Guide d'implémentation de la ePrescription
0.1.0 - ci-build FRANCE

Guide d'implémentation de la ePrescription - version de développement local (intégration continue v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

## Resource Profile: FRMedicationNonCompound - Detailed Descriptions

Draft as of 2026-02-23

Definitions for the fr-medication-noncompound resource profile.

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

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. Medication
Court | Simple Medication
Commentaires | A simple medication is made of one single component made of one to many substances. Optionality of doseForm, amount and strehgth attributes supports different levels of granularity. The coarser level only defines the substances it's made of. For instance, contaning only paracetamol or containing only glucose. The finest level is the defines the composition and the dose form. For instance, paracetamol 500 mg tablet or 500 mL glucose 5% (50 mg/mL) solution for injection.
Invariants | frmed-med-1: If fr-medication is a simple medication, ingredient SHALL NOT be a Reference (`code.coding.system.exists() implies (ingredient.item as Reference).empty()`)
2. Medication.extension
Slicing | Cet élément introduit un ensemble de slices sur `Medication.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
4. Medication.extension:drugCharacteristic
Nom de la slice | drugCharacteristic
Court | descriptive properties of the medicine
Contrôle | 0..*
Type | Extension(Medication descriptive properties) (Extension complexe)
6. Medication.code
Définition | A RIUM id that specify this medication.
Contrôle | 1..?
Exigences | The developper SHALL support the infusion use case, which requires a multi-compounds Medication ressource.
8. Medication.code.coding
Contrôle | 1..?
Slicing | Cet élément introduit un ensemble de slices sur `Medication.code.coding`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ coding.system
10. Medication.code.coding:nonCompoundCode
Nom de la slice | nonCompoundCode
Définition | Codes that identify this simple medication
Court | Codes that identify this simple medication
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de value set Interop'Santé - Codes identifiant les médicaments (required to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-medication-code` ) UCD, SMS or ANSM code
Doit être pris en charge (Must Support) | true
12. Medication.code.text
Commentaires | When some code is available, the text is the same as a displayName of one of the codings.
14. Medication.form
Commentaires | When branded medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When branded medication is referenced within MedicationAdministration, this is administered form.
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de French Medicinal product Dose form (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-mp-dose-form` )
16. Medication.amount
Commentaires | If the strenght of the ingredients is a concentration, it is the volume (liquid) or mass (ointment) in the Medication of the MedicationRequest, Dispense or Use (pka MedicationStatement). If there is only one ingredient and the strenght is not defined, it is the quantity of the substance.
18. Medication.ingredient
Définition | Identifies a particular constituent in the product.
20. Medication.ingredient.item[x]
Définition | The actual substance (simple ingredient) of the simple medication (ie. made of single component).
Court | Substance
Type | CodeableConcept(FR Medicinal Product Substance), Reference(Substance, Medication)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Exigences | The composition of the medication for this ingredient SHALL be defined for prescrption of virtual medication so that strength can be defined. It MAY be defined for other medication
22. Medication.ingredient.strength
Définition | Specifies how much of the items there are in this Medication
Commentaires | The quantity of this igredient defining the medication. For instance, 50 mg/mL defining the glucose quantity for the glucose 5% or 500 mg medicine and 30 mg respectively defining the paracetamol and the codeine quantity for the paracetamol+codeine 500 mg+30 mg medicine.
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Exigences | In cas of virtual medication strength SHALL be provided
24. Medication.batch
Définition | This applies for the proprietary named medication involved in a MedicationDispense, MedicationAdministration or a MedicationUse.
Commentaires | WARNING: it is the batch number of the part. If it is not discerned for each part, it SHALL NOT be provided here but at the grouping level where it is defined, most often the UCD.

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. Medication
Définition | This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.
Court | Simple MedicationDefinition of a Medication
Commentaires | A simple medication is made of one single component made of one to many substances. Optionality of doseForm, amount and strehgth attributes supports different levels of granularity. The coarser level only defines the substances it's made of. For instance, contaning only paracetamol or containing only glucose. The finest level is the defines the composition and the dose form. For instance, paracetamol 500 mg tablet or 500 mL glucose 5% (50 mg/mL) solution for injection.
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()) frmed-med-1: If fr-medication is a simple medication, ingredient SHALL NOT be a Reference (`code.coding.system.exists() implies (ingredient.item as Reference).empty()`)
2. Medication.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
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. Medication.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
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 `Medication.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
6. Medication.extension:drugCharacteristic
Nom de la slice | drugCharacteristic
Définition | Specifies descriptive properties of the medicine, such as color, shape, imprints, release characteristic, etc.
Court | descriptive properties of the medicine
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(Medication descriptive properties) (Extension complexe)
Est modificateur | 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()`)
8. Medication.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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())
10. Medication.code
Définition | A RIUM id that specify this medication. A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.
Court | Codes that identify this medication
Commentaires | Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).
Contrôle | 10..1
Binding | Pour des exemples de codes, voir SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/medication-codes|4.0.1` ) A coded concept that defines the type of a medication.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | The developper SHALL support the infusion use case, which requires a multi-compounds Medication ressource.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Medication.code.coding
Définition | A reference to a code defined by a terminology system.
Court | Code defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Contrôle | 10..*
Type | Coding
Est modificateur | false
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
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 `Medication.code.coding`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ coding.system
14. Medication.code.coding:nonCompoundCode
Nom de la slice | nonCompoundCode
Définition | Codes that identify this simple medication A reference to a code defined by a terminology system.
Court | Codes that identify this simple medicationCode defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Contrôle | 10..1*
Binding | Les codes DOIVENT (SHALL) être pris de Pour les codes, voir value set Interop'Santé - Codes identifiant les médicaments (required to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-medication-code` ) UCD, SMS or ANSM code
Type | Coding
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Medication.code.text
Définition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Court | Plain text representation of the concept
Commentaires | When some code is available, the text is the same as a displayName of one of the codings. Very often the text is the same as a displayName of one of the codings.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Medication.status
Définition | A code to indicate if the medication is in active use.
Court | active | inactive | entered-in-error
Commentaires | This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de Medication Status Codes http://hl7.org/fhir/ValueSet/medication-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` ) A coded concept defining if the medication is in active use.
Type | code
Est modificateur | true parce que This element changes the interpretation of all descriptive attributes.
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()))
20. Medication.form
Définition | Describes the form of the item. Powder; tablets; capsule.
Court | powder | tablets | capsule +
Commentaires | When branded medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When branded medication is referenced within MedicationAdministration, this is administered form. When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir French Medicinal product Dose form http://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1 (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-mp-dose-form` )
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()))
22. Medication.amount
Définition | Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).
Court | Amount of drug in package
Commentaires | If the strenght of the ingredients is a concentration, it is the volume (liquid) or mass (ointment) in the Medication of the MedicationRequest, Dispense or Use (pka MedicationStatement). If there is only one ingredient and the strenght is not defined, it is the quantity of the substance.
Contrôle | 0..1
Type | Ratio
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Medication.ingredient
Définition | Identifies a particular constituent in the product. Identifies a particular constituent of interest in the product.
Court | Active or inactive ingredient
Commentaires | The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.
Contrôle | 0..*
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()))
26. Medication.ingredient.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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())
28. Medication.ingredient.item[x]
Définition | The actual substance (simple ingredient) of the simple medication (ie. made of single component). The actual ingredient - either a substance (simple ingredient) or another medication of a medication.
Court | SubstanceThe actual ingredient or content
Contrôle | 1..1
Type | CodeableConcept(FR Medicinal Product Substance), Reference(Substance, Medication)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Exigences | The composition of the medication for this ingredient SHALL be defined for prescrption of virtual medication so that strength can be defined. It MAY be defined for other medication The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Medication.ingredient.strength
Définition | Specifies how much of the items there are in this Medication Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.
Court | Quantity of ingredient present
Commentaires | The quantity of this igredient defining the medication. For instance, 50 mg/mL defining the glucose quantity for the glucose 5% or 500 mg medicine and 30 mg respectively defining the paracetamol and the codeine quantity for the paracetamol+codeine 500 mg+30 mg medicine.
Contrôle | 0..1
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Est modificateur | false
Résumé | false
Exigences | In cas of virtual medication strength SHALL be provided
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Medication.batch
Définition | This applies for the proprietary named medication involved in a MedicationDispense, MedicationAdministration or a MedicationUse. Information that only applies to packages (not products).
Court | Details about packaged medications
Commentaires | WARNING: it is the batch number of the part. If it is not discerned for each part, it SHALL NOT be provided here but at the grouping level where it is defined, most often the UCD.
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()))
34. Medication.batch.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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())

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. Medication
Définition | This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.
Court | Simple Medication
Commentaires | A simple medication is made of one single component made of one to many substances. Optionality of doseForm, amount and strehgth attributes supports different levels of granularity. The coarser level only defines the substances it's made of. For instance, contaning only paracetamol or containing only glucose. The finest level is the defines the composition and the dose form. For instance, paracetamol 500 mg tablet or 500 mL glucose 5% (50 mg/mL) solution for injection.
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()`) frmed-med-1: If fr-medication is a simple medication, ingredient SHALL NOT be a Reference (`code.coding.system.exists() implies (ingredient.item as Reference).empty()`)
2. Medication.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. Medication.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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. Medication.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
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. Medication.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. Medication.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
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. Medication.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
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. Medication.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 `Medication.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
16. Medication.extension:drugCharacteristic
Nom de la slice | drugCharacteristic
Définition | Specifies descriptive properties of the medicine, such as color, shape, imprints, release characteristic, etc.
Court | descriptive properties of the medicine
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(Medication descriptive properties) (Extension complexe)
Est modificateur | 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. Medication.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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()`)
20. Medication.identifier
Définition | Business identifier for this medication.
Court | Business identifier for this medication
Commentaires | The serial number could be included as an identifier.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Medication.code
Définition | A RIUM id that specify this medication.
Court | Codes that identify this medication
Commentaires | Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).
Contrôle | 1..1
Binding | Pour des exemples de codes, voir SNOMEDCTMedicationCodes (example to `http://hl7.org/fhir/ValueSet/medication-codes|4.0.1` ) A coded concept that defines the type of a medication.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | The developper SHALL support the infusion use case, which requires a multi-compounds Medication ressource.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Medication.code.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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
26. Medication.code.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
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()`)
Slicing | Cet élément introduit un ensemble de slices sur `Medication.code.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
28. Medication.code.coding
Définition | A reference to a code defined by a terminology system.
Court | Code defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Contrôle | 1..*
Type | Coding
Est modificateur | false
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
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 `Medication.code.coding`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ coding.system
30. Medication.code.coding:nonCompoundCode
Nom de la slice | nonCompoundCode
Définition | Codes that identify this simple medication
Court | Codes that identify this simple medication
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de value set Interop'Santé - Codes identifiant les médicaments (required to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-medication-code` ) UCD, SMS or ANSM code
Type | Coding
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Medication.code.text
Définition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Court | Plain text representation of the concept
Commentaires | When some code is available, the text is the same as a displayName of one of the codings.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Medication.status
Définition | A code to indicate if the medication is in active use.
Court | active | inactive | entered-in-error
Commentaires | This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de Medication Status Codes (required to `http://hl7.org/fhir/ValueSet/medication-status|4.0.1` ) A coded concept defining if the medication is in active use.
Type | code
Est modificateur | true parce que This element changes the interpretation of all descriptive attributes.
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())`)
36. Medication.manufacturer
Définition | Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.
Court | Manufacturer of the item
Contrôle | 0..1
Type | Reference(Organization)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Medication.form
Définition | Describes the form of the item. Powder; tablets; capsule.
Court | powder | tablets | capsule +
Commentaires | When branded medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When branded medication is referenced within MedicationAdministration, this is administered form.
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de French Medicinal product Dose form (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-mp-dose-form` )
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. Medication.amount
Définition | Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).
Court | Amount of drug in package
Commentaires | If the strenght of the ingredients is a concentration, it is the volume (liquid) or mass (ointment) in the Medication of the MedicationRequest, Dispense or Use (pka MedicationStatement). If there is only one ingredient and the strenght is not defined, it is the quantity of the substance.
Contrôle | 0..1
Type | Ratio
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. Medication.ingredient
Définition | Identifies a particular constituent in the product.
Court | Active or inactive ingredient
Commentaires | The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.
Contrôle | 0..*
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())`)
44. Medication.ingredient.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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
46. Medication.ingredient.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
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()`)
48. Medication.ingredient.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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()`)
50. Medication.ingredient.item[x]
Définition | The actual substance (simple ingredient) of the simple medication (ie. made of single component).
Court | Substance
Contrôle | 1..1
Type | CodeableConcept(FR Medicinal Product Substance)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Exigences | The composition of the medication for this ingredient SHALL be defined for prescrption of virtual medication so that strength can be defined. It MAY be defined for other medication
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Medication.ingredient.isActive
Définition | Indication of whether this ingredient affects the therapeutic action of the drug.
Court | Active ingredient indicator
Contrôle | 0..1
Type | boolean
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Medication.ingredient.strength
Définition | Specifies how much of the items there are in this Medication
Court | Quantity of ingredient present
Commentaires | The quantity of this igredient defining the medication. For instance, 50 mg/mL defining the glucose quantity for the glucose 5% or 500 mg medicine and 30 mg respectively defining the paracetamol and the codeine quantity for the paracetamol+codeine 500 mg+30 mg medicine.
Contrôle | 0..1
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Est modificateur | false
Résumé | false
Exigences | In cas of virtual medication strength SHALL be provided
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Medication.batch
Définition | This applies for the proprietary named medication involved in a MedicationDispense, MedicationAdministration or a MedicationUse.
Court | Details about packaged medications
Commentaires | WARNING: it is the batch number of the part. If it is not discerned for each part, it SHALL NOT be provided here but at the grouping level where it is defined, most often the UCD.
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())`)
58. Medication.batch.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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
60. Medication.batch.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
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()`)
62. Medication.batch.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
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()`)
64. Medication.batch.lotNumber
Définition | The assigned lot number of a batch of the specified product.
Court | Identifier assigned to batch
Contrôle | 0..1
Type | string
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())`)
66. Medication.batch.expirationDate
Définition | When this specific batch of product will expire.
Court | When batch will expire
Contrôle | 0..1
Type | dateTime
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())`)