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: MedicationAdministration - FR Medication Administration Document

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

- FRMedicationAdministrationDocument permert 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 est en attente d’administration c’est-à dire qu’il a été prescrit.

Utilisations:

- Référer à ce Profil: AdverseEvent - FR adverse event Document, MedicationDispense - FR Medication Dispense Document, MedicationStatement - FR Medication Statement Document, Observation - FR Observation Radiation Exposure Document... Show 2 more, FR Patient History Extension and Procedure - FR Procedure Imaging Document

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:occurenceR5 |  | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D]] | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence[x]"
Slices pour value[x] |  | 1..1 | Timing | Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueTiming |  | 1..1 | Timing | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
status | ?!S Σ | 1..1 | code | Statut Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Motif requis: completed
category | S | 0..1 | CodeableConcept | Acte ou situation Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) | What was administered
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
effective[x] | S Σ | 1..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document) | Prescription
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-sequence-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Instruction au patient
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)
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices pour rate[x] | S | 0..1 |  | Dose quantity per unit of time Slice: Non ordonné, Fermé par type:$this
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity | rythme d'administration
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationAdministration | 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()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:occurenceR5 |  | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D]] | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D
Slices pour value[x] |  | 1..1 | Timing | Value of extension Slice: Non ordonné, Ouvert par type:$this
value[x]:valueTiming |  | 1..1 | Timing | Value of extension
identifier | S | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
status | S | 1..1 | code | Statut Motif requis: completed
category | S | 0..1 | CodeableConcept | Acte ou situation
medication[x] | S | 1..1 | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) | What was administered
effective[x] | S | 1..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document) | Prescription
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage |  |  |  |
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-sequence-extension
text | S | 0..1 | string | Instruction au patient
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JDV Human Substance Administration Site CISIS (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: ValueSet - FR ValueSet EDQM Document (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices pour rate[x] | S | 0..1 | Ratio, SimpleQuantity(4.0.1) | Dose quantity per unit of time Slice: Non ordonné, Ouvert par type:$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
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationAdministration.​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
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to 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
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:occurenceR5 |  | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D]] | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence[x]"
Slices pour value[x] |  | 1..1 | Timing | Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueTiming |  | 1..1 | Timing | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | Statut Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Motif requis: completed
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category | S | 0..1 | CodeableConcept | Acte ou situation Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) | What was administered
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | S Σ | 1..1 | Period | Durée du traitement
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration
reasonCode |  | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document) | Prescription
device |  | 0..* | Reference(Device) | Device used to administer
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-sequence-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Instruction au patient
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)
method |  | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices pour rate[x] | S | 0..1 |  | Dose quantity per unit of time Slice: Non ordonné, Fermé par type:$this
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity | rythme d'administration
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationAdministration.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationAdministration | 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()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Résumé

Obligatoire : 1 élément(2 éléments obligatoire(s) imbriqué(s))
Must-Support : 14 éléments

Structures

Cette structure fait référence à ces autres structures:

- Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-document)
- 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)
- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-request-document)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

Cette structure fait référence à ces extensions:

- Impossible de résumer lextension {0} (extension non trouvée)
- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-sequence-extension

Slices

Cette structure définit les slices suivantes:

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

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:occurenceR5 |  | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D]] | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence[x]"
Slices pour value[x] |  | 1..1 | Timing | Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueTiming |  | 1..1 | Timing | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
status | ?!S Σ | 1..1 | code | Statut Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Motif requis: completed
category | S | 0..1 | CodeableConcept | Acte ou situation Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) | What was administered
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
effective[x] | S Σ | 1..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document) | Prescription
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-sequence-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Instruction au patient
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)
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices pour rate[x] | S | 0..1 |  | Dose quantity per unit of time Slice: Non ordonné, Fermé par type:$this
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity | rythme d'administration
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationAdministration | 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()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

Differential View

This structure is derived from MedicationAdministration

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:occurenceR5 |  | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D]] | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D
Slices pour value[x] |  | 1..1 | Timing | Value of extension Slice: Non ordonné, Ouvert par type:$this
value[x]:valueTiming |  | 1..1 | Timing | Value of extension
identifier | S | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
status | S | 1..1 | code | Statut Motif requis: completed
category | S | 0..1 | CodeableConcept | Acte ou situation
medication[x] | S | 1..1 | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) | What was administered
effective[x] | S | 1..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document) | Prescription
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage |  |  |  |
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-sequence-extension
text | S | 0..1 | string | Instruction au patient
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JDV Human Substance Administration Site CISIS (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: ValueSet - FR ValueSet EDQM Document (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices pour rate[x] | S | 0..1 | Ratio, SimpleQuantity(4.0.1) | Dose quantity per unit of time Slice: Non ordonné, Ouvert par type:$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
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationAdministration.​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
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to 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
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:occurenceR5 |  | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D]] | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence%5Bx%5D
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence[x]"
Slices pour value[x] |  | 1..1 | Timing | Value of extension Slice: Non ordonné, Fermé par type:$this
value[x]:valueTiming |  | 1..1 | Timing | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S | 1..* | Identifier | Identifiant. L'entrée Traitement doit être identifiée de manière unique.
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | Statut Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Motif requis: completed
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category | S | 0..1 | CodeableConcept | Acte ou situation Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 | Reference(Medication - FR Medication Document | Medication - FR Medications Combinaison Document) | What was administered
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | S Σ | 1..1 | Period | Durée du traitement
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration
reasonCode |  | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference | S | 0..* | Reference(Condition - FR Condition Document | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document) | Prescription
device |  | 0..* | Reference(Device) | Device used to administer
note | S | 0..1 | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-sequence-extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Instruction au patient
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)
method |  | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices pour rate[x] | S | 0..1 |  | Dose quantity per unit of time Slice: Non ordonné, Fermé par type:$this
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity | rythme d'administration
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationAdministration.​language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | Std. FHIR
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📦20251028115832 | Terminologies de Santé v1.4
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📦0.1.0 | cet IG
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationAdministration | 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()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Résumé

Obligatoire : 1 élément(2 éléments obligatoire(s) imbriqué(s))
Must-Support : 14 éléments

Structures

Cette structure fait référence à ces autres structures:

- Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-document)
- 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)
- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-request-document)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

Cette structure fait référence à ces extensions:

- Impossible de résumer lextension {0} (extension non trouvée)
- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-medication-administration-sequence-extension

Slices

Cette structure définit les slices suivantes:

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

Other representations of profile: CSV, Excel, Schematron