Guide d'implémentation de l'analyse pharmaceutique
0.1.0-ballot - ci-build FR

Guide d'implémentation de l'analyse pharmaceutique - Downloaded Version 0.1.0-ballot See the Directory of published versions

## Resource Profile: FR Pharmaceutical Intervention Suggestion

Official URL: https://hl7.fr/ig/fhir/analyse-pharma/StructureDefinition/fr-inpatient-pharmaceutical-intervention-suggestion | Version: 0.1.0-ballot
Draft as of 2026-05-29 | Computable Name: FRInpatientPharmaceuticalInterventionSuggestionProfile

Profile de proposition d’évolution de ligne de prescritpion dans le cadre d’une intervention pharmaceutique

Utilisations:

- Référence ce Profil: FR Pharmaceutical Analysis Result
- Exemples pour ce/t/te Profil: MedicationRequest/InLine-Analyse-Presc-CELLUVISC, MedicationRequest/InLine-Analyse-Presc-CETAFEN-CPR, MedicationRequest/InLine-Analyse-Presc-ELIQUIS-25, MedicationRequest/InLine-Analyse-Presc-ESIDREX... Show 8 more, MedicationRequest/InLine-Analyse-Presc-INEGY, MedicationRequest/InLine-Analyse-Presc-LANSOPRAZOLE, MedicationRequest/InLine-Analyse-Presc-MACROGOL, MedicationRequest/InLine-Analyse-Presc-TAREG, MedicationRequest/InLine-Inter-Arret-Paracetamol-Si-Douleur, MedicationRequest/InLine-Trad-PN13-FHIR-Analyse-Intervention-Proposition, MedicationRequest/InLine-Trad-PN13-FHIR-Analyse-Intervention-Substitution and MedicationRequest/InLine-Trad-PN13-FHIR-Analyse-Validation-Proposition

Vous pouvez également vérifier les usages dans le 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
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | FRInpatientMedicationRequest | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:renderedDosageInstruction |  | 0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1
extension:treatmentIntent |  | 0..1 | (Complexe) | overall treatment intent URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Motif requis: proposal
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
Slices pour medication[x] | Σ | 1..1 |  | Medication to be taken Slice: Non ordonné, Fermé par type:$this Binding: value set Interop'Santé - Codes identifiant les médicaments destinés à être prescrits en milieu hospitalier (required)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(FR Medication Non Compound | FR Medication Compound) | Medication to be taken
subject | Σ | 1..1 | Reference(FR Core Patient Profile) | Who or group medication request is for
Slices pour supportingInformation |  | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Non ordonné, Ouvert par profile:reference
supportingInformation:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
supportingInformation:updatedLine |  | 0..* | Reference(FR Inpatient MedicationRequest) | Information to support ordering of the medication
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
supportingInformation:pharmInter |  | 1..1 | Reference(FR Pharmaceutical Analysis Result) | Information to support ordering of the medication
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | Reference(FR Core Practitioner Profile) | Who requested the Request
groupIdentifier | Σ | 1..1 | Identifier | Composite request this is part of
dosageInstruction |  | 1..* | Dosage | How the medication should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | Std. FHIR
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | Std. FHIR
MedicationRequest.medication[x] | Base | required | value set Interop'Santé - Codes identifiant les médicaments destinés à être prescrits en milieu hospitalier | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationRequest | 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 | MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:treatmentIntent, MedicationRequest.modifierExtension, MedicationRequest.supportingInformation.extension:UFRole, MedicationRequest.supportingInformation:updatedLine.extension:UFRole, MedicationRequest.supportingInformation:pharmInter.extension:UFRole, MedicationRequest.dosageInstruction.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from FRInpatientMedicationRequest

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | FRInpatientMedicationRequest | Ordering of medication for patient or group
intent |  | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Motif requis: proposal
Slices pour supportingInformation |  | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Non ordonné, Ouvert par profile:reference
supportingInformation:updatedLine |  | 0..* | Reference(FR Inpatient MedicationRequest) | Information to support ordering of the medication
supportingInformation:pharmInter |  | 1..1 | Reference(FR Pharmaceutical Analysis Result) | Information to support ordering of the medication
groupIdentifier |  | 1..1 | Identifier | Composite request this is part of
Documentation pour ce format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | FRInpatientMedicationRequest | Ordering of medication for patient or group
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:renderedDosageInstruction |  | 0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1
extension:treatmentIntent |  | 0..1 | (Complexe) | overall treatment intent URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent
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 | "https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent"
value[x] |  | 0..1 | CodeableConcept | Value of overall treatment intent Binding: French overall intention of the treatment (extensible): SNOMED CT encoded treatment overall intent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External ids for this request
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Motif requis: proposal
category |  | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
Slices pour medication[x] | Σ | 1..1 |  | Medication to be taken Slice: Non ordonné, Fermé par type:$this Binding: value set Interop'Santé - Codes identifiant les médicaments destinés à être prescrits en milieu hospitalier (required)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(FR Medication Non Compound | FR Medication Compound) | Medication to be taken
subject | Σ | 1..1 | Reference(FR Core Patient Profile) | Who or group medication request is for
encounter |  | 0..1 | Reference(FR Core Encounter Profile) | Encounter created as part of encounter/admission/stay
Slices pour supportingInformation |  | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Non ordonné, Ouvert par profile:reference
supportingInformation:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation:updatedLine |  | 0..* | Reference(FR Inpatient MedicationRequest) | Information to support ordering of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation:pharmInter |  | 1..1 | Reference(FR Pharmaceutical Analysis Result) | Information to support ordering of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | Reference(FR Core Practitioner Profile) | Who requested the Request
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | Σ | 1..1 | Identifier | Composite request this is part of
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note |  | 0..* | Annotation | Information about the prescription
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:noteScope |  | 0..1 | code | Scope of the note URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-medicationrequest-note-scope Binding: value set Interop'Santé - Codes pour le périmètre des notes (required)
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | The annotation - text content (as markdown)
dosageInstruction |  | 1..* | Dosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
timing | Σ | 0..1 | Timing | When medication should be administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:AdditionalWhenValues |  | 0..1 | code | Additional values for when element URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-additional-when-values Binding: value set Interop'Santé - Codes additionnels pour l'élément when (required)
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Event occurs frequency times per period
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: French Route of Administration (extensible)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: French Method Of Administration (extensible)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:BasisOfDoseComponent |  | 0..1 | Reference(Medication) | Medication component Basis of dose URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-basis-of-dose-component
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices pour dose[x] | Σ | 0..1 |  | Amount of medication per dose Slice: Non ordonné, Fermé par type:$this
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
dose[x]:doseRange | Σ | 0..1 | FrRangeMedication | Amount of medication per dose
dose[x]:doseQuantity | Σ | 0..1 | FrSimpleQuantityMedication | Amount of medication per dose
Slices pour rate[x] | Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Fermé par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | Σ | 0..1 | FrRatioMedication | Amount of medication per unit of time
rate[x]:rateRange | Σ | 0..1 | FrRangeMedication | Amount of medication per unit of time
rate[x]:rateQuantity | Σ | 0..1 | FrSimpleQuantityMedication | Amount of medication per unit of time
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
numerator | Σ | 0..1 | FrSimpleQuantityMedication | Numerator value
denominator | Σ | 0..1 | FrSimpleQuantityMedication | Denominator value
maxDosePerAdministration | Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per lifetime of the patient
dispenseRequest |  | 0..1 | BackboneElement | Medication supply authorization
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
initialFill |  | 0..1 | BackboneElement | First fill details
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
quantity |  | 0..1 | SimpleQuantity(4.0.1) | First fill quantity
duration |  | 0..1 | Duration | First fill duration
validityPeriod |  | 0..1 | Period | Time period supply is authorized for
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
start | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
substitution |  | 0..1 | BackboneElement | Any restrictions on medication substitution
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
allowed[x] |  | 1..1 |  | Whether substitution is allowed or not Binding: V3 Value SetActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: V3 Value SetSubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
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
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationRequest.extension:treatmentIntent.​value[x] | Base | extensible | French overall intention of the treatment | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | Std. FHIR
MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | Std. FHIR
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | Std. FHIR
MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | Std. FHIR
MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | Std. FHIR
MedicationRequest.medication[x] | Base | required | value set Interop'Santé - Codes identifiant les médicaments destinés à être prescrits en milieu hospitalier | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1
MedicationRequest.supportingInformation.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationRequest.supportingInformation:updatedLine.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationRequest.supportingInformation:pharmInter.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.code | Base | preferred | TimingAbbreviation | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​route | Base | extensible | French Route of Administration | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1
MedicationRequest.dosageInstruction.​method | Base | extensible | French Method Of Administration | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1
MedicationRequest.dosageInstruction.​doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | Std. FHIR
MedicationRequest.substitution.​allowed[x] | Base | example | V3 Value SetActSubstanceAdminSubstitutionCode | 📦2014-03-26 | Std. FHIR
MedicationRequest.substitution.​reason | Base | example | V3 Value SetSubstanceAdminSubstitutionReason | 📦2014-03-26 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationRequest | 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()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from FRInpatientMedicationRequest

Résumé

Obligatoire : 3 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR Inpatient MedicationRequest (https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-inpatient-medicationrequest)
- FR Pharmaceutical Analysis Result (https://hl7.fr/ig/fhir/analyse-pharma/StructureDefinition/fr-inpatient-pharmaceutical-analysis-result)

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of MedicationRequest.supportingInformation

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | FRInpatientMedicationRequest | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:renderedDosageInstruction |  | 0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1
extension:treatmentIntent |  | 0..1 | (Complexe) | overall treatment intent URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Motif requis: proposal
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
Slices pour medication[x] | Σ | 1..1 |  | Medication to be taken Slice: Non ordonné, Fermé par type:$this Binding: value set Interop'Santé - Codes identifiant les médicaments destinés à être prescrits en milieu hospitalier (required)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(FR Medication Non Compound | FR Medication Compound) | Medication to be taken
subject | Σ | 1..1 | Reference(FR Core Patient Profile) | Who or group medication request is for
Slices pour supportingInformation |  | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Non ordonné, Ouvert par profile:reference
supportingInformation:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
supportingInformation:updatedLine |  | 0..* | Reference(FR Inpatient MedicationRequest) | Information to support ordering of the medication
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
supportingInformation:pharmInter |  | 1..1 | Reference(FR Pharmaceutical Analysis Result) | Information to support ordering of the medication
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | Reference(FR Core Practitioner Profile) | Who requested the Request
groupIdentifier | Σ | 1..1 | Identifier | Composite request this is part of
dosageInstruction |  | 1..* | Dosage | How the medication should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | Std. FHIR
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | Std. FHIR
MedicationRequest.medication[x] | Base | required | value set Interop'Santé - Codes identifiant les médicaments destinés à être prescrits en milieu hospitalier | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationRequest | 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 | MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:treatmentIntent, MedicationRequest.modifierExtension, MedicationRequest.supportingInformation.extension:UFRole, MedicationRequest.supportingInformation:updatedLine.extension:UFRole, MedicationRequest.supportingInformation:pharmInter.extension:UFRole, MedicationRequest.dosageInstruction.modifierExtension | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from FRInpatientMedicationRequest

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | FRInpatientMedicationRequest | Ordering of medication for patient or group
intent |  | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Motif requis: proposal
Slices pour supportingInformation |  | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Non ordonné, Ouvert par profile:reference
supportingInformation:updatedLine |  | 0..* | Reference(FR Inpatient MedicationRequest) | Information to support ordering of the medication
supportingInformation:pharmInter |  | 1..1 | Reference(FR Pharmaceutical Analysis Result) | Information to support ordering of the medication
groupIdentifier |  | 1..1 | Identifier | Composite request this is part of
Documentation pour ce format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | FRInpatientMedicationRequest | Ordering of medication for patient or group
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:renderedDosageInstruction |  | 0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1
extension:treatmentIntent |  | 0..1 | (Complexe) | overall treatment intent URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent
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 | "https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent"
value[x] |  | 0..1 | CodeableConcept | Value of overall treatment intent Binding: French overall intention of the treatment (extensible): SNOMED CT encoded treatment overall intent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External ids for this request
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Motif requis: proposal
category |  | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
Slices pour medication[x] | Σ | 1..1 |  | Medication to be taken Slice: Non ordonné, Fermé par type:$this Binding: value set Interop'Santé - Codes identifiant les médicaments destinés à être prescrits en milieu hospitalier (required)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(FR Medication Non Compound | FR Medication Compound) | Medication to be taken
subject | Σ | 1..1 | Reference(FR Core Patient Profile) | Who or group medication request is for
encounter |  | 0..1 | Reference(FR Core Encounter Profile) | Encounter created as part of encounter/admission/stay
Slices pour supportingInformation |  | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Non ordonné, Ouvert par profile:reference
supportingInformation:Toutes les slices |  |  |  | Contenu/Règles pour toutes les slices
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation:updatedLine |  | 0..* | Reference(FR Inpatient MedicationRequest) | Information to support ordering of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation:pharmInter |  | 1..1 | Reference(FR Pharmaceutical Analysis Result) | Information to support ordering of the medication
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:UFRole |  | 0..1 | code | UF Role URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-uf-role Binding: value set Interop'Santé - Types de rôle d’une UF par rapport à un séjour patient dans une prescription (required)
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | Reference(FR Core Practitioner Profile) | Who requested the Request
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | Σ | 1..1 | Identifier | Composite request this is part of
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note |  | 0..* | Annotation | Information about the prescription
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:noteScope |  | 0..1 | code | Scope of the note URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-medicationrequest-note-scope Binding: value set Interop'Santé - Codes pour le périmètre des notes (required)
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | The annotation - text content (as markdown)
dosageInstruction |  | 1..* | Dosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
timing | Σ | 0..1 | Timing | When medication should be administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:AdditionalWhenValues |  | 0..1 | code | Additional values for when element URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-additional-when-values Binding: value set Interop'Santé - Codes additionnels pour l'élément when (required)
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Event occurs frequency times per period
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: French Route of Administration (extensible)
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: French Method Of Administration (extensible)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
extension:BasisOfDoseComponent |  | 0..1 | Reference(Medication) | Medication component Basis of dose URL: https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-basis-of-dose-component
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices pour dose[x] | Σ | 0..1 |  | Amount of medication per dose Slice: Non ordonné, Fermé par type:$this
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
dose[x]:doseRange | Σ | 0..1 | FrRangeMedication | Amount of medication per dose
dose[x]:doseQuantity | Σ | 0..1 | FrSimpleQuantityMedication | Amount of medication per dose
Slices pour rate[x] | Σ | 0..1 |  | Amount of medication per unit of time Slice: Non ordonné, Fermé par type:$this
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | Σ | 0..1 | FrRatioMedication | Amount of medication per unit of time
rate[x]:rateRange | Σ | 0..1 | FrRangeMedication | Amount of medication per unit of time
rate[x]:rateQuantity | Σ | 0..1 | FrSimpleQuantityMedication | Amount of medication per unit of time
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
numerator | Σ | 0..1 | FrSimpleQuantityMedication | Numerator value
denominator | Σ | 0..1 | FrSimpleQuantityMedication | Denominator value
maxDosePerAdministration | Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | FrSimpleQuantityMedication | Upper limit on medication per lifetime of the patient
dispenseRequest |  | 0..1 | BackboneElement | Medication supply authorization
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
initialFill |  | 0..1 | BackboneElement | First fill details
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
quantity |  | 0..1 | SimpleQuantity(4.0.1) | First fill quantity
duration |  | 0..1 | Duration | First fill duration
validityPeriod |  | 0..1 | Period | Time period supply is authorized for
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
start | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
substitution |  | 0..1 | BackboneElement | Any restrictions on medication substitution
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
allowed[x] |  | 1..1 |  | Whether substitution is allowed or not Binding: V3 Value SetActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: V3 Value SetSubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
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
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
MedicationRequest.extension:treatmentIntent.​value[x] | Base | extensible | French overall intention of the treatment | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | Std. FHIR
MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | Std. FHIR
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | Std. FHIR
MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | Std. FHIR
MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | Std. FHIR
MedicationRequest.medication[x] | Base | required | value set Interop'Santé - Codes identifiant les médicaments destinés à être prescrits en milieu hospitalier | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1
MedicationRequest.supportingInformation.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationRequest.supportingInformation:updatedLine.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationRequest.supportingInformation:pharmInter.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​timing.code | Base | preferred | TimingAbbreviation | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​route | Base | extensible | French Route of Administration | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1
MedicationRequest.dosageInstruction.​method | Base | extensible | French Method Of Administration | 📦1.1.0-ballot | Guide d'implémentation de la ePrescription v1.1
MedicationRequest.dosageInstruction.​doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | Std. FHIR
MedicationRequest.substitution.​allowed[x] | Base | example | V3 Value SetActSubstanceAdminSubstitutionCode | 📦2014-03-26 | Std. FHIR
MedicationRequest.substitution.​reason | Base | example | V3 Value SetSubstanceAdminSubstitutionReason | 📦2014-03-26 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | bonne pratique | MedicationRequest | 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()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from FRInpatientMedicationRequest

Résumé

Obligatoire : 3 éléments

Structures

Cette structure fait référence à ces autres structures:

- FR Inpatient MedicationRequest (https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-inpatient-medicationrequest)
- FR Pharmaceutical Analysis Result (https://hl7.fr/ig/fhir/analyse-pharma/StructureDefinition/fr-inpatient-pharmaceutical-analysis-result)

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of MedicationRequest.supportingInformation

Other representations of profile: CSV, Excel, Schematron