Canadian Baseline
1.1.0 - CI Build Canada flag

Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.1.0 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: 1.1.0
Draft as of 2020-03-05 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.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
... 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 Results Reporting) 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationAdministration.medication[x]preferredhttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... medication[x] SΣ 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 SΣ 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] SΣ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 0..* BackboneElement Who performed the medication administration and what they did
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣ 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 Results Reporting) 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 SC 0..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.medication[x]preferredhttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf 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-4errorMedicationAdministrationIf 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-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... 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 ?!SΣ 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] SΣ 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 SΣ 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] SΣ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 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 SΣ 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 Results Reporting) 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 SC 0..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... 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 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes
from the FHIR Standard
MedicationAdministration.categorypreferredMedicationAdministration Category Codes
http://hl7.org/fhir/ValueSet/medication-admin-category
from the FHIR Standard
MedicationAdministration.medication[x]preferredhttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
MedicationAdministration.performer.functionexampleMedicationAdministration Performer Function Codes
http://hl7.org/fhir/ValueSet/med-admin-perform-function
from the FHIR Standard
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-given-codes
from the FHIR Standard
MedicationAdministration.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf 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-4errorMedicationAdministrationIf 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-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()

Differential View

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
... 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 Results Reporting) 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationAdministration.medication[x]preferredhttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... medication[x] SΣ 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 SΣ 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] SΣ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 0..* BackboneElement Who performed the medication administration and what they did
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣ 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 Results Reporting) 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 SC 0..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.medication[x]preferredhttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf 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-4errorMedicationAdministrationIf 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-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... 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 ?!SΣ 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] SΣ 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 SΣ 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] SΣ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 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 SΣ 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 Results Reporting) 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 SC 0..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... 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 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes
from the FHIR Standard
MedicationAdministration.categorypreferredMedicationAdministration Category Codes
http://hl7.org/fhir/ValueSet/medication-admin-category
from the FHIR Standard
MedicationAdministration.medication[x]preferredhttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
MedicationAdministration.performer.functionexampleMedicationAdministration Performer Function Codes
http://hl7.org/fhir/ValueSet/med-admin-perform-function
from the FHIR Standard
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-given-codes
from the FHIR Standard
MedicationAdministration.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf 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-4errorMedicationAdministrationIf 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-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()

 

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