{
  "resourceType": "StructureDefinition",
  "url": "https://api.ordoclic.fr/fhir/StructureDefinition/FrMedicationRtu",
  "version": "0.1.0",
  "name": "FrMedicationRtu",
  "status": "draft",
  "date": "2022-08-02T14:50:26.7525602+00:00",
  "contact": [
    {
      "telecom": [
        {
          "system": "email",
          "value": "dev@ordoclic.fr"
        }
      ]
    }
  ],
  "description": "Le médicament fait l'objet de recommandations temporaires d’utilisation.",
  "fhirVersion": "4.0.1",
  "kind": "primitive-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "boolean"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Recommandation Temporaire d'Utilisation",
        "definition": "Le médicament fait l'objet de recommandations temporaires d’utilisation.",
        "comment": "Une recommandation temporaire d’utilisation, élaborée par l’Agence nationale de sécurité du médicament et des produits de santé (ANSM), autorise pour une durée maximale de trois ans, en l’absence d’alternative médicamenteuse autorisée, la prescription d’un médicament disposant d’une autorisation de mise sur le marché (AMM), dans une indication ou dans des conditions d’utilisation différentes de celles prévues par son AMM. Toutefois, par dérogation et à titre exceptionnel, en présence d’une alternative médicamenteuse appropriée autorisée, l’ANSM peut néanmoins élaborer une RTU dont l’objectif est soit de remédier à un risque avéré pour la santé publique, soit d’éviter des dépenses ayant un impact significatif sur les finances de l’assurance maladie.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "https://api.ordoclic.fr/fhir/StructureDefinition/FrMedicationRtu",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Recommandation Temporaire d'Utilisation",
        "definition": "Le médicament fait l'objet de recommandations temporaires d’utilisation.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Recommandation Temporaire d'Utilisation",
        "definition": "Le médicament fait l'objet de recommandations temporaires d’utilisation.",
        "comment": "Une recommandation temporaire d’utilisation, élaborée par l’Agence nationale de sécurité du médicament et des produits de santé (ANSM), autorise pour une durée maximale de trois ans, en l’absence d’alternative médicamenteuse autorisée, la prescription d’un médicament disposant d’une autorisation de mise sur le marché (AMM), dans une indication ou dans des conditions d’utilisation différentes de celles prévues par son AMM. Toutefois, par dérogation et à titre exceptionnel, en présence d’une alternative médicamenteuse appropriée autorisée, l’ANSM peut néanmoins élaborer une RTU dont l’objectif est soit de remédier à un risque avéré pour la santé publique, soit d’éviter des dépenses ayant un impact significatif sur les finances de l’assurance maladie."
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "https://api.ordoclic.fr/fhir/StructureDefinition/FrMedicationRtu"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Recommandation Temporaire d'Utilisation",
        "definition": "Le médicament fait l'objet de recommandations temporaires d’utilisation.",
        "min": 1,
        "type": [
          {
            "code": "boolean"
          }
        ]
      }
    ]
  }
}