Données socles des Entrepôts de Données de Santé Hospitalier
0.1.0 - ci-build FRA

Données socles des Entrepôts de Données de Santé Hospitalier - 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: Prescription de médicaments

Official URL: https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-medication-request | Version: 0.1.0
Draft as of 2026-05-28 | Computable Name: EdshMedicationRequest

Profil pour les prescriptions médicamenteuses

Utilisations:

- Exemples pour ce/t/te Profil: MedicationRequest/0366ab45-bd3a-4d2e-ad1b-875d2a3890be, MedicationRequest/17a31049-5fb3-442e-8f5f-e5a804ac195f, MedicationRequest/1a5943a0-adff-4020-8ca3-ee0807bdf587, MedicationRequest/2399902c-585f-4eae-9ed8-519f9fe4da34... Show 28 more, MedicationRequest/2493b9c4-d100-420f-b42a-1c6455069dce, MedicationRequest/2dbb8f40-e1c2-4c7e-9857-ea393d321ab6, MedicationRequest/42223c9d-b1e7-474d-8f10-631f8e099708, MedicationRequest/474a076f-7345-4d58-bd96-3439db227ae1, MedicationRequest/4f3b8092-12fb-4523-8cea-3e74592802d0, MedicationRequest/59e78c89-8d66-4e9c-8443-835847840a48, MedicationRequest/5cf64a35-e3ec-4908-9a71-51a3dc008af4, MedicationRequest/68dcf522-b285-4d25-85ba-539e734e618e, MedicationRequest/7c2b924a-b043-40df-a7b6-876b9b909be5, MedicationRequest/8c2c58e2-3996-4611-8533-57aaa9757ca6, MedicationRequest/9065fa99-64fb-4dec-898a-16e6af1a9f83, MedicationRequest/934ec285-8bac-42b4-92b8-f092aa169349, MedicationRequest/9521adeb-524f-4e9a-9736-32c0a636758e, MedicationRequest/9cd48957-076c-4fcf-b917-2f6574499835, MedicationRequest/ab3ae565-3a7f-491b-a2db-924e388ed918, MedicationRequest/acb4d2b8-79cb-440b-afb1-5a875eaddb24, MedicationRequest/aec11f99-dec8-49ac-bbfe-e8ebb7aa7ff6, MedicationRequest/b7e2578f-2197-45c5-9b7c-4f52a615bb20, MedicationRequest/bed770d1-5a51-446e-b55e-6f2ca3d06985, MedicationRequest/cb237502-fab1-4741-acbf-a5652ef5c553, MedicationRequest/cdf30d04-f8f8-4394-80b1-6272019086a3, MedicationRequest/d30317a8-ad12-4199-aa2a-f06d95733271, MedicationRequest/d8a78c9f-e91d-4c99-8264-dba3fc89c345, MedicationRequest/e40aa35e-22c3-4e08-8fbd-b8e66c5c835e, MedicationRequest/e587e0cc-b6d4-46f8-9be2-9f3ea76b8ca9, MedicationRequest/ed7ce446-a1f6-46ad-8e10-e36574c8110c, MedicationRequest/f70d0ea6-bf3f-423c-beb3-00fcff587f7f and MedicationRequest/fb41fe33-c8f7-4c21-8b95-9b173e69dfc1

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..* | MedicationRequest | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(French branded name Medication | French non proprietary name Medication | French compound Medication) |
subject | S Σ | 1..1 | Reference(Patient) | Who or group medication request is for
dosageInstruction |  | 1..* | Dosage | How the medication should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
timing | S Σ | 0..1 | Timing | When medication should be administered
route | S Σ | 0..1 | CodeableConcept | How drug should enter body Binding: French Route of Administration (extensible)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
dose[x] | S Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range(FrRangeUcum) |
doseQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
rate[x] | S Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio(FrRatioUcum) |
rateRange |  |  | Range(FrRangeUcum) |
rateQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
maxDosePerAdministration | Σ | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per lifetime of the patient
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 | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​route | Base | extensible | French Route of Administration | 📦0.1.0 | cet IG

#### 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()`

This structure is derived from MedicationRequest

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
medication[x] | S | 1..1 |  | Medication to be taken
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(French branded name Medication | French non proprietary name Medication | French compound Medication) |
subject | S | 1..1 | Reference(Patient) | Who or group medication request is for
dosageInstruction |  | 1..* | Dosage | How the medication should be taken
timing | S | 0..1 | Timing | When medication should be administered
route | S | 0..1 | CodeableConcept | How drug should enter body Binding: French Route of Administration (extensible)
doseAndRate |  |  |  |
dose[x] | S | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range(FrRangeUcum) |
doseQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
rate[x] | S | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio(FrRatioUcum) |
rateRange |  |  | Range(FrRangeUcum) |
rateQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
maxDosePerPeriod |  |  |  |
numerator |  | 0..1 | FrSimpleQuantityUcum | Numerator value
denominator |  | 0..1 | FrSimpleQuantityUcum | Denominator value
maxDosePerAdministration |  | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per administration
maxDosePerLifetime |  | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per lifetime of the patient
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.dosageInstruction.​route | Base | extensible | French Route of Administration | 📦0.1.0 | cet IG

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | 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
extension |  | 0..* | Extension | Additional content defined by implementations
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.
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) |
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(French branded name Medication | French non proprietary name Medication | French compound Medication) |
subject | S Σ | 1..1 | Reference(Patient) | Who or group medication request is for
encounter |  | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | Σ | 0..1 | dateTime | When request was initially authored
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What 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 | 0..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
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".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | When medication should be administered
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 | S 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: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | S Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range(FrRangeUcum) |
doseQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
rate[x] | S Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio(FrRatioUcum) |
rateRange |  |  | Range(FrRangeUcum) |
rateQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
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 | FrSimpleQuantityUcum | Numerator value
denominator | Σ | 0..1 | FrSimpleQuantityUcum | Denominator value
maxDosePerAdministration | Σ | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | FrSimpleQuantityUcum | 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
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
performer |  | 0..1 | Reference(Organization) | Intended dispenser
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.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 | example | SNOMED CT Medication Codes | 📍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.​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 | 📦0.1.0 | cet IG
MedicationRequest.dosageInstruction.​method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR
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()`

This structure is derived from MedicationRequest

Résumé

Obligatoire : 1 élément
Must-Support : 6 éléments

Structures

Cette structure fait référence à ces autres structures:

- French branded name Medication (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-medication-ucd)
- French non proprietary name Medication (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-medication-nonproprietary-name)
- French compound Medication (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-medication-compound)
- Patient (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-patient)
- Range with UCUM quantity units (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-range-ucum)
- SimpleQuantity with UCUM quantity unit (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-simple-quantity-ucum)
- Ratio with UCUM quantity units (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-ratio-ucum)

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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.
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(French branded name Medication | French non proprietary name Medication | French compound Medication) |
subject | S Σ | 1..1 | Reference(Patient) | Who or group medication request is for
dosageInstruction |  | 1..* | Dosage | How the medication should be taken
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
timing | S Σ | 0..1 | Timing | When medication should be administered
route | S Σ | 0..1 | CodeableConcept | How drug should enter body Binding: French Route of Administration (extensible)
doseAndRate | Σ | 0..* | Element | Amount of medication administered
dose[x] | S Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range(FrRangeUcum) |
doseQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
rate[x] | S Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio(FrRatioUcum) |
rateRange |  |  | Range(FrRangeUcum) |
rateQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
maxDosePerAdministration | Σ | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per lifetime of the patient
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 | example | SNOMED CT Medication Codes | 📍4.0.1 | Std. FHIR
MedicationRequest.dosageInstruction.​route | Base | extensible | French Route of Administration | 📦0.1.0 | cet IG

#### 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()`

Differential View

This structure is derived from MedicationRequest

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
medication[x] | S | 1..1 |  | Medication to be taken
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(French branded name Medication | French non proprietary name Medication | French compound Medication) |
subject | S | 1..1 | Reference(Patient) | Who or group medication request is for
dosageInstruction |  | 1..* | Dosage | How the medication should be taken
timing | S | 0..1 | Timing | When medication should be administered
route | S | 0..1 | CodeableConcept | How drug should enter body Binding: French Route of Administration (extensible)
doseAndRate |  |  |  |
dose[x] | S | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range(FrRangeUcum) |
doseQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
rate[x] | S | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio(FrRatioUcum) |
rateRange |  |  | Range(FrRangeUcum) |
rateQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
maxDosePerPeriod |  |  |  |
numerator |  | 0..1 | FrSimpleQuantityUcum | Numerator value
denominator |  | 0..1 | FrSimpleQuantityUcum | Denominator value
maxDosePerAdministration |  | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per administration
maxDosePerLifetime |  | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per lifetime of the patient
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
MedicationRequest.dosageInstruction.​route | Base | extensible | French Route of Administration | 📦0.1.0 | cet IG

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | 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
extension |  | 0..* | Extension | Additional content defined by implementations
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.
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) |
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(French branded name Medication | French non proprietary name Medication | French compound Medication) |
subject | S Σ | 1..1 | Reference(Patient) | Who or group medication request is for
encounter |  | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | Σ | 0..1 | dateTime | When request was initially authored
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What 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 | 0..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
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".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | When medication should be administered
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 | S 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: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | S Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range(FrRangeUcum) |
doseQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
rate[x] | S Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio(FrRatioUcum) |
rateRange |  |  | Range(FrRangeUcum) |
rateQuantity |  |  | Quantity(FrSimpleQuantityUcum) |
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 | FrSimpleQuantityUcum | Numerator value
denominator | Σ | 0..1 | FrSimpleQuantityUcum | Denominator value
maxDosePerAdministration | Σ | 0..1 | FrSimpleQuantityUcum | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | FrSimpleQuantityUcum | 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
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized
quantity |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
performer |  | 0..1 | Reference(Organization) | Intended dispenser
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.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 | example | SNOMED CT Medication Codes | 📍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.​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 | 📦0.1.0 | cet IG
MedicationRequest.dosageInstruction.​method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | Std. FHIR
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()`

This structure is derived from MedicationRequest

Résumé

Obligatoire : 1 élément
Must-Support : 6 éléments

Structures

Cette structure fait référence à ces autres structures:

- French branded name Medication (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-medication-ucd)
- French non proprietary name Medication (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-medication-nonproprietary-name)
- French compound Medication (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-medication-compound)
- Patient (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/edsh-patient)
- Range with UCUM quantity units (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-range-ucum)
- SimpleQuantity with UCUM quantity unit (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-simple-quantity-ucum)
- Ratio with UCUM quantity units (https://aphp.github.io/IG-FHIR-EDSH-SOCLE-COMMUN/StructureDefinition/fr-ratio-ucum)

Other representations of profile: CSV, Excel, Schematron