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ANS IG document core - version de développement local (v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

Resource Profile: FRMedicationDocument - Detailed Descriptions

Draft as of 2025-12-05

Definitions for the fr-medication-document resource profile.

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. Medication
Définition

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

CourtDefinition of a Medication
Contrôle0..*
Est modificateurfalse
Résuméfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Medication.implicitRules
Définition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

CourtA set of rules under which this content was created
Commentaires

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Contrôle0..1
Typeuri
Est modificateurtrue parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Medication.extension
Définition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

CourtExtensionAdditional content defined by implementations
Commentaires

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Contrôle10..*
TypeExtension
Est modificateurfalse
Résuméfalse
Noms alternatifsextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingCet élément introduit un ensemble de slices sur Medication.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
  • value @ url
  • 6. Medication.extension:productName
    Nom de la sliceproductName
    Définition

    Name of the medicinal product. This is typically the name of a real product as registered. This element should not contain display names of virtual product concepts.

    CourtNom de marque du produit.
    Contrôle1..1
    TypeExtension(Medication - Product Name) (Type dextension : string)
    Est modificateurfalse
    Doit être pris en charge (Must Support)true
    Résuméfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Medication.extension:classification
    Nom de la sliceclassification
    Définition

    Medication classification/category. Allows the product to be classified by various systems, e.g ATC, narcotic class, legal status of supply, etc..

    CourtÉquivalent générique (Code de regroupement ATC) et le Conditionnement (Code du produit de santé conditionné (CIP)).
    Contrôle0..*
    TypeExtension(Medication - Classification) (Type dextension : CodeableConcept)
    Est modificateurfalse
    Doit être pris en charge (Must Support)true
    Résuméfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Medication.extension:conditionnement
    Nom de la sliceconditionnement
    Définition

    Any characteristic of the medicinal product prescribed or dispensed (for example, price, textual package description, special program information, etc)

    CourtPrésentation / conditionnement.
    Contrôle0..*
    TypeExtension(Medication - Characteristic) (Extension complexe)
    Est modificateurfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Medication.modifierExtension
    Définition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    CourtExtensions that cannot be ignored
    Commentaires

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Contrôle0..*
    TypeExtension
    Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Résuméfalse
    Exigences

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Noms alternatifsextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Medication.code
    Définition

    A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

    CourtCode du produit de santéCodes that identify this medication
    Commentaires

    Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

    Contrôle10..1
    BindingPour des exemples de codes, voir SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1
    (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

    A coded concept that defines the type of a medication.

    TypeCodeableConcept
    Est modificateurfalse
    Doit être pris en charge (Must Support)true
    Résumétrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Medication.code.coding
    Définition

    A reference to a code defined by a terminology system.

    CourtAutres codifications (CIP, UCD, ATC, MV)Code defined by a terminology system
    Commentaires

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Contrôle0..*
    BindingLes codes DOIVENT (SHALL) être pris de Pour les codes, voir ValueSet - FR ValueSet Medication Translation Document
    (required to https://interop.esante.gouv.fr/ig/document/core/ValueSet/fr-vs-medication-translation-document)
    TypeCoding
    Est modificateurfalse
    Résumétrue
    Exigences

    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Medication.status
    Définition

    A code to indicate if the medication is in active use.

    Courtactive | inactive | entered-in-error
    Commentaires

    This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

    Contrôle0..1
    BindingLes codes DOIVENT (SHALL) être pris de Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

    A coded concept defining if the medication is in active use.

    Typecode
    Est modificateurtrue parce que This element changes the interpretation of all descriptive attributes.
    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
    Résumétrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Medication.form
    Définition

    Describes the form of the item. Powder; tablets; capsule.

    Courtpowder | tablets | capsule +
    Commentaires

    When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

    Contrôle0..1
    BindingLes codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir ValueSet - FR ValueSet EDQM Documenthttp://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1
    (required to https://interop.esante.gouv.fr/ig/document/core/ValueSet/fr-vs-edqm-document)
    TypeCodeableConcept
    Est modificateurfalse
    Doit être pris en charge (Must Support)true
    Résuméfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Medication.ingredient
    Définition

    Identifies a particular constituent of interest in the product.

    CourtActive or inactive ingredient
    Commentaires

    The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

    Contrôle10..*
    TypeBackboneElement
    Est modificateurfalse
    Résuméfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingCet élément introduit un ensemble de slices sur Medication.ingredient. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
    • value @ $this
    • 24. Medication.ingredient.modifierExtension
      Définition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CourtExtensions that cannot be ignored even if unrecognized
      Commentaires

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Contrôle0..*
      TypeExtension
      Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Résumétrue
      Exigences

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Noms alternatifsextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      26. Medication.ingredient.item[x]
      Définition

      The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

      CourtThe actual ingredient or content
      Contrôle1..1
      TypeChoix de : CodeableConcept, Reference(Substance, Medication)
      Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
      Est modificateurfalse
      Résuméfalse
      Exigences

      The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Medication.ingredient:doseAntigene
      Nom de la slicedoseAntigene
      Définition

      Identifies a particular constituent of interest in the product.

      CourtDose antigèneActive or inactive ingredient
      Commentaires

      The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

      Contrôle0..*
      TypeBackboneElement
      Est modificateurfalse
      Doit être pris en charge (Must Support)true
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Medication.ingredient:doseAntigene.modifierExtension
      Définition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CourtExtensions that cannot be ignored even if unrecognized
      Commentaires

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Contrôle0..*
      TypeExtension
      Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Résumétrue
      Exigences

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Noms alternatifsextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      32. Medication.ingredient:doseAntigene.item[x]
      Définition

      The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

      CourtThe actual ingredient or content
      Contrôle1..1
      TypeChoix de : CodeableConcept, Reference(Substance, Medication)
      Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
      Est modificateurfalse
      Résuméfalse
      Exigences

      The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Medication.ingredient:doseAntigene.strength
      Définition

      Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

      CourtQuantité de la dose antigèneQuantity of ingredient present
      Contrôle0..1
      TypeRatio
      Est modificateurfalse
      Doit être pris en charge (Must Support)true
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. Medication.ingredient:substanceActive
      Nom de la slicesubstanceActive
      Définition

      Identifies a particular constituent of interest in the product.

      CourtSubstance activeActive or inactive ingredient
      Commentaires

      The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

      Contrôle10..1*
      TypeBackboneElement
      Est modificateurfalse
      Doit être pris en charge (Must Support)true
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. Medication.ingredient:substanceActive.modifierExtension
      Définition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CourtExtensions that cannot be ignored even if unrecognized
      Commentaires

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Contrôle0..*
      TypeExtension
      Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Résumétrue
      Exigences

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Noms alternatifsextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      40. Medication.ingredient:substanceActive.item[x]
      Définition

      The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

      CourtCode SMS de la substance activeThe actual ingredient or content
      Contrôle1..1
      BindingLes codes DOIVENT (SHALL) être pris de Pour les codes, voir ValueSet_SMS_All
      (required to https://smt.esante.gouv.fr/terminologie-sms?vs)
      TypeCodeableConcept, Reference(Substance, Medication)
      Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
      Est modificateurfalse
      Doit être pris en charge (Must Support)true
      Résuméfalse
      Exigences

      The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Medication.ingredient:substanceActive.item[x].text
      Définition

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

      CourtNom de la substancePlain text representation of the concept
      Commentaires

      Very often the text is the same as a displayName of one of the codings.

      Contrôle0..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Doit être pris en charge (Must Support)true
      Résumétrue
      Exigences

      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Medication.ingredient:substanceActive.strength
      Définition

      Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

      CourtDosageQuantity of ingredient present
      Contrôle0..1
      TypeRatio
      Est modificateurfalse
      Doit être pris en charge (Must Support)true
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Medication.ingredient:substanceActive.strength.numerator
      Définition

      The value of the numerator.

      CourtNumerator value
      Contrôle10..1
      TypeQuantity
      Est modificateurfalse
      Doit être pris en charge (Must Support)true
      Résumétrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. Medication.ingredient:substanceActive.strength.denominator
      Définition

      The value of the denominator.

      CourtDenominator value
      Contrôle10..1
      TypeQuantity
      Est modificateurfalse
      Doit être pris en charge (Must Support)true
      Résumétrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. Medication.batch
      Définition

      Information that only applies to packages (not products).

      CourtDetails about packaged medications
      Contrôle0..1
      TypeBackboneElement
      Est modificateurfalse
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Medication.batch.modifierExtension
      Définition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CourtExtensions that cannot be ignored even if unrecognized
      Commentaires

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Contrôle0..*
      TypeExtension
      Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Résumétrue
      Exigences

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Noms alternatifsextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      54. Medication.batch.lotNumber
      Définition

      The assigned lot number of a batch of the specified product.

      CourtNuméro de lotIdentifier assigned to batch
      Contrôle0..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Doit être pris en charge (Must Support)true
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. Medication.batch.expirationDate
      Définition

      When this specific batch of product will expire.

      CourtDate d'expiration du produitWhen batch will expire
      Contrôle0..1
      TypedateTime
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Doit être pris en charge (Must Support)true
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

      0. Medication
      2. Medication.extension
      Contrôle1..?
      SlicingCet élément introduit un ensemble de slices sur Medication.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
      • value @ url
      • 4. Medication.extension:productName
        Nom de la sliceproductName
        CourtNom de marque du produit.
        Contrôle1..1
        TypeExtension(Medication - Product Name) (Type dextension : string)
        Doit être pris en charge (Must Support)true
        6. Medication.extension:classification
        Nom de la sliceclassification
        CourtÉquivalent générique (Code de regroupement ATC) et le Conditionnement (Code du produit de santé conditionné (CIP)).
        Contrôle0..*
        TypeExtension(Medication - Classification) (Type dextension : CodeableConcept)
        Doit être pris en charge (Must Support)true
        8. Medication.extension:conditionnement
        Nom de la sliceconditionnement
        CourtPrésentation / conditionnement.
        Contrôle0..*
        TypeExtension(Medication - Characteristic) (Extension complexe)
        10. Medication.code
        CourtCode du produit de santé
        Contrôle1..?
        Doit être pris en charge (Must Support)true
        12. Medication.code.coding
        CourtAutres codifications (CIP, UCD, ATC, MV)
        BindingLes codes DOIVENT (SHALL) être pris de ValueSet - FR ValueSet Medication Translation Document
        (required to https://interop.esante.gouv.fr/ig/document/core/ValueSet/fr-vs-medication-translation-document)
        14. Medication.form
        BindingLes codes DOIVENT (SHALL) être pris de ValueSet - FR ValueSet EDQM Document
        (required to https://interop.esante.gouv.fr/ig/document/core/ValueSet/fr-vs-edqm-document)
        Doit être pris en charge (Must Support)true
        16. Medication.ingredient
        Contrôle1..?
        SlicingCet élément introduit un ensemble de slices sur Medication.ingredient. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
        • value @ $this
        • 18. Medication.ingredient:doseAntigene
          Nom de la slicedoseAntigene
          CourtDose antigène
          Contrôle0..*
          Doit être pris en charge (Must Support)true
          20. Medication.ingredient:doseAntigene.strength
          CourtQuantité de la dose antigène
          Doit être pris en charge (Must Support)true
          22. Medication.ingredient:substanceActive
          Nom de la slicesubstanceActive
          CourtSubstance active
          Contrôle1..1
          Doit être pris en charge (Must Support)true
          24. Medication.ingredient:substanceActive.item[x]
          CourtCode SMS de la substance active
          BindingLes codes DOIVENT (SHALL) être pris de ValueSet_SMS_All
          (required to https://smt.esante.gouv.fr/terminologie-sms?vs)
          TypeCodeableConcept
          Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
          Doit être pris en charge (Must Support)true
          26. Medication.ingredient:substanceActive.item[x].text
          CourtNom de la substance
          Doit être pris en charge (Must Support)true
          28. Medication.ingredient:substanceActive.strength
          CourtDosage
          Doit être pris en charge (Must Support)true
          30. Medication.ingredient:substanceActive.strength.numerator
          Contrôle1..?
          Doit être pris en charge (Must Support)true
          32. Medication.ingredient:substanceActive.strength.denominator
          Contrôle1..?
          Doit être pris en charge (Must Support)true
          34. Medication.batch
          36. Medication.batch.lotNumber
          CourtNuméro de lot
          Doit être pris en charge (Must Support)true
          38. Medication.batch.expirationDate
          CourtDate d'expiration du produit
          Doit être pris en charge (Must Support)true

          Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

          0. Medication
          Définition

          This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

          CourtDefinition of a Medication
          Contrôle0..*
          Est modificateurfalse
          Résuméfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. Medication.id
          Définition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          CourtLogical id of this artifact
          Commentaires

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Contrôle0..1
          Typeid
          Est modificateurfalse
          Résumétrue
          4. Medication.meta
          Définition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          CourtMetadata about the resource
          Contrôle0..1
          TypeMeta
          Est modificateurfalse
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. Medication.implicitRules
          Définition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          CourtA set of rules under which this content was created
          Commentaires

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Contrôle0..1
          Typeuri
          Est modificateurtrue parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. Medication.language
          Définition

          The base language in which the resource is written.

          CourtLanguage of the resource content
          Commentaires

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Contrôle0..1
          BindingLes codes DEVRAIENT (SHOULD) être pris de CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

          A human language.

          Bindings AdditionnelsBut
          AllLanguagesBinding Max
          Typecode
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. Medication.text
          Définition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          CourtText summary of the resource, for human interpretation
          Commentaires

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Contrôle0..1
          TypeNarrative
          Est modificateurfalse
          Résuméfalse
          Noms alternatifsnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Medication.contained
          Définition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          CourtContained, inline Resources
          Commentaires

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Contrôle0..*
          TypeResource
          Est modificateurfalse
          Résuméfalse
          Noms alternatifsinline resources, anonymous resources, contained resources
          14. Medication.extension
          Définition

          An Extension

          CourtExtension
          Contrôle1..*
          TypeExtension
          Est modificateurfalse
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingCet élément introduit un ensemble de slices sur Medication.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
          • value @ url
          • 16. Medication.extension:productName
            Nom de la sliceproductName
            Définition

            Name of the medicinal product. This is typically the name of a real product as registered. This element should not contain display names of virtual product concepts.

            CourtNom de marque du produit.
            Contrôle1..1
            TypeExtension(Medication - Product Name) (Type dextension : string)
            Est modificateurfalse
            Doit être pris en charge (Must Support)true
            Résuméfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Medication.extension:classification
            Nom de la sliceclassification
            Définition

            Medication classification/category. Allows the product to be classified by various systems, e.g ATC, narcotic class, legal status of supply, etc..

            CourtÉquivalent générique (Code de regroupement ATC) et le Conditionnement (Code du produit de santé conditionné (CIP)).
            Contrôle0..*
            TypeExtension(Medication - Classification) (Type dextension : CodeableConcept)
            Est modificateurfalse
            Doit être pris en charge (Must Support)true
            Résuméfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. Medication.extension:conditionnement
            Nom de la sliceconditionnement
            Définition

            Any characteristic of the medicinal product prescribed or dispensed (for example, price, textual package description, special program information, etc)

            CourtPrésentation / conditionnement.
            Contrôle0..*
            TypeExtension(Medication - Characteristic) (Extension complexe)
            Est modificateurfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            22. Medication.modifierExtension
            Définition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            CourtExtensions that cannot be ignored
            Commentaires

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Contrôle0..*
            TypeExtension
            Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Résuméfalse
            Exigences

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Noms alternatifsextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            24. Medication.identifier
            Définition

            Business identifier for this medication.

            CourtBusiness identifier for this medication
            Commentaires

            The serial number could be included as an identifier.

            NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
            Contrôle0..*
            TypeIdentifier
            Est modificateurfalse
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Medication.code
            Définition

            A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

            CourtCode du produit de santé
            Commentaires

            Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

            Contrôle1..1
            BindingPour des exemples de codes, voir SNOMEDCTMedicationCodes
            (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

            A coded concept that defines the type of a medication.

            TypeCodeableConcept
            Est modificateurfalse
            Doit être pris en charge (Must Support)true
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. Medication.code.id
            Définition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            CourtUnique id for inter-element referencing
            Contrôle0..1
            Typestring
            Est modificateurfalse
            Format XMLDans le format XML, cette propriété est représentée comme attribut.
            Résuméfalse
            30. Medication.code.extension
            Définition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            CourtAdditional content defined by implementations
            Commentaires

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Contrôle0..*
            TypeExtension
            Est modificateurfalse
            Résuméfalse
            Noms alternatifsextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingCet élément introduit un ensemble de slices sur Medication.code.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
            • value @ url
            • 32. Medication.code.coding
              Définition

              A reference to a code defined by a terminology system.

              CourtAutres codifications (CIP, UCD, ATC, MV)
              Commentaires

              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

              Contrôle0..*
              BindingLes codes DOIVENT (SHALL) être pris de ValueSet - FR ValueSet Medication Translation Document
              (required to https://interop.esante.gouv.fr/ig/document/core/ValueSet/fr-vs-medication-translation-document)
              TypeCoding
              Est modificateurfalse
              Résumétrue
              Exigences

              Allows for alternative encodings within a code system, and translations to other code systems.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              34. Medication.code.text
              Définition

              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

              CourtPlain text representation of the concept
              Commentaires

              Very often the text is the same as a displayName of one of the codings.

              Contrôle0..1
              Typestring
              Est modificateurfalse
              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
              Résumétrue
              Exigences

              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. Medication.status
              Définition

              A code to indicate if the medication is in active use.

              Courtactive | inactive | entered-in-error
              Commentaires

              This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

              Contrôle0..1
              BindingLes codes DOIVENT (SHALL) être pris de Medication Status Codes
              (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

              A coded concept defining if the medication is in active use.

              Typecode
              Est modificateurtrue parce que This element changes the interpretation of all descriptive attributes.
              Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
              Résumétrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              38. Medication.manufacturer
              Définition

              Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

              CourtManufacturer of the item
              Contrôle0..1
              TypeReference(Organization)
              Est modificateurfalse
              Résumétrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. Medication.form
              Définition

              Describes the form of the item. Powder; tablets; capsule.

              Courtpowder | tablets | capsule +
              Commentaires

              When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

              Contrôle0..1
              BindingLes codes DOIVENT (SHALL) être pris de ValueSet - FR ValueSet EDQM Document
              (required to https://interop.esante.gouv.fr/ig/document/core/ValueSet/fr-vs-edqm-document)
              TypeCodeableConcept
              Est modificateurfalse
              Doit être pris en charge (Must Support)true
              Résuméfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. Medication.amount
              Définition

              Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

              CourtAmount of drug in package
              Contrôle0..1
              TypeRatio
              Est modificateurfalse
              Résumétrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Medication.ingredient
              Définition

              Identifies a particular constituent of interest in the product.

              CourtActive or inactive ingredient
              Commentaires

              The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

              Contrôle1..*
              TypeBackboneElement
              Est modificateurfalse
              Résuméfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingCet élément introduit un ensemble de slices sur Medication.ingredient. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
              • value @ $this
              • 46. Medication.ingredient.id
                Définition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                CourtUnique id for inter-element referencing
                Contrôle0..1
                Typestring
                Est modificateurfalse
                Format XMLDans le format XML, cette propriété est représentée comme attribut.
                Résuméfalse
                48. Medication.ingredient.extension
                Définition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                CourtAdditional content defined by implementations
                Commentaires

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Contrôle0..*
                TypeExtension
                Est modificateurfalse
                Résuméfalse
                Noms alternatifsextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                50. Medication.ingredient.modifierExtension
                Définition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                CourtExtensions that cannot be ignored even if unrecognized
                Commentaires

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Contrôle0..*
                TypeExtension
                Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Résumétrue
                Exigences

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Noms alternatifsextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                52. Medication.ingredient.item[x]
                Définition

                The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                CourtThe actual ingredient or content
                Contrôle1..1
                TypeChoix de : CodeableConcept, Reference(Substance, Medication)
                Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
                Est modificateurfalse
                Résuméfalse
                Exigences

                The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                54. Medication.ingredient.isActive
                Définition

                Indication of whether this ingredient affects the therapeutic action of the drug.

                CourtActive ingredient indicator
                Contrôle0..1
                Typeboolean
                Est modificateurfalse
                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                Résuméfalse
                Exigences

                True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                56. Medication.ingredient.strength
                Définition

                Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

                CourtQuantity of ingredient present
                Contrôle0..1
                TypeRatio
                Est modificateurfalse
                Résuméfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. Medication.ingredient:doseAntigene
                Nom de la slicedoseAntigene
                Définition

                Identifies a particular constituent of interest in the product.

                CourtDose antigène
                Commentaires

                The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

                Contrôle0..*
                TypeBackboneElement
                Est modificateurfalse
                Doit être pris en charge (Must Support)true
                Résuméfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                60. Medication.ingredient:doseAntigene.id
                Définition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                CourtUnique id for inter-element referencing
                Contrôle0..1
                Typestring
                Est modificateurfalse
                Format XMLDans le format XML, cette propriété est représentée comme attribut.
                Résuméfalse
                62. Medication.ingredient:doseAntigene.extension
                Définition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                CourtAdditional content defined by implementations
                Commentaires

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Contrôle0..*
                TypeExtension
                Est modificateurfalse
                Résuméfalse
                Noms alternatifsextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                64. Medication.ingredient:doseAntigene.modifierExtension
                Définition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                CourtExtensions that cannot be ignored even if unrecognized
                Commentaires

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Contrôle0..*
                TypeExtension
                Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Résumétrue
                Exigences

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Noms alternatifsextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                66. Medication.ingredient:doseAntigene.item[x]
                Définition

                The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                CourtThe actual ingredient or content
                Contrôle1..1
                TypeChoix de : CodeableConcept, Reference(Substance, Medication)
                Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
                Est modificateurfalse
                Résuméfalse
                Exigences

                The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. Medication.ingredient:doseAntigene.isActive
                Définition

                Indication of whether this ingredient affects the therapeutic action of the drug.

                CourtActive ingredient indicator
                Contrôle0..1
                Typeboolean
                Est modificateurfalse
                Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                Résuméfalse
                Exigences

                True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. Medication.ingredient:doseAntigene.strength
                Définition

                Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

                CourtQuantité de la dose antigène
                Contrôle0..1
                TypeRatio
                Est modificateurfalse
                Doit être pris en charge (Must Support)true
                Résuméfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. Medication.ingredient:substanceActive
                Nom de la slicesubstanceActive
                Définition

                Identifies a particular constituent of interest in the product.

                CourtSubstance active
                Commentaires

                The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

                Contrôle1..1
                TypeBackboneElement
                Est modificateurfalse
                Doit être pris en charge (Must Support)true
                Résuméfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. Medication.ingredient:substanceActive.id
                Définition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                CourtUnique id for inter-element referencing
                Contrôle0..1
                Typestring
                Est modificateurfalse
                Format XMLDans le format XML, cette propriété est représentée comme attribut.
                Résuméfalse
                76. Medication.ingredient:substanceActive.extension
                Définition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                CourtAdditional content defined by implementations
                Commentaires

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Contrôle0..*
                TypeExtension
                Est modificateurfalse
                Résuméfalse
                Noms alternatifsextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                78. Medication.ingredient:substanceActive.modifierExtension
                Définition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                CourtExtensions that cannot be ignored even if unrecognized
                Commentaires

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Contrôle0..*
                TypeExtension
                Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Résumétrue
                Exigences

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Noms alternatifsextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                80. Medication.ingredient:substanceActive.item[x]
                Définition

                The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

                CourtCode SMS de la substance active
                Contrôle1..1
                BindingLes codes DOIVENT (SHALL) être pris de ValueSet_SMS_All
                (required to https://smt.esante.gouv.fr/terminologie-sms?vs)
                TypeCodeableConcept
                Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
                Est modificateurfalse
                Doit être pris en charge (Must Support)true
                Résuméfalse
                Exigences

                The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                82. Medication.ingredient:substanceActive.item[x].id
                Définition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                CourtUnique id for inter-element referencing
                Contrôle0..1
                Typestring
                Est modificateurfalse
                Format XMLDans le format XML, cette propriété est représentée comme attribut.
                Résuméfalse
                84. Medication.ingredient:substanceActive.item[x].extension
                Définition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                CourtAdditional content defined by implementations
                Commentaires

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Contrôle0..*
                TypeExtension
                Est modificateurfalse
                Résuméfalse
                Noms alternatifsextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingCet élément introduit un ensemble de slices sur Medication.ingredient.item[x].extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                • value @ url
                • 86. Medication.ingredient:substanceActive.item[x].coding
                  Définition

                  A reference to a code defined by a terminology system.

                  CourtCode defined by a terminology system
                  Commentaires

                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                  Contrôle0..*
                  TypeCoding
                  Est modificateurfalse
                  Résumétrue
                  Exigences

                  Allows for alternative encodings within a code system, and translations to other code systems.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  88. Medication.ingredient:substanceActive.item[x].text
                  Définition

                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                  CourtNom de la substance
                  Commentaires

                  Very often the text is the same as a displayName of one of the codings.

                  Contrôle0..1
                  Typestring
                  Est modificateurfalse
                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                  Doit être pris en charge (Must Support)true
                  Résumétrue
                  Exigences

                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  90. Medication.ingredient:substanceActive.isActive
                  Définition

                  Indication of whether this ingredient affects the therapeutic action of the drug.

                  CourtActive ingredient indicator
                  Contrôle0..1
                  Typeboolean
                  Est modificateurfalse
                  Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                  Résuméfalse
                  Exigences

                  True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  92. Medication.ingredient:substanceActive.strength
                  Définition

                  Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

                  CourtDosage
                  Contrôle0..1
                  TypeRatio
                  Est modificateurfalse
                  Doit être pris en charge (Must Support)true
                  Résuméfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  94. Medication.ingredient:substanceActive.strength.id
                  Définition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  CourtUnique id for inter-element referencing
                  Contrôle0..1
                  Typestring
                  Est modificateurfalse
                  Format XMLDans le format XML, cette propriété est représentée comme attribut.
                  Résuméfalse
                  96. Medication.ingredient:substanceActive.strength.extension
                  Définition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  CourtAdditional content defined by implementations
                  Commentaires

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Contrôle0..*
                  TypeExtension
                  Est modificateurfalse
                  Résuméfalse
                  Noms alternatifsextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingCet élément introduit un ensemble de slices sur Medication.ingredient.strength.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
                  • value @ url
                  • 98. Medication.ingredient:substanceActive.strength.numerator
                    Définition

                    The value of the numerator.

                    CourtNumerator value
                    Contrôle1..1
                    TypeQuantity
                    Est modificateurfalse
                    Doit être pris en charge (Must Support)true
                    Résumétrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    100. Medication.ingredient:substanceActive.strength.denominator
                    Définition

                    The value of the denominator.

                    CourtDenominator value
                    Contrôle1..1
                    TypeQuantity
                    Est modificateurfalse
                    Doit être pris en charge (Must Support)true
                    Résumétrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    102. Medication.batch
                    Définition

                    Information that only applies to packages (not products).

                    CourtDetails about packaged medications
                    Contrôle0..1
                    TypeBackboneElement
                    Est modificateurfalse
                    Résuméfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    104. Medication.batch.id
                    Définition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    CourtUnique id for inter-element referencing
                    Contrôle0..1
                    Typestring
                    Est modificateurfalse
                    Format XMLDans le format XML, cette propriété est représentée comme attribut.
                    Résuméfalse
                    106. Medication.batch.extension
                    Définition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    CourtAdditional content defined by implementations
                    Commentaires

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Contrôle0..*
                    TypeExtension
                    Est modificateurfalse
                    Résuméfalse
                    Noms alternatifsextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    108. Medication.batch.modifierExtension
                    Définition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    CourtExtensions that cannot be ignored even if unrecognized
                    Commentaires

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Contrôle0..*
                    TypeExtension
                    Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Résumétrue
                    Exigences

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Noms alternatifsextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    110. Medication.batch.lotNumber
                    Définition

                    The assigned lot number of a batch of the specified product.

                    CourtNuméro de lot
                    Contrôle0..1
                    Typestring
                    Est modificateurfalse
                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                    Doit être pris en charge (Must Support)true
                    Résuméfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    112. Medication.batch.expirationDate
                    Définition

                    When this specific batch of product will expire.

                    CourtDate d'expiration du produit
                    Contrôle0..1
                    TypedateTime
                    Est modificateurfalse
                    Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
                    Doit être pris en charge (Must Support)true
                    Résuméfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))