ANS IG document core
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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: MedicationStatement - FR Medication Statement Document

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

- FRMedicationStatementDocument permet de décrire les modalités d’administration d’un médicament au patient.
- Il permet de décrire notamment le médicament, le mode d’administration, la quantité, la durée et la fréquence d’administration.
- Si le traitement a déjà été administré ou si information rapporté par le patient ou si aucun traitement.

Utilisations:

- Ce Profil nest utilisé par aucun profil dans ce guide dimplémentation

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
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
basedOn | Σ | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
partOf | Σ | 0..* | Reference(MedicationAdministration - FR Medication Administration Document) | Part of referenced event
status | ?!S Σ | 1..1 | code | Statut Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. Motif requis: completed
category | S Σ | 0..1 | CodeableConcept | Acte ou situation Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x] | S Σ | 1..1 |  | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) |
subject | Σ | 1..1 | Reference(Patient | Group) | Who is/was taking the medication
effective[x] | S Σ | 0..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | S Σ | 0..1 | integer | The order of the dosage instructions
additionalInstruction | S Σ | 0..* | CodeableConcept | Instructions au patient Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
text | S Σ | 0..1 | string | Instruction au patient
timing | S Σ | 0..1 | Timing | Fréquence d'administration
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JDV Human Substance Administration Site CISIS (required)
route | S Σ | 0..1 | CodeableConcept | Voie d'administration Binding: ValueSet - FR ValueSet EDQM Document (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
Slices pour rate[x] | S Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S Σ | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S Σ | 0..1 | SimpleQuantity | rythme d'administration
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationStatement.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | 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 | MedicationStatement | 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 | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationStatement | 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 MedicationStatement

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
identifier | S | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
basedOn |  | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
partOf |  | 0..* | Reference(MedicationAdministration - FR Medication Administration Document) | Part of referenced event
status | S | 1..1 | code | Statut Motif requis: completed
category | S | 0..1 | CodeableConcept | Acte ou situation
medication[x] | S | 1..1 |  | What medication was taken
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) |
effective[x] | S | 0..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
sequence | S | 0..1 | integer | The order of the dosage instructions
additionalInstruction | S | 0..* | CodeableConcept | Instructions au patient
text | S | 0..1 | string | Instruction au patient
timing | S | 0..1 | Timing | Fréquence d'administration
asNeeded[x] | S | 0..1 | boolean, CodeableConcept | Take "as needed" (for x)
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JDV Human Substance Administration Site CISIS (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: ValueSet - FR ValueSet EDQM Document (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
doseAndRate |  |  |  |
Slices pour rate[x] | S | 0..1 | Ratio, Range, SimpleQuantity(4.0.1) | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity | rythme d'administration
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationStatement.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
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 | S Σ | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
basedOn | Σ | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
partOf | Σ | 0..* | Reference(MedicationAdministration - FR Medication Administration Document) | Part of referenced event
status | ?!S Σ | 1..1 | code | Statut Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. Motif requis: completed
statusReason |  | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category | S Σ | 0..1 | CodeableConcept | Acte ou situation Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x] | S Σ | 1..1 |  | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) |
subject | Σ | 1..1 | Reference(Patient | Group) | Who is/was taking the medication
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | S Σ | 0..1 | Period | Durée du traitement
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted?
informationSource |  | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication
derivedFrom |  | 0..* | Reference(Resource) | Additional supporting information
reasonCode |  | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | S Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | S Σ | 0..* | CodeableConcept | Instructions au patient Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | S Σ | 0..1 | string | Instruction au patient
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | Fréquence d'administration
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JDV Human Substance Administration Site CISIS (required)
route | S Σ | 0..1 | CodeableConcept | Voie d'administration Binding: ValueSet - FR ValueSet EDQM Document (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
Slices pour rate[x] | S Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S Σ | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S Σ | 0..1 | SimpleQuantity | rythme d'administration
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationStatement.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG
MedicationStatement.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | 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 | MedicationStatement | 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 | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationStatement | 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 MedicationStatement

Résumé

Obligatoire : 1 élément
Must-Support : 18 éléments

Structures

Cette structure fait référence à ces autres structures:

- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-request-document)
- MedicationAdministration - FR Medication Administration Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-document)
- Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-document)
- Medication - FR Medications Combinaison Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medications-combinaison-document)
- Condition - FR Condition Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-condition-document)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.rate[x]

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
basedOn | Σ | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
partOf | Σ | 0..* | Reference(MedicationAdministration - FR Medication Administration Document) | Part of referenced event
status | ?!S Σ | 1..1 | code | Statut Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. Motif requis: completed
category | S Σ | 0..1 | CodeableConcept | Acte ou situation Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x] | S Σ | 1..1 |  | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) |
subject | Σ | 1..1 | Reference(Patient | Group) | Who is/was taking the medication
effective[x] | S Σ | 0..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | S Σ | 0..1 | integer | The order of the dosage instructions
additionalInstruction | S Σ | 0..* | CodeableConcept | Instructions au patient Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
text | S Σ | 0..1 | string | Instruction au patient
timing | S Σ | 0..1 | Timing | Fréquence d'administration
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JDV Human Substance Administration Site CISIS (required)
route | S Σ | 0..1 | CodeableConcept | Voie d'administration Binding: ValueSet - FR ValueSet EDQM Document (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
Slices pour rate[x] | S Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S Σ | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S Σ | 0..1 | SimpleQuantity | rythme d'administration
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationStatement.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | 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 | MedicationStatement | 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 | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationStatement | 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 MedicationStatement

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
identifier | S | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
basedOn |  | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
partOf |  | 0..* | Reference(MedicationAdministration - FR Medication Administration Document) | Part of referenced event
status | S | 1..1 | code | Statut Motif requis: completed
category | S | 0..1 | CodeableConcept | Acte ou situation
medication[x] | S | 1..1 |  | What medication was taken
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) |
effective[x] | S | 0..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
sequence | S | 0..1 | integer | The order of the dosage instructions
additionalInstruction | S | 0..* | CodeableConcept | Instructions au patient
text | S | 0..1 | string | Instruction au patient
timing | S | 0..1 | Timing | Fréquence d'administration
asNeeded[x] | S | 0..1 | boolean, CodeableConcept | Take "as needed" (for x)
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JDV Human Substance Administration Site CISIS (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: ValueSet - FR ValueSet EDQM Document (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
doseAndRate |  |  |  |
Slices pour rate[x] | S | 0..1 | Ratio, Range, SimpleQuantity(4.0.1) | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity | rythme d'administration
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationStatement.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationStatement |  | 0..* | MedicationStatement | Record of medication being taken by a patient
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 | S Σ | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
basedOn | Σ | 0..* | Reference(MedicationRequest - FR Medication Request Document) | Prescription
partOf | Σ | 0..* | Reference(MedicationAdministration - FR Medication Administration Document) | Part of referenced event
status | ?!S Σ | 1..1 | code | Statut Binding: Medication Status Codes (required): A coded concept indicating the current status of a MedicationStatement. Motif requis: completed
statusReason |  | 0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement.
category | S Σ | 0..1 | CodeableConcept | Acte ou situation Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.
medication[x] | S Σ | 1..1 |  | What medication was taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) |
subject | Σ | 1..1 | Reference(Patient | Group) | Who is/was taking the medication
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement
effective[x] | S Σ | 0..1 | Period | Durée du traitement
dateAsserted | Σ | 0..1 | dateTime | When the statement was asserted?
informationSource |  | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Person or organization that provided the information about the taking of this medication
derivedFrom |  | 0..* | Reference(Resource) | Additional supporting information
reasonCode |  | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | S | 0..* | Dosage | Details of how medication is/was taken or should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | S Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | S Σ | 0..* | CodeableConcept | Instructions au patient Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | S Σ | 0..1 | string | Instruction au patient
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | Fréquence d'administration
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JDV Human Substance Administration Site CISIS (required)
route | S Σ | 0..1 | CodeableConcept | Voie d'administration Binding: ValueSet - FR ValueSet EDQM Document (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
Slices pour rate[x] | S Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Ouvert par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S Σ | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S Σ | 0..1 | SimpleQuantity | rythme d'administration
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationStatement.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationStatement.​status | Base | required | Medication status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​category | Base | preferred | Medication usage category codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationStatement.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG
MedicationStatement.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR
MedicationStatement.​dosage.doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationStatement | 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 | MedicationStatement | 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 | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationStatement | 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 MedicationStatement

Résumé

Obligatoire : 1 élément
Must-Support : 18 éléments

Structures

Cette structure fait référence à ces autres structures:

- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-request-document)
- MedicationAdministration - FR Medication Administration Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-document)
- Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-document)
- Medication - FR Medications Combinaison Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medications-combinaison-document)
- Condition - FR Condition Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-condition-document)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of MedicationStatement.dosage.doseAndRate.rate[x]

Other representations of profile: CSV, Excel, Schematron