Canadian Baseline
1.2.0 - CI Build

Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions

## Resource Profile: MedicationAdministration Profile

Official URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationadministration | Version: 1.2.0
Draft as of 2024-12-13 | Computable Name: MedicationAdministrationProfile

Proposed constraints and extensions on the MedicationAdministration resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.

Usages:

- Refer to this Profile: MedicationAdministration Profile, MedicationStatement Profile and Procedure Profile

You can also check for usages in the 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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | MedicationAdministration Profile
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
partOf | Σ | 0..* | Reference(MedicationAdministration Profile | Procedure Profile) | Part of referenced event
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
medication[x] | S Σ | 1..1 |  | What was administered Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication Profile) |
subject | S Σ | 1..1 | Reference(Patient Profile) | Who received medication
context | S | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter or Episode of Care administered as part of
effective[x] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | S Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | S Σ | 1..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile (Implantable)) | Who performed the medication administration
reasonReference |  | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Laboratory Results Reporting | Diagnostic Report for Report and Note Exchange Profile) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(MedicationRequest Profile) | Request administration performed against
device |  | 0..* | Reference(Device Profile (Implantable)) | Device used to administer
dosage | S C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct | Not Stated | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | MedicationAdministration Profile
partOf |  | 0..* | Reference(MedicationAdministration Profile | Procedure Profile) | Part of referenced event
status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
medication[x] | S | 1..1 |  | What was administered Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication Profile) |
subject | S | 1..1 | Reference(Patient Profile) | Who received medication
context | S | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter or Episode of Care administered as part of
effective[x] | S | 1..1 | dateTime, Period | Start and end time of administration
performer | S | 0..* | BackboneElement | Who performed the medication administration and what they did
actor | S | 1..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile (Implantable)) | Who performed the medication administration
reasonReference |  | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Laboratory Results Reporting | Diagnostic Report for Report and Note Exchange Profile) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(MedicationRequest Profile) | Request administration performed against
device |  | 0..* | Reference(Device Profile (Implantable)) | Device used to administer
dosage | S | 0..1 | BackboneElement | Details of how medication was taken
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​medication[x] | Base | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct | Not Stated | Unknown

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | MedicationAdministration Profile
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration Profile | Procedure Profile) | Part of referenced event
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category |  | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 |  | What was administered Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication Profile) |
subject | S Σ | 1..1 | Reference(Patient Profile) | Who received medication
context | S | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | S Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
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
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | S Σ | 1..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile (Implantable)) | Who performed the medication administration
reasonCode |  | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference |  | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Laboratory Results Reporting | Diagnostic Report for Report and Note Exchange Profile) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(MedicationRequest Profile) | Request administration performed against
device |  | 0..* | Reference(Device Profile (Implantable)) | Device used to administer
note |  | 0..* | Annotation | Information about the administration
dosage | S C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
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
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
site |  | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route |  | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method |  | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
rate[x] |  | 0..1 |  | Dose quantity per unit of time
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct | Not Stated | Unknown
MedicationAdministration.​performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

- MedicationAdministration Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationadministration)
- Procedure Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-procedure)
- Medication Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medication)
- Patient Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient)
- Encounter Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter)
- Practitioner Profile (General) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner)
- PractitionerRole Profile (General) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole)
- Device Profile (Implantable) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-device)
- Condition Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-condition)
- Observation Profile (General Use) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation)
- DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-diagnosticreport)
- Diagnostic Report for Report and Note Exchange Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-diagnosticreportnote)
- MedicationRequest Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | MedicationAdministration Profile
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
partOf | Σ | 0..* | Reference(MedicationAdministration Profile | Procedure Profile) | Part of referenced event
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
medication[x] | S Σ | 1..1 |  | What was administered Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication Profile) |
subject | S Σ | 1..1 | Reference(Patient Profile) | Who received medication
context | S | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter or Episode of Care administered as part of
effective[x] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | S Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | S Σ | 1..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile (Implantable)) | Who performed the medication administration
reasonReference |  | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Laboratory Results Reporting | Diagnostic Report for Report and Note Exchange Profile) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(MedicationRequest Profile) | Request administration performed against
device |  | 0..* | Reference(Device Profile (Implantable)) | Device used to administer
dosage | S C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct | Not Stated | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

Differential View

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | MedicationAdministration Profile
partOf |  | 0..* | Reference(MedicationAdministration Profile | Procedure Profile) | Part of referenced event
status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
medication[x] | S | 1..1 |  | What was administered Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication Profile) |
subject | S | 1..1 | Reference(Patient Profile) | Who received medication
context | S | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter or Episode of Care administered as part of
effective[x] | S | 1..1 | dateTime, Period | Start and end time of administration
performer | S | 0..* | BackboneElement | Who performed the medication administration and what they did
actor | S | 1..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile (Implantable)) | Who performed the medication administration
reasonReference |  | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Laboratory Results Reporting | Diagnostic Report for Report and Note Exchange Profile) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(MedicationRequest Profile) | Request administration performed against
device |  | 0..* | Reference(Device Profile (Implantable)) | Device used to administer
dosage | S | 0..1 | BackboneElement | Details of how medication was taken
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​medication[x] | Base | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct | Not Stated | Unknown

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | MedicationAdministration Profile
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration Profile | Procedure Profile) | Part of referenced event
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category |  | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 |  | What was administered Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication Profile) |
subject | S Σ | 1..1 | Reference(Patient Profile) | Who received medication
context | S | 0..1 | Reference(Encounter Profile | EpisodeOfCare) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | S Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
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
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | S Σ | 1..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile (Implantable)) | Who performed the medication administration
reasonCode |  | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference |  | 0..* | Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Laboratory Results Reporting | Diagnostic Report for Report and Note Exchange Profile) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(MedicationRequest Profile) | Request administration performed against
device |  | 0..* | Reference(Device Profile (Implantable)) | Device used to administer
note |  | 0..* | Annotation | Information about the administration
dosage | S C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
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
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
site |  | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route |  | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method |  | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
rate[x] |  | 0..1 |  | Dose quantity per unit of time
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct | Not Stated | Unknown
MedicationAdministration.​performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | 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 | MedicationAdministration | 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 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Summary

Must-Support: 9 elements

Structures

This structure refers to these other structures:

- MedicationAdministration Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationadministration)
- Procedure Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-procedure)
- Medication Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medication)
- Patient Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient)
- Encounter Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter)
- Practitioner Profile (General) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner)
- PractitionerRole Profile (General) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole)
- Device Profile (Implantable) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-device)
- Condition Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-condition)
- Observation Profile (General Use) (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation)
- DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-diagnosticreport)
- Diagnostic Report for Report and Note Exchange Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-diagnosticreportnote)
- MedicationRequest Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest)

Other representations of profile: CSV, Excel, Schematron