasonReference | S | 0..* | Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0)) | Motif du traitement
instantiatesUri |  | 0..* | uri | Référence de la prescription
basedOn | S | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0)) | Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
dosageInstruction |  |  |  |
sequence | S | 0..1 | integer | The order of the dosage instructions
additionalInstruction |  | 0..* | CodeableConcept | Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament
timing | S | 0..1 | Timing | Durée du traitement et fréquence d'administration.
repeat | S | 0..1 | Element | When the event is to occur
Slices pour bounds[x] |  | 0..1 | Duration, Range, Period | Length/Range of lengths, or (Start and/or end) limits Slice: Non ordonné, Ouvert par type:$this
bounds[x]:boundsPeriod |  | 0..1 | Period | Durée du traitement
start |  | 0..1 | dateTime | Date de début du traitement
end |  | 0..1 | dateTime | Date de fin du traitement
frequency | S | 0..1 | positiveInt | Event occurs frequency times per period
period | S | 0..1 | decimal | Event occurs frequency times per period
periodUnit | S | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM)
when | S | 0..* | code | Code for time period of occurrence
offset | S | 0..1 | unsignedInt | Minutes from event (before or after)
asNeeded[x] | S | 0..1 | boolean, CodeableConcept | Take "as needed" (for x)
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
doseAndRate |  |  |  |
Slices pour dose[x] |  | 0..1 | Range, SimpleQuantity(4.0.1) | Amount of medication per dose Slice: Non ordonné, Ouvert par type:$this
dose[x]:doseRange | S | 0..1 | Range | Dose à administrer
low | S | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S | 1..1 | SimpleQuantity(4.0.1) | High limit
Slices pour rate[x] |  | 0..1 | Ratio, Range, SimpleQuantity(4.0.1) | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rate[x]:rateRange | S | 0..1 | Range | Rythme d'administration
low | S | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S | 1..1 | SimpleQuantity(4.0.1) | High limit
maxDosePerPeriod | S | 0..1 | Ratio | Dose maximale
numerator | S | 1..1 | Quantity | Numerator value
denominator | S | 1..1 | Quantity | Denominator value
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:dispenserInstructionR5 |  | 0..1 | (Complexe) | R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction
extension |  | 0..0 |  | Extension
value[x] |  | 1..1 | Annotation | instructions au dispensateur
validityPeriod | S | 0..1 | Period | Période de validité
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Nombre de renouvellement(s) possible(s)
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Quantité à dispenser
substitution | S | 1..1 | BackboneElement | Autorisation de substitution
Slices pour allowed[x] | S | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Slice: Non ordonné, Ouvert par type:$this
allowed[x]:allowedCodeableConcept |  | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason | S | 0..1 | CodeableConcept | Why should (not) substitution be made
text |  | 0..1 | string | Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.dosageInstruction.​site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | cet IG
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept | Base | required | ActSubstanceAdminSubstitutionCode | 📍20260619134042 | Terminologies de Santé v1.11

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest(4.0.1) | Ordering of medication for patient or group
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.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:horsAMM | S | 0..* | (Complexe) | Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel Constraints: ext-1
extension:notCovered |  | 0..1 | boolean | Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier |  | 0..* | Identifier | Identifiant prescription
status | ?!S Σ | 1..1 | code | Statut Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Motif requis: completed
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Motif requis: order
category |  | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
medication[x] | S Σ | 1..1 |  | Produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document(0.1.0)) |
subject | Σ | 1..1 | Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0)) | Who or group medication request is for
encounter |  | 0..1 | Reference(FR Encounter Care Document(0.1.0)) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 0..1 | dateTime | When request was initially authored
requester | S Σ | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0)) | Prescripteur
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference | S | 0..* | Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0)) | Motif du traitement
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Référence de la prescription
basedOn | S Σ | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0)) | Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note |  | 0..* | Annotation | Information about the prescription
dosageInstruction |  | 0..* | Dosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence | S Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | Durée du traitement et fréquence d'administration.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
event | Σ | 0..* | dateTime | When the event occurs
repeat | S Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
Slices pour bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits Slice: Non ordonné, Ouvert par type:$this
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
bounds[x]:boundsPeriod | Σ | 0..1 | Period | Durée du traitement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
start | Σ C | 0..1 | dateTime | Date de début du traitement
end | Σ C | 0..1 | dateTime | Date de fin du traitement
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | S Σ | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | S Σ | 0..1 | decimal | Event occurs frequency times per period
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | S Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | S Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | S Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S Σ | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices pour dose[x] | Σ | 0..1 |  | Amount of medication per dose Slice: Non ordonné, Ouvert par type:$this
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
dose[x]:doseRange | S Σ | 0..1 | Range | Dose à administrer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
low | S Σ | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S Σ | 1..1 | SimpleQuantity(4.0.1) | High limit
Slices pour rate[x] | Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRange | S Σ | 0..1 | Range | Rythme d'administration
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
low | S Σ | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S Σ | 1..1 | SimpleQuantity(4.0.1) | High limit
maxDosePerPeriod | S Σ | 0..1 | Ratio | Dose maximale
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
numerator | S Σ | 1..1 | Quantity | Numerator value
denominator | S Σ | 1..1 | Quantity | Denominator value
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:dispenserInstructionR5 |  | 0..1 | (Complexe) | R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction"
value[x] |  | 1..1 | Annotation | instructions au dispensateur
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
initialFill |  | 0..1 | BackboneElement | First fill details
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
quantity |  | 0..1 | SimpleQuantity(4.0.1) | First fill quantity
duration |  | 0..1 | Duration | First fill duration
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod | S | 0..1 | Period | Période de validité
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Nombre de renouvellement(s) possible(s)
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Quantité à dispenser
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
performer |  | 0..1 | Reference(Organization) | Intended dispenser
substitution | S | 1..1 | BackboneElement | Autorisation de substitution
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 pour allowed[x] | S | 1..1 |  | Whether substitution is allowed or not Slice: Non ordonné, Ouvert par type:$this Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
allowed[x]:allowedCodeableConcept |  | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason | S | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
priorPrescription |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | Std. FHIR
MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | Std. FHIR
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | Std. FHIR
MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | Std. FHIR
MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | Std. FHIR
MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.code | Base | preferred | TimingAbbreviation | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | cet IG
MedicationRequest.dosageInstruction.​method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | Std. FHIR
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept | Base | required | ActSubstanceAdminSubstitutionCode | 📍20260619134042 | Terminologies de Santé v1.11
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.3

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | MedicationRequest.meta, MedicationRequest.implicitRules, MedicationRequest.language, MedicationRequest.text, MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.statusReason, MedicationRequest.intent, MedicationRequest.category, MedicationRequest.priority, MedicationRequest.doNotPerform, MedicationRequest.reported[x], MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.performerType, MedicationRequest.recorder, MedicationRequest.reasonCode, MedicationRequest.reasonReference, MedicationRequest.instantiatesCanonical, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.groupIdentifier, MedicationRequest.courseOfTherapyType, MedicationRequest.insurance, MedicationRequest.note, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.text, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.patientInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.timing.extension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.event, MedicationRequest.dosageInstruction.timing.repeat, MedicationRequest.dosageInstruction.timing.repeat.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x], MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end, MedicationRequest.dosageInstruction.timing.repeat.count, MedicationRequest.dosageInstruction.timing.repeat.countMax, MedicationRequest.dosageInstruction.timing.repeat.duration, MedicationRequest.dosageInstruction.timing.repeat.durationMax, MedicationRequest.dosageInstruction.timing.repeat.durationUnit, MedicationRequest.dosageInstruction.timing.repeat.frequency, MedicationRequest.dosageInstruction.timing.repeat.frequencyMax, MedicationRequest.dosageInstruction.timing.repeat.period, MedicationRequest.dosageInstruction.timing.repeat.periodMax, MedicationRequest.dosageInstruction.timing.repeat.periodUnit, MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek, MedicationRequest.dosageInstruction.timing.repeat.timeOfDay, MedicationRequest.dosageInstruction.timing.repeat.when, MedicationRequest.dosageInstruction.timing.repeat.offset, MedicationRequest.dosageInstruction.timing.code, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.method, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.type, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.extension, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerPeriod.extension, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5.value[x], MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration, MedicationRequest.dispenseRequest.performer, MedicationRequest.substitution, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.allowed[x]:allowedCodeableConcept, MedicationRequest.substitution.reason, MedicationRequest.substitution.reason.extension, MedicationRequest.substitution.reason.coding, MedicationRequest.substitution.reason.text, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.extension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.repeat.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.extension, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.extension, MedicationRequest.dosageInstruction.maxDosePerPeriod.extension, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.reason.extension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

Cette structure est dérivée de MedicationRequest

Résumé

Obligatoire : 1 élément(7 éléments obligatoire(s) imbriqué(s))
Must-Support : 34 éléments
Interdit : 1 élément

Structures

Cette structure fait référence à ces autres structures:

- Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-document|0.1.0)
- FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)
- FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
- FR Encounter Care Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-encounter-care-document|0.1.0)
- FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
- FR Practitioner Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitioner-document|0.1.0)
- Observation (http://hl7.org/fhir/StructureDefinition/Observation|4.0.1)
- Condition - FR Condition Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-condition-document|0.1.0)
- Observation - FR Observation Prevention Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-prevention-document|0.1.0)
- Observation - FR Observation ALD Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-ald-document|0.1.0)
- Observation - FR Observation Work Related Accident Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-work-related-accident-document|0.1.0)
- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-request-document|0.1.0)
- CarePlan - FR Care Plan Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-care-plan-document|0.1.0)
- ServiceRequest - FR Service Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-service-request-document|0.1.0)
- ImmunizationRecommendation - FR Immunization Recommendation Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-immunization-recommendation-document|0.1.0)

Extensions

Cette structure fait référence à ces extensions:

- https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel|1.0.0-comment-2
- https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension|0.1.0
- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction|0.1.0

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.rate[x]
- The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

Vue des éléments clés

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest(4.0.1) | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:horsAMM | S | 0..* | (Complexe) | Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel Constraints: ext-1
extension:notCovered |  | 0..1 | boolean | Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier |  | 0..* | Identifier | Identifiant prescription
status | ?!S Σ | 1..1 | code | Statut Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Motif requis: completed
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Motif requis: order
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
medication[x] | S Σ | 1..1 |  | Produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document(0.1.0)) |
subject | Σ | 1..1 | Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0)) | Who or group medication request is for
encounter |  | 0..1 | Reference(FR Encounter Care Document(0.1.0)) | Encounter created as part of encounter/admission/stay
authoredOn | S Σ | 0..1 | dateTime | When request was initially authored
requester | S Σ | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0)) | Prescripteur
reasonReference | S | 0..* | Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0)) | Motif du traitement
instantiatesUri | Σ | 0..* | uri | Référence de la prescription
basedOn | S Σ | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0)) | Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
dosageInstruction |  | 0..* | Dosage | How the medication should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence | S Σ | 0..1 | integer | The order of the dosage instructions
additionalInstruction | Σ | 0..* | CodeableConcept | Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
timing | S Σ | 0..1 | Timing | Durée du traitement et fréquence d'administration.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
repeat | S Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
Slices pour bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits Slice: Non ordonné, Ouvert par type:$this
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
bounds[x]:boundsPeriod | Σ | 0..1 | Period | Durée du traitement
start | Σ C | 0..1 | dateTime | Date de début du traitement
end | Σ C | 0..1 | dateTime | Date de fin du traitement
frequency | S Σ | 0..1 | positiveInt | Event occurs frequency times per period
period | S Σ | 0..1 | decimal | Event occurs frequency times per period
periodUnit | S Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
when | S Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | S Σ | 0..1 | unsignedInt | Minutes from event (before or after)
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S Σ | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
Slices pour dose[x] | Σ | 0..1 |  | Amount of medication per dose Slice: Non ordonné, Ouvert par type:$this
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
dose[x]:doseRange | S Σ | 0..1 | Range | Dose à administrer
low | S Σ | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S Σ | 1..1 | SimpleQuantity(4.0.1) | High limit
Slices pour rate[x] | Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRange | S Σ | 0..1 | Range | Rythme d'administration
low | S Σ | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S Σ | 1..1 | SimpleQuantity(4.0.1) | High limit
maxDosePerPeriod | S Σ | 0..1 | Ratio | Dose maximale
numerator | S Σ | 1..1 | Quantity | Numerator value
denominator | S Σ | 1..1 | Quantity | Denominator value
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:dispenserInstructionR5 |  | 0..1 | (Complexe) | R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction"
value[x] |  | 1..1 | Annotation | instructions au dispensateur
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
validityPeriod | S | 0..1 | Period | Période de validité
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Nombre de renouvellement(s) possible(s)
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Quantité à dispenser
substitution | S | 1..1 | BackboneElement | Autorisation de substitution
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices pour allowed[x] | S | 1..1 |  | Whether substitution is allowed or not Slice: Non ordonné, Ouvert par type:$this Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
allowed[x]:allowedCodeableConcept |  | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason | S | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
text | Σ | 0..1 | string | Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | Std. FHIR
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | Std. FHIR
MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | cet IG
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept | Base | required | ActSubstanceAdminSubstitutionCode | 📍20260619134042 | Terminologies de Santé v1.11
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.3

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | MedicationRequest.implicitRules, MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.intent, MedicationRequest.doNotPerform, MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.reasonReference, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.repeat, MedicationRequest.dosageInstruction.timing.repeat.bounds[x], MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end, MedicationRequest.dosageInstruction.timing.repeat.frequency, MedicationRequest.dosageInstruction.timing.repeat.period, MedicationRequest.dosageInstruction.timing.repeat.periodUnit, MedicationRequest.dosageInstruction.timing.repeat.when, MedicationRequest.dosageInstruction.timing.repeat.offset, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5.value[x], MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.substitution, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.allowed[x]:allowedCodeableConcept, MedicationRequest.substitution.reason, MedicationRequest.substitution.reason.text | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.substitution.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

Vue différentielle

Cette structure est dérivée de MedicationRequest

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest(4.0.1) | Ordering of medication for patient or group
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:horsAMM | S | 0..* | (Complexe) | Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
extension:notCovered |  | 0..1 | boolean | Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension
identifier |  | 0..* | Identifier | Identifiant prescription
status | S | 1..1 | code | Statut Motif requis: completed
intent |  | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Motif requis: order
medication[x] | S | 1..1 |  | Produit de santé
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document(0.1.0)) |
subject |  | 1..1 | Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0)) | Who or group medication request is for
encounter |  | 0..1 | Reference(FR Encounter Care Document(0.1.0)) | Encounter created as part of encounter/admission/stay
authoredOn | S | 0..1 | dateTime | When request was initially authored
requester | S | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0)) | Prescripteur
reasonReference | S | 0..* | Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0)) | Motif du traitement
instantiatesUri |  | 0..* | uri | Référence de la prescription
basedOn | S | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0)) | Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
dosageInstruction |  |  |  |
sequence | S | 0..1 | integer | The order of the dosage instructions
additionalInstruction |  | 0..* | CodeableConcept | Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament
timing | S | 0..1 | Timing | Durée du traitement et fréquence d'administration.
repeat | S | 0..1 | Element | When the event is to occur
Slices pour bounds[x] |  | 0..1 | Duration, Range, Period | Length/Range of lengths, or (Start and/or end) limits Slice: Non ordonné, Ouvert par type:$this
bounds[x]:boundsPeriod |  | 0..1 | Period | Durée du traitement
start |  | 0..1 | dateTime | Date de début du traitement
end |  | 0..1 | dateTime | Date de fin du traitement
frequency | S | 0..1 | positiveInt | Event occurs frequency times per period
period | S | 0..1 | decimal | Event occurs frequency times per period
periodUnit | S | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM)
when | S | 0..* | code | Code for time period of occurrence
offset | S | 0..1 | unsignedInt | Minutes from event (before or after)
asNeeded[x] | S | 0..1 | boolean, CodeableConcept | Take "as needed" (for x)
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
doseAndRate |  |  |  |
Slices pour dose[x] |  | 0..1 | Range, SimpleQuantity(4.0.1) | Amount of medication per dose Slice: Non ordonné, Ouvert par type:$this
dose[x]:doseRange | S | 0..1 | Range | Dose à administrer
low | S | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S | 1..1 | SimpleQuantity(4.0.1) | High limit
Slices pour rate[x] |  | 0..1 | Ratio, Range, SimpleQuantity(4.0.1) | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rate[x]:rateRange | S | 0..1 | Range | Rythme d'administration
low | S | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S | 1..1 | SimpleQuantity(4.0.1) | High limit
maxDosePerPeriod | S | 0..1 | Ratio | Dose maximale
numerator | S | 1..1 | Quantity | Numerator value
denominator | S | 1..1 | Quantity | Denominator value
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:dispenserInstructionR5 |  | 0..1 | (Complexe) | R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction
extension |  | 0..0 |  | Extension
value[x] |  | 1..1 | Annotation | instructions au dispensateur
validityPeriod | S | 0..1 | Period | Période de validité
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Nombre de renouvellement(s) possible(s)
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Quantité à dispenser
substitution | S | 1..1 | BackboneElement | Autorisation de substitution
Slices pour allowed[x] | S | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Slice: Non ordonné, Ouvert par type:$this
allowed[x]:allowedCodeableConcept |  | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason | S | 0..1 | CodeableConcept | Why should (not) substitution be made
text |  | 0..1 | string | Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.dosageInstruction.​site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | cet IG
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept | Base | required | ActSubstanceAdminSubstitutionCode | 📍20260619134042 | Terminologies de Santé v1.11

Vue d'ensembleView

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest(4.0.1) | Ordering of medication for patient or group
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.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:horsAMM | S | 0..* | (Complexe) | Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel Constraints: ext-1
extension:notCovered |  | 0..1 | boolean | Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension Constraints: ext-1
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier |  | 0..* | Identifier | Identifiant prescription
status | ?!S Σ | 1..1 | code | Statut Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Motif requis: completed
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Motif requis: order
category |  | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
medication[x] | S Σ | 1..1 |  | Produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document(0.1.0)) |
subject | Σ | 1..1 | Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0)) | Who or group medication request is for
encounter |  | 0..1 | Reference(FR Encounter Care Document(0.1.0)) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 0..1 | dateTime | When request was initially authored
requester | S Σ | 0..1 | Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0)) | Prescripteur
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference | S | 0..* | Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0)) | Motif du traitement
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Référence de la prescription
basedOn | S Σ | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0)) | Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note |  | 0..* | Annotation | Information about the prescription
dosageInstruction |  | 0..* | Dosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence | S Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | Durée du traitement et fréquence d'administration.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
event | Σ | 0..* | dateTime | When the event occurs
repeat | S Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
Slices pour bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits Slice: Non ordonné, Ouvert par type:$this
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
bounds[x]:boundsPeriod | Σ | 0..1 | Period | Durée du traitement
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
start | Σ C | 0..1 | dateTime | Date de début du traitement
end | Σ C | 0..1 | dateTime | Date de fin du traitement
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | S Σ | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | S Σ | 0..1 | decimal | Event occurs frequency times per period
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | S Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | S Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | S Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S Σ | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices pour dose[x] | Σ | 0..1 |  | Amount of medication per dose Slice: Non ordonné, Ouvert par type:$this
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
dose[x]:doseRange | S Σ | 0..1 | Range | Dose à administrer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
low | S Σ | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S Σ | 1..1 | SimpleQuantity(4.0.1) | High limit
Slices pour rate[x] | Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRange | S Σ | 0..1 | Range | Rythme d'administration
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
low | S Σ | 1..1 | SimpleQuantity(4.0.1) | Low limit
high | S Σ | 1..1 | SimpleQuantity(4.0.1) | High limit
maxDosePerPeriod | S Σ | 0..1 | Ratio | Dose maximale
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
numerator | S Σ | 1..1 | Quantity | Numerator value
denominator | S Σ | 1..1 | Quantity | Denominator value
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
extension:dispenserInstructionR5 |  | 0..1 | (Complexe) | R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction"
value[x] |  | 1..1 | Annotation | instructions au dispensateur
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
initialFill |  | 0..1 | BackboneElement | First fill details
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
quantity |  | 0..1 | SimpleQuantity(4.0.1) | First fill quantity
duration |  | 0..1 | Duration | First fill duration
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod | S | 0..1 | Period | Période de validité
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Nombre de renouvellement(s) possible(s)
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Quantité à dispenser
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
performer |  | 0..1 | Reference(Organization) | Intended dispenser
substitution | S | 1..1 | BackboneElement | Autorisation de substitution
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 pour allowed[x] | S | 1..1 |  | Whether substitution is allowed or not Slice: Non ordonné, Ouvert par type:$this Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
allowed[x]:allowedCodeableConcept |  | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason | S | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
priorPrescription |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | Std. FHIR
MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | Std. FHIR
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | Std. FHIR
MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | Std. FHIR
MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | Std. FHIR
MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.code | Base | preferred | TimingAbbreviation | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | cet IG
MedicationRequest.dosageInstruction.​method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | Std. FHIR
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept | Base | required | ActSubstanceAdminSubstitutionCode | 📍20260619134042 | Terminologies de Santé v1.11
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.3

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | MedicationRequest.meta, MedicationRequest.implicitRules, MedicationRequest.language, MedicationRequest.text, MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.statusReason, MedicationRequest.intent, MedicationRequest.category, MedicationRequest.priority, MedicationRequest.doNotPerform, MedicationRequest.reported[x], MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.performerType, MedicationRequest.recorder, MedicationRequest.reasonCode, MedicationRequest.reasonReference, MedicationRequest.instantiatesCanonical, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.groupIdentifier, MedicationRequest.courseOfTherapyType, MedicationRequest.insurance, MedicationRequest.note, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.text, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.patientInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.timing.extension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.event, MedicationRequest.dosageInstruction.timing.repeat, MedicationRequest.dosageInstruction.timing.repeat.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x], MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end, MedicationRequest.dosageInstruction.timing.repeat.count, MedicationRequest.dosageInstruction.timing.repeat.countMax, MedicationRequest.dosageInstruction.timing.repeat.duration, MedicationRequest.dosageInstruction.timing.repeat.durationMax, MedicationRequest.dosageInstruction.timing.repeat.durationUnit, MedicationRequest.dosageInstruction.timing.repeat.frequency, MedicationRequest.dosageInstruction.timing.repeat.frequencyMax, MedicationRequest.dosageInstruction.timing.repeat.period, MedicationRequest.dosageInstruction.timing.repeat.periodMax, MedicationRequest.dosageInstruction.timing.repeat.periodUnit, MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek, MedicationRequest.dosageInstruction.timing.repeat.timeOfDay, MedicationRequest.dosageInstruction.timing.repeat.when, MedicationRequest.dosageInstruction.timing.repeat.offset, MedicationRequest.dosageInstruction.timing.code, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.method, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.type, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.extension, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerPeriod.extension, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5.value[x], MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration, MedicationRequest.dispenseRequest.performer, MedicationRequest.substitution, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.allowed[x]:allowedCodeableConcept, MedicationRequest.substitution.reason, MedicationRequest.substitution.reason.extension, MedicationRequest.substitution.reason.coding, MedicationRequest.substitution.reason.text, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.extension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.repeat.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.extension, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.extension, MedicationRequest.dosageInstruction.maxDosePerPeriod.extension, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.reason.extension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

Cette structure est dérivée de MedicationRequest

Résumé

Obligatoire : 1 élément(7 éléments obligatoire(s) imbriqué(s))
Must-Support : 34 éléments
Interdit : 1 élément

Structures

Cette structure fait référence à ces autres structures:

- Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-document|0.1.0)
- FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)
- FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
- FR Encounter Care Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-encounter-care-document|0.1.0)
- FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
- FR Practitioner Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitioner-document|0.1.0)
- Observation (http://hl7.org/fhir/StructureDefinition/Observation|4.0.1)
- Condition - FR Condition Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-condition-document|0.1.0)
- Observation - FR Observation Prevention Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-prevention-document|0.1.0)
- Observation - FR Observation ALD Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-ald-document|0.1.0)
- Observation - FR Observation Work Related Accident Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-work-related-accident-document|0.1.0)
- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-request-document|0.1.0)
- CarePlan - FR Care Plan Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-care-plan-document|0.1.0)
- ServiceRequest - FR Service Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-service-request-document|0.1.0)
- ImmunizationRecommendation - FR Immunization Recommendation Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-immunization-recommendation-document|0.1.0)

Extensions

Cette structure fait référence à ces extensions:

- https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel|1.0.0-comment-2
- https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension|0.1.0
- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction|0.1.0

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.rate[x]
- The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

Autres représentations du profil : CSV, Excel, Schematron