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: FRMedicationAdministrationDocument - Detailed Descriptions

Draft as of 2025-12-15

Definitions for the fr-medication-administration-document resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

0. MedicationAdministration
Définition | Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
Court | Administration of medication to a patient
Contrôle | 0..*
Est modificateur | false
Résumé | false
Invariants | dom-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. MedicationAdministration.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.
Court | A 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.
Contrôle | 0..1
Type | uri
Est modificateur | true 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 primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicationAdministration.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.
Court | ExtensionAdditional 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.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | 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())
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
6. MedicationAdministration.extension:occurenceR5
Nom de la slice | occurenceR5
Définition | Optional Extension Element - found in all resources.
Court | Fréquence d'administration
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(`http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D`)
Est modificateur | false
Résumé | false
Invariants | 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()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. MedicationAdministration.extension:occurenceR5.extension
Définition | An Extension 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.
Court | ExtensionAdditional 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.
Contrôle | 0..0*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | 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())
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
10. MedicationAdministration.extension:occurenceR5.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence[x]`
12. MedicationAdministration.extension:occurenceR5.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 10..1
Type | Timing, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.extension.value[x]`. Les slices sontNon ordonné et Closed, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
14. MedicationAdministration.extension:occurenceR5.value[x]:valueTiming
Nom de la slice | valueTiming
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 10..1
Type | Timing, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. MedicationAdministration.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).
Court | Extensions 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.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
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 alternatifs | extensions, user content
Invariants | 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())
18. MedicationAdministration.identifier
Définition | Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
Court | Identifiant. L'entrée Traitement doit être identifiée de manière unique.External identifier
Commentaires | This is a business identifier, not a resource identifier.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 10..*
Type | Identifier
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. MedicationAdministration.status
Définition | Will generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.
Court | Statutin-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Commentaires | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` ) A set of codes indicating the current status of a MedicationAdministration.
Type | code
Est modificateur | true parce que This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Valeur de motif | `completed`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. MedicationAdministration.category
Définition | Indicates where the medication is expected to be consumed or administered.
Court | Acte ou situationType of medication usage
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de MedicationAdministration Category Codes http://hl7.org/fhir/ValueSet/medication-admin-category|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/medication-admin-category|4.0.1` ) A coded concept describing where the medication administered is expected to occur.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. MedicationAdministration.medication[x]
Définition | Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
Court | What was administered
Commentaires | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
Contrôle | 1..1
Type | Reference(Medication - FR Medication Document, Medication - FR Medications Combinaison Document, Medication), CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. MedicationAdministration.subject
Définition | The person or animal or group receiving the medication.
Court | Who received medication
Contrôle | 1..1
Type | Reference(Patient, Group)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. MedicationAdministration.effective[x]
Définition | A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
Court | Durée du traitementStart and end time of administration
Contrôle | 1..1
Type | Period, dateTime
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. MedicationAdministration.reasonReference
Définition | Condition or observation that supports why the medication was administered.
Court | Motif du traitementCondition or observation that supports why the medication was administered
Commentaires | This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode.
Contrôle | 0..*
Type | Reference(Condition - FR Condition Document, Observation, Condition, Observation, DiagnosticReport)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. MedicationAdministration.request
Définition | The original request, instruction or authority to perform the administration.
Court | PrescriptionRequest administration performed against
Commentaires | This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.
Contrôle | 0..1
Type | Reference(MedicationRequest - FR Medication Request Document, MedicationRequest)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. MedicationAdministration.note
Définition | Extra information about the medication administration that is not conveyed by the other attributes.
Court | Permet de décrire les conditions préalables à l'utilisation du médicament.Information about the administration
Contrôle | 0..1*
Type | Annotation
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. MedicationAdministration.dosage
Définition | Describes the medication dosage information details e.g. dose, rate, site, route, etc.
Court | Details of how medication was taken
Contrôle | 0..1
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] (`dose.exists() or rate.exists()`) mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] (dose.exists() or rate.exists())
38. MedicationAdministration.dosage.extension
Définition | An Extension 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.
Court | ExtensionAdditional 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.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | 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())
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.dosage.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
40. MedicationAdministration.dosage.extension:sequence
Nom de la slice | sequence
Définition | Extension permettant d'indiquer l’ordre d’une prise dans le cadre d’un schéma de traitement comportant des dosages progressifs ou fractionnés dans le contexte de MedicationAdministration. La valeur est un entier (integer) représentant le numéro de séquence de l’administration.
Court | FR Medication Administration Sequence Extension
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Medication Administration Sequence Extension) (Type dextension : integer)
Est modificateur | false
Résumé | false
Invariants | 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()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. MedicationAdministration.dosage.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).
Court | Extensions 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.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
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 alternatifs | extensions, user content, modifiers
Invariants | 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())
44. MedicationAdministration.dosage.text
Définition | Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered.
Court | Instruction au patientFree text dosage instructions e.g. SIG
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. MedicationAdministration.dosage.site
Définition | A coded specification of the anatomic site where the medication first entered the body. For example, "left arm".
Court | Région anatomique d'administrationBody site administered to
Commentaires | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir JDV Human Substance Administration Site CISIS http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1 (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-human-substance-administration-site-cisis` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. MedicationAdministration.dosage.route
Définition | A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.
Court | Voie d'administrationPath of substance into body
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir ValueSet - FR ValueSet EDQM Document http://hl7.org/fhir/ValueSet/route-codes|4.0.1 (required to `https://interop.esante.gouv.fr/ig/document/core/ValueSet/fr-vs-edqm-document` ) EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1) A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. MedicationAdministration.dosage.dose
Définition | The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.
Court | Dose à administrerAmount of medication per dose
Commentaires | If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.
Contrôle | 0..1
Type | Quantity(SimpleQuantity)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. MedicationAdministration.dosage.rate[x]
Définition | Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
Court | Dose quantity per unit of time
Commentaires | If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
Contrôle | 0..1
Type | Choix de : Ratio, Quantity(SimpleQuantity)
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.dosage.rate[x]`. Les slices sontNon ordonné et Closed, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
54. MedicationAdministration.dosage.rate[x]:rateRatio
Nom de la slice | rateRatio
Définition | Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
Court | doseMaximaleDose quantity per unit of time
Commentaires | If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
Contrôle | 0..1
Type | Ratio, Quantity(SimpleQuantity)
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. MedicationAdministration.dosage.rate[x]:rateQuantity
Nom de la slice | rateQuantity
Définition | Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
Court | rythme d'administrationDose quantity per unit of time
Commentaires | If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
Contrôle | 0..1
Type | Quantity(SimpleQuantity, SimpleQuantity), Ratio
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-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. MedicationAdministration
2. MedicationAdministration.extension
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
4. MedicationAdministration.extension:occurenceR5
Nom de la slice | occurenceR5
Court | Fréquence d'administration
Contrôle | 0..1
Type | Extension(`http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D`)
6. MedicationAdministration.extension:occurenceR5.value[x]
Contrôle | 1..?
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.extension.value[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
8. MedicationAdministration.extension:occurenceR5.value[x]:valueTiming
Nom de la slice | valueTiming
Contrôle | 1..1
Type | Timing
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
10. MedicationAdministration.identifier
Court | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 1..?
Doit être pris en charge (Must Support) | true
12. MedicationAdministration.status
Court | Statut
Doit être pris en charge (Must Support) | true
Valeur de motif | `completed`
14. MedicationAdministration.category
Court | Acte ou situation
Doit être pris en charge (Must Support) | true
16. MedicationAdministration.medication[x]
Type | Reference(Medication - FR Medication Document, Medication - FR Medications Combinaison Document), CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
18. MedicationAdministration.effective[x]
Court | Durée du traitement
Type | Period, dateTime
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Doit être pris en charge (Must Support) | true
20. MedicationAdministration.reasonReference
Court | Motif du traitement
Type | Reference(Condition - FR Condition Document, Observation)
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
22. MedicationAdministration.request
Court | Prescription
Type | Reference(MedicationRequest - FR Medication Request Document)
24. MedicationAdministration.note
Court | Permet de décrire les conditions préalables à l'utilisation du médicament.
Contrôle | 0..1
Doit être pris en charge (Must Support) | true
26. MedicationAdministration.dosage
28. MedicationAdministration.dosage.extension
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.dosage.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
30. MedicationAdministration.dosage.extension:sequence
Nom de la slice | sequence
Contrôle | 0..*
Type | Extension(FR Medication Administration Sequence Extension) (Type dextension : integer)
32. MedicationAdministration.dosage.text
Court | Instruction au patient
Doit être pris en charge (Must Support) | true
34. MedicationAdministration.dosage.site
Court | Région anatomique d'administration
Binding | Les codes DOIVENT (SHALL) être pris de JDV Human Substance Administration Site CISIS (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-human-substance-administration-site-cisis` )
Doit être pris en charge (Must Support) | true
36. MedicationAdministration.dosage.route
Court | Voie d'administration
Binding | Les 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` ) EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
Doit être pris en charge (Must Support) | true
38. MedicationAdministration.dosage.dose
Court | Dose à administrer
Doit être pris en charge (Must Support) | true
40. MedicationAdministration.dosage.rate[x]
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Doit être pris en charge (Must Support) | true
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.dosage.rate[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
42. MedicationAdministration.dosage.rate[x]:rateRatio
Nom de la slice | rateRatio
Court | doseMaximale
Contrôle | 0..1
Type | Ratio
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Doit être pris en charge (Must Support) | true
44. MedicationAdministration.dosage.rate[x]:rateQuantity
Nom de la slice | rateQuantity
Court | rythme d'administration
Contrôle | 0..1
Type | Quantity(SimpleQuantity)
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Doit être pris en charge (Must Support) | true

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

0. MedicationAdministration
Définition | Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
Court | Administration of medication to a patient
Contrôle | 0..*
Est modificateur | false
Résumé | false
Invariants | dom-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. MedicationAdministration.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Court | Logical 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.
Contrôle | 0..1
Type | id
Est modificateur | false
Résumé | true
4. MedicationAdministration.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.
Court | Metadata about the resource
Contrôle | 0..1
Type | Meta
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. MedicationAdministration.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.
Court | A 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.
Contrôle | 0..1
Type | uri
Est modificateur | true 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 primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. MedicationAdministration.language
Définition | The base language in which the resource is written.
Court | Language 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).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. MedicationAdministration.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.
Court | Text 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.
Contrôle | 0..1
Type | Narrative
Est modificateur | false
Résumé | false
Noms alternatifs | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. MedicationAdministration.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.
Court | Contained, 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.
Contrôle | 0..*
Type | Resource
Est modificateur | false
Résumé | false
Noms alternatifs | inline resources, anonymous resources, contained resources
14. MedicationAdministration.extension
Définition | An Extension
Court | Extension
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | 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()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
16. MedicationAdministration.extension:occurenceR5
Nom de la slice | occurenceR5
Définition | Optional Extension Element - found in all resources.
Court | Fréquence d'administration
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(`http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D`)
Est modificateur | false
Résumé | false
Invariants | 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()`)
18. MedicationAdministration.extension:occurenceR5.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
20. MedicationAdministration.extension:occurenceR5.extension
Définition | An Extension
Court | Extension
Contrôle | 0..0
Type | Extension
Est modificateur | false
Résumé | false
Invariants | 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()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
22. MedicationAdministration.extension:occurenceR5.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence[x]`
24. MedicationAdministration.extension:occurenceR5.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 1..1
Type | Timing
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.extension.value[x]`. Les slices sontNon ordonné et Closed, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
26. MedicationAdministration.extension:occurenceR5.value[x]:valueTiming
Nom de la slice | valueTiming
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 1..1
Type | Timing
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. MedicationAdministration.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).
Court | Extensions 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.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
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 alternatifs | extensions, user content
Invariants | 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()`)
30. MedicationAdministration.identifier
Définition | Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
Court | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
Commentaires | This is a business identifier, not a resource identifier.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 1..*
Type | Identifier
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. MedicationAdministration.instantiates
Définition | A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.
Court | Instantiates protocol or definition
Contrôle | 0..*
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. MedicationAdministration.partOf
Définition | A larger event of which this particular event is a component or step.
Court | Part of referenced event
Contrôle | 0..*
Type | Reference(MedicationAdministration, Procedure)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. MedicationAdministration.status
Définition | Will generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.
Court | Statut
Commentaires | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de MedicationAdministration Status Codes (required to `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` ) A set of codes indicating the current status of a MedicationAdministration.
Type | code
Est modificateur | true parce que This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Valeur de motif | `completed`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. MedicationAdministration.statusReason
Définition | A code indicating why the administration was not performed.
Court | Reason administration not performed
Contrôle | 0..*
Binding | Pour des exemples de codes, voir SNOMEDCTReasonMedicationNotGivenCodes (example to `http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes|4.0.1` ) A set of codes indicating the reason why the MedicationAdministration is negated.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. MedicationAdministration.category
Définition | Indicates where the medication is expected to be consumed or administered.
Court | Acte ou situation
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de MedicationAdministration Category Codes (preferred to `http://hl7.org/fhir/ValueSet/medication-admin-category|4.0.1` ) A coded concept describing where the medication administered is expected to occur.
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. MedicationAdministration.medication[x]
Définition | Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
Court | What was administered
Commentaires | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
Contrôle | 1..1
Type | Reference(Medication - FR Medication Document, Medication - FR Medications Combinaison Document)
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. MedicationAdministration.subject
Définition | The person or animal or group receiving the medication.
Court | Who received medication
Contrôle | 1..1
Type | Reference(Patient, Group)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. MedicationAdministration.context
Définition | The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.
Court | Encounter or Episode of Care administered as part of
Contrôle | 0..1
Type | Reference(Encounter, EpisodeOfCare)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. MedicationAdministration.supportingInformation
Définition | Additional information (for example, patient height and weight) that supports the administration of the medication.
Court | Additional information to support administration
Contrôle | 0..*
Type | Reference(Resource)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. MedicationAdministration.effective[x]
Définition | A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
Court | Durée du traitement
Contrôle | 1..1
Type | Period
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. MedicationAdministration.performer
Définition | Indicates who or what performed the medication administration and how they were involved.
Court | Who performed the medication administration and what they did
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. MedicationAdministration.performer.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
56. MedicationAdministration.performer.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.
Court | Additional 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.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | 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()`)
58. MedicationAdministration.performer.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).
Court | Extensions 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.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
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 alternatifs | extensions, user content, modifiers
Invariants | 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()`)
60. MedicationAdministration.performer.function
Définition | Distinguishes the type of involvement of the performer in the medication administration.
Court | Type of performance
Contrôle | 0..1
Binding | Pour des exemples de codes, voir MedicationAdministration Performer Function Codes (example to `http://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1` ) A code describing the role an individual played in administering the medication.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. MedicationAdministration.performer.actor
Définition | Indicates who or what performed the medication administration.
Court | Who performed the medication administration
Contrôle | 1..1
Type | Reference(Practitioner, PractitionerRole, Patient, RelatedPerson, Device)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. MedicationAdministration.reasonCode
Définition | A code indicating why the medication was given.
Court | Reason administration performed
Contrôle | 0..*
Binding | Pour des exemples de codes, voir ReasonMedicationGivenCodes (example to `http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1` ) A set of codes indicating the reason why the MedicationAdministration was made.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. MedicationAdministration.reasonReference
Définition | Condition or observation that supports why the medication was administered.
Court | Motif du traitement
Commentaires | This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode.
Contrôle | 0..*
Type | Reference(Condition - FR Condition Document, Observation)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. MedicationAdministration.request
Définition | The original request, instruction or authority to perform the administration.
Court | Prescription
Commentaires | This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.
Contrôle | 0..1
Type | Reference(MedicationRequest - FR Medication Request Document)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. MedicationAdministration.device
Définition | The device used in administering the medication to the patient. For example, a particular infusion pump.
Court | Device used to administer
Contrôle | 0..*
Type | Reference(Device)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. MedicationAdministration.note
Définition | Extra information about the medication administration that is not conveyed by the other attributes.
Court | Permet de décrire les conditions préalables à l'utilisation du médicament.
Contrôle | 0..1
Type | Annotation
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. MedicationAdministration.dosage
Définition | Describes the medication dosage information details e.g. dose, rate, site, route, etc.
Court | Details of how medication was taken
Contrôle | 0..1
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] (`dose.exists() or rate.exists()`)
76. MedicationAdministration.dosage.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
78. MedicationAdministration.dosage.extension
Définition | An Extension
Court | Extension
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | 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()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.dosage.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
80. MedicationAdministration.dosage.extension:sequence
Nom de la slice | sequence
Définition | Extension permettant d'indiquer l’ordre d’une prise dans le cadre d’un schéma de traitement comportant des dosages progressifs ou fractionnés dans le contexte de MedicationAdministration. La valeur est un entier (integer) représentant le numéro de séquence de l’administration.
Court | FR Medication Administration Sequence Extension
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Medication Administration Sequence Extension) (Type dextension : integer)
Est modificateur | false
Résumé | false
Invariants | 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()`)
82. MedicationAdministration.dosage.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).
Court | Extensions 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.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
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 alternatifs | extensions, user content, modifiers
Invariants | 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()`)
84. MedicationAdministration.dosage.text
Définition | Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered.
Court | Instruction au patient
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. MedicationAdministration.dosage.site
Définition | A coded specification of the anatomic site where the medication first entered the body. For example, "left arm".
Court | Région anatomique d'administration
Commentaires | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de JDV Human Substance Administration Site CISIS (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-human-substance-administration-site-cisis` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. MedicationAdministration.dosage.route
Définition | A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.
Court | Voie d'administration
Contrôle | 0..1
Binding | Les 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` ) EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. MedicationAdministration.dosage.method
Définition | A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.
Court | How drug was administered
Commentaires | One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SNOMEDCTAdministrationMethodCodes (example to `http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1` ) A coded concept describing the technique by which the medicine is administered.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. MedicationAdministration.dosage.dose
Définition | The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.
Court | Dose à administrer
Commentaires | If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.
Contrôle | 0..1
Type | Quantity(SimpleQuantity)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. MedicationAdministration.dosage.rate[x]
Définition | Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
Court | Dose quantity per unit of time
Commentaires | If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
Contrôle | 0..1
Type | Choix de : Ratio, Quantity(SimpleQuantity)
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationAdministration.dosage.rate[x]`. Les slices sontNon ordonné et Closed, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
96. MedicationAdministration.dosage.rate[x]:rateRatio
Nom de la slice | rateRatio
Définition | Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
Court | doseMaximale
Commentaires | If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
Contrôle | 0..1
Type | Ratio
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. MedicationAdministration.dosage.rate[x]:rateQuantity
Nom de la slice | rateQuantity
Définition | Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.
Court | rythme d'administration
Commentaires | If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
Contrôle | 0..1
Type | Quantity(SimpleQuantity)
Note [x] | VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. MedicationAdministration.eventHistory
Définition | A summary of the events of interest that have occurred, such as when the administration was verified.
Court | A list of events of interest in the lifecycle
Commentaires | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
Contrôle | 0..*
Type | Reference(Provenance)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)