{ "resourceType": "StructureDefinition", "url": "http://interopsante.org/fhir/StructureDefinition/FrMedicationHistoryMedicationStatement", "version": "0.2.0", "name": "FrMedicationHistoryMedicationStatement", "status": "draft", "date": "2021-06-24", "publisher": "InterOp'Santé - FRANCE", "contact": [ { "telecom": [ { "system": "email", "value": "fhir@interopsante.org" } ] } ], "description": "Profil de la ressource *MedicationStatement* du Bilan médicamenteux.\r\nMedication History MedicationStatement resource profile", "purpose": "Ce profil est utilisé pour les ressources MedicationStatement figurant dans un bilan médicamenteux. Chaque ressource MeciationStatement y représente une ligne de médicament du Bilan.", "copyright": "InterOp'Santé 2021", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "MedicationStatement", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationStatement", "derivation": "constraint", "differential": { "element": [ { "id": "MedicationStatement", "path": "MedicationStatement", "short": "Ligne de traitement médicamenteux du Bilan Médicamenteux", "definition": "Ligne de traitement médicamenteux du Bilan Médicamenteux, avec son *sourcing* (liste des sources concordantes attanchées à cette ligne).", "comment": "Les règles natives HL7-FHIR sont applicables et à respecter. When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\r1. MedicationStatement.status + MedicationStatement.wasNotTaken\r2. Status=Active + NotTaken=T = Not currently taking\r3. Status=Completed + NotTaken=T = Not taken in the past\r4. Status=Intended + NotTaken=T = No intention of taking\r5. Status=Active + NotTaken=F = Taking, but not as prescribed\r6. Status=Active + NotTaken=F = Taking\r7. Status=Intended +NotTaken= F = Will be taking (not started)\r8. Status=Completed + NotTaken=F = Taken in past\r9. Status=In Error + NotTaken=N/A = In Error.", "mustSupport": true }, { "id": "MedicationStatement.meta", "path": "MedicationStatement.meta" }, { "id": "MedicationStatement.meta.profile", "path": "MedicationStatement.meta.profile", "fixedCanonical": "http://interopsante.org/fhir/StructureDefinition/FrMedicationHistoryMedicationStatement" }, { "id": "MedicationStatement.meta.tag", "path": "MedicationStatement.meta.tag", "requirements": "applications are not required to consider the tags when interpreting the meaning of a resource", "max": "0" }, { "id": "MedicationStatement.implicitRules", "path": "MedicationStatement.implicitRules", "requirements": "--> implementers and/or specification writers should avoid using this element", "max": "0" }, { "id": "MedicationStatement.language", "path": "MedicationStatement.language", "meaningWhenMissing": "langage de la ressource parente *Composition*" }, { "id": "MedicationStatement.extension", "path": "MedicationStatement.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "MedicationStatement.extension:statementSourcing", "path": "MedicationStatement.extension", "sliceName": "statementSourcing", "short": "Sourcing de la ligne de traitement", "definition": "Sourcing de la ligne de traitement du Bilan Médicamenteux : nombre de sources ET liste des sources", "comment": "Nombre de sources concordantes pour cette ligne de traitement (quel que soit leur nombre), supérieur à zéro ET la liste de ces sources, au moins une.", "type": [ { "code": "Extension", "profile": [ "http://interopsante.org/fhir/StructureDefinition/FrMedicationHistorySources" ] } ], "mustSupport": true }, { "id": "MedicationStatement.status", "path": "MedicationStatement.status", "mustSupport": true }, { "id": "MedicationStatement.medication[x]", "path": "MedicationStatement.medication[x]", "short": "Le médicament constitutif de cette ligne", "definition": "Identifie le médicament constitutif de cette ligne. C'est lien vers une ressource Medication qui décrit ce médicament.", "comment": "Même si le médicament n'est composé que d'une spécialité (par exemple un comprimé), il est défini par référence à une Medication qui décrira sa composition d'une seule spécialité", "requirements": "traitement univoque de l'élément *medication[x]*", "type": [ { "code": "Reference", "targetProfile": [ "http://interopsante.org/fhir/StructureDefinition/FrMedication" ] } ], "mustSupport": true }, { "id": "MedicationStatement.medication[x].reference", "path": "MedicationStatement.medication[x].reference", "requirements": "Identification du *médicament* uniquement par référence à une ressource *Medication* profilée *fr-medication*\\.", "min": 1 }, { "id": "MedicationStatement.medication[x].type", "path": "MedicationStatement.medication[x].type", "fixedUri": "Medication" }, { "id": "MedicationStatement.medication[x].identifier", "path": "MedicationStatement.medication[x].identifier", "requirements": "Identification du *médicament* uniquement par référence à une ressource *Medication* profilée *fr-medication*\\.", "max": "0" }, { "id": "MedicationStatement.subject", "path": "MedicationStatement.subject", "definition": "Le patient qui prend cette ligne de traitement médicamenteux.", "comment": "Obligatoire dans la ressource FHIR *MedicationStatement* originelle, donc DOIT ABSOLUMENT être identique au patient identifé dans la ressource *Composition* du Bilan Médicamenteux. Cf. *Composition.subjet*\\.", "requirements": "Le Bilan Médicamenteux ne s'applique qu'à un seul patient. Toutes ses lignes doivent référencer le même patient, celui référencé par l'element *subject* de la ressource parente *Composition*\\.", "type": [ { "code": "Reference", "targetProfile": [ "http://interopsante.org/fhir/StructureDefinition/FrPatient" ] } ], "mustSupport": true }, { "id": "MedicationStatement.subject.type", "path": "MedicationStatement.subject.type", "fixedUri": "Patient" }, { "id": "MedicationStatement.informationSource", "path": "MedicationStatement.informationSource", "comment": "Dans le contexte de la Conciliation des Traitements médicamenteux, le sourcing des informations de la ligne du Bilan Médicamenteux doit être réalisé à travers l'extension *statementSourcing* et à travers elle seulement", "requirements": "Garantir la règle de gestion du sourcing exclusivement à travers l'extension *statementSourcing*", "max": "0", "mustSupport": true }, { "id": "MedicationStatement.dosage", "path": "MedicationStatement.dosage", "mustSupport": true }, { "id": "MedicationStatement.dosage.doseAndRate.dose[x]", "path": "MedicationStatement.dosage.doseAndRate.dose[x]", "short": "Precise amount of medication per dose", "definition": "Amount of medication per dose. No use of element 'comparator' in the simpleQuantity definitions.", "type": [ { "code": "Range", "profile": [ "http://interopsante.org/fhir/StructureDefinition/FrRangeUcum" ] }, { "code": "Quantity", "profile": [ "http://interopsante.org/fhir/StructureDefinition/FrSimpleQuantityUcum" ] } ], "mustSupport": true }, { "id": "MedicationStatement.dosage.doseAndRate.rate[x]", "path": "MedicationStatement.dosage.doseAndRate.rate[x]", "type": [ { "code": "Ratio", "profile": [ "http://interopsante.org/fhir/StructureDefinition/FrRatioUcum" ] }, { "code": "Range", "profile": [ "http://interopsante.org/fhir/StructureDefinition/FrRangeUcum" ] }, { "code": "Quantity", "profile": [ "http://interopsante.org/fhir/StructureDefinition/FrSimpleQuantityUcum" ] } ], "mustSupport": true }, { "id": "MedicationStatement.dosage.maxDosePerPeriod", "path": "MedicationStatement.dosage.maxDosePerPeriod", "short": "Upper precise limit on medication per unit of time", "definition": "Upper limit on medication per unit of time. This datatype excludes measurements whose uncertainity is described by the simpleQuantity \"comparator\" element.", "type": [ { "code": "Ratio", "profile": [ "http://interopsante.org/fhir/StructureDefinition/FrRatioUcum" ] } ], "mustSupport": true }, { "id": "MedicationStatement.dosage.maxDosePerAdministration", "path": "MedicationStatement.dosage.maxDosePerAdministration", "short": "Precise upper limit on medication per administration with UCUM unit", "definition": "Fixed upper limit on medication per administration with UCUM unit.", "type": [ { "code": "Quantity", "profile": [ "http://interopsante.org/fhir/StructureDefinition/FrSimpleQuantityUcum" ] } ], "mustSupport": true }, { "id": "MedicationStatement.dosage.maxDosePerLifetime", "path": "MedicationStatement.dosage.maxDosePerLifetime", "short": "A fixed measured or measurable amount with UCUM unit", "type": [ { "code": "Quantity", "profile": [ "http://interopsante.org/fhir/StructureDefinition/FrSimpleQuantityUcum" ] } ], "mustSupport": true } ] } }