ANS IG document core
0.1.0 - ci-build

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: Medication - FR Medications Combinaison Document

Official URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medications-combinaison-document | Version: 0.1.0
Draft as of 2025-12-15 | Computable Name: FRMedicationsCombinaisonDocument

FRMedicationsCombinaisonDocument permet de décrire une combinaison de médicaments ou de vaccins.

Utilisations:

- Référer à ce Profil: CarePlan - FR Care Plan Document, MedicationAdministration - FR Medication Administration Document, MedicationRequest - FR Medication Request Document and MedicationStatement - FR Medication Statement Document

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices pour item[x] |  | 1..1 |  | The actual ingredient or content Slice: Non ordonné, Ouvert par type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication - FR Medication Document) | The actual ingredient or content
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Medication.status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Medication

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
Slices pour item[x] |  | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content Slice: Non ordonné, Ouvert par type:$this
item[x]:itemReference |  | 0..1 | Reference(Medication - FR Medication Document) | The actual ingredient or content
Documentation pour ce format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for this medication
code | Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices pour item[x] |  | 1..1 |  | The actual ingredient or content Slice: Non ordonné, Ouvert par type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication - FR Medication Document) | The actual ingredient or content
isActive |  | 0..1 | boolean | Active ingredient indicator
strength |  | 0..1 | Ratio | Quantity of ingredient present
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
Medication.status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
Medication.form | Base | example | SNOMED CT Form Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Medication

Résumé

Must-Support : 1 élément

Structures

Cette structure fait référence à ces autres structures:

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

Slices

Cette structure définit les slices suivantes:

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

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices pour item[x] |  | 1..1 |  | The actual ingredient or content Slice: Non ordonné, Ouvert par type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication - FR Medication Document) | The actual ingredient or content
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Medication.status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Medication

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
Slices pour item[x] |  | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content Slice: Non ordonné, Ouvert par type:$this
item[x]:itemReference |  | 0..1 | Reference(Medication - FR Medication Document) | The actual ingredient or content
Documentation pour ce format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | Medication | Definition of a Medication
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for this medication
code | Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient | S | 0..* | BackboneElement | Active or inactive ingredient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices pour item[x] |  | 1..1 |  | The actual ingredient or content Slice: Non ordonné, Ouvert par type:$this
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemReference |  | 0..1 | Reference(Medication - FR Medication Document) | The actual ingredient or content
isActive |  | 0..1 | boolean | Active ingredient indicator
strength |  | 0..1 | Ratio | Quantity of ingredient present
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
Medication.status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
Medication.form | Base | example | SNOMED CT Form Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | Medication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Medication

Résumé

Must-Support : 1 élément

Structures

Cette structure fait référence à ces autres structures:

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

Slices

Cette structure définit les slices suivantes:

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

Other representations of profile: CSV, Excel, Schematron