AU Base Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 4.2.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-base/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicationadministration | Version: 4.2.1-ci-build | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: AUBaseMedicationAdministration | ||
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved. |
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This profile defines a medication administration structure that localises core concepts, including terminology, for use in an Australian context. The purpose of this profile is to provide national level agreement on core localised concepts. This profile does not force conformance to core localised concepts. It enables implementers and modellers to make their own rules, i.e. profiling, about how to support these concepts for specific implementation needs.
Profile specific implementation guidance:
MedicationAdministration.code, this profile includes coding as:
MedicationAdministration.code is still present and may contain only the list of ingredients as text in MedicationAdministration.code.text.MedicationAdministration.medicationReference is preferred to MedicationAdministration.code and use of extensions, see guidance on AU Base Medication.Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationAdministration | D | 0..* | MedicationAdministration | A record of medication administered to a patient in an Australian healthcare context |
  Slices for medication[x] | 1..1 | CodeableConcept, Reference(Medication) | Medication Detail Slice: Unordered, Closed by type:$this | |
   medication[x]:medicationCodeableConcept | 0..1 | CodeableConcept | Coded Medication | |
  Slices for coding | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system | |
 coding:pbs | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) | |
  system | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item | |
| coding:gtin | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin | |
| coding:amt | 0..* | Coding | AMT Medicines Binding: Australian Medication  (preferred) | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medicationClass | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
 coding:mimsPackage | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes | |
 medication[x]:medicationReference | 0..1 | Reference(Medication) | Medication Reference | |
 dosage | ||||
 site | 0..1 | CodeableConcept | Body site administered to Binding: Body Site (preferred) | |
| route | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration (preferred) | |
 method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs | preferred | PBSItemCodes (a valid code from PBS Item Codes)http://terminology.hl7.org.au/ValueSet/pbs-itemfrom this IG | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin | preferred | GTINhttp://terminology.hl7.org/ValueSet/v3-GTIN | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt | preferred | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage | preferred | MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))http://terminology.hl7.org.au/ValueSet/mimsfrom this IG | |
| MedicationAdministration.dosage.site | preferred | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | |
| MedicationAdministration.dosage.route | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 | |
| MedicationAdministration.dosage.method | preferred | SNOMEDCTAdministrationMethodCodes |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | A record of medication administered to a patient in an Australian healthcare context | |
 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 | 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. |
| Slices for medication[x] | Σ | 1..1 | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |
  medicationCodeableConcept | CodeableConcept | |||
 medicationReference | Reference(Medication) | |||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. |
| Slices for coding | Σ | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system |
| coding:pbs | Σ | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item |
| coding:gtin | Σ | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin |
| coding:amt | Σ | 0..* | Coding | AMT Medicines Binding: Australian Medication (preferred) |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medicationClass | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| coding:mimsPackage | Σ | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes |
| medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | Medication Reference |
| subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication |
 effective[x] | Σ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1from the FHIR Standard | |
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationAdministration.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs | preferred | PBSItemCodes (a valid code from PBS Item Codes)http://terminology.hl7.org.au/ValueSet/pbs-itemfrom this IG | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin | preferred | GTINhttp://terminology.hl7.org/ValueSet/v3-GTIN | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt | preferred | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage | preferred | MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))http://terminology.hl7.org.au/ValueSet/mimsfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | A record of medication administered to a patient in an Australian healthcare context | |||||
| 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.
| |||||
| 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 | Procedure) | Part of referenced event | ||||
| status | ?!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. | |||||
| Slices for medication[x] | Σ | 1..1 | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 Slices for coding | Σ | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system | ||||
 coding:pbs | Σ | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:gtin | Σ | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:amt | Σ | 0..* | Coding | AMT Medicines Binding: Australian Medication (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| medicationClass | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:mimsPackage | Σ | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | Medication Reference | ||||
| subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication | ||||
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |||||
| effective[x] | Σ | 1..1 | Start and end time of administration | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| performer | 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 | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | 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 | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
| request | 0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
| device | 0..* | Reference(Device) | Device used to administer | |||||
| note | 0..* | Annotation | Information about the administration | |||||
| dosage | C | 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 | 0..1 | string | Free text dosage instructions e.g. SIG | |||||
| site | 0..1 | CodeableConcept | Body site administered to Binding: Body Site (preferred) | |||||
| route | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration (preferred) | |||||
| method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1from the FHIR Standard | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesfrom the FHIR Standard | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs | preferred | PBSItemCodes (a valid code from PBS Item Codes)http://terminology.hl7.org.au/ValueSet/pbs-itemfrom this IG | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin | preferred | GTINhttp://terminology.hl7.org/ValueSet/v3-GTIN | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt | preferred | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage | preferred | MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))http://terminology.hl7.org.au/ValueSet/mimsfrom this IG | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-functionfrom the FHIR Standard | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.site | preferred | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
| MedicationAdministration.dosage.route | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 | ||||
| MedicationAdministration.dosage.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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
Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 4 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 2
Differential View
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | D | 0..* | MedicationAdministration | A record of medication administered to a patient in an Australian healthcare context |
| Slices for medication[x] | 1..1 | CodeableConcept, Reference(Medication) | Medication Detail Slice: Unordered, Closed by type:$this | |
| medication[x]:medicationCodeableConcept | 0..1 | CodeableConcept | Coded Medication | |
| Slices for coding | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system | |
| coding:pbs | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item | |
| coding:gtin | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin | |
| coding:amt | 0..* | Coding | AMT Medicines Binding: Australian Medication (preferred) | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medicationClass | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| coding:mimsPackage | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes | |
| medication[x]:medicationReference | 0..1 | Reference(Medication) | Medication Reference | |
| dosage | ||||
| site | 0..1 | CodeableConcept | Body site administered to Binding: Body Site (preferred) | |
| route | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration (preferred) | |
| method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs | preferred | PBSItemCodes (a valid code from PBS Item Codes)http://terminology.hl7.org.au/ValueSet/pbs-itemfrom this IG | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin | preferred | GTINhttp://terminology.hl7.org/ValueSet/v3-GTIN | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt | preferred | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage | preferred | MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))http://terminology.hl7.org.au/ValueSet/mimsfrom this IG | |
| MedicationAdministration.dosage.site | preferred | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | |
| MedicationAdministration.dosage.route | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 | |
| MedicationAdministration.dosage.method | preferred | SNOMEDCTAdministrationMethodCodes |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | A record of medication administered to a patient in an Australian healthcare context | |
| 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 | 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. |
| Slices for medication[x] | Σ | 1..1 | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. |
| Slices for coding | Σ | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system |
| coding:pbs | Σ | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item |
| coding:gtin | Σ | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin |
| coding:amt | Σ | 0..* | Coding | AMT Medicines Binding: Australian Medication (preferred) |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medicationClass | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| coding:mimsPackage | Σ | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes |
| medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | Medication Reference |
| subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication |
| effective[x] | Σ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1from the FHIR Standard | |
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationAdministration.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs | preferred | PBSItemCodes (a valid code from PBS Item Codes)http://terminology.hl7.org.au/ValueSet/pbs-itemfrom this IG | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin | preferred | GTINhttp://terminology.hl7.org/ValueSet/v3-GTIN | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt | preferred | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | |
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage | preferred | MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))http://terminology.hl7.org.au/ValueSet/mimsfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | A record of medication administered to a patient in an Australian healthcare context | |||||
| 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.
| |||||
| 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 | Procedure) | Part of referenced event | ||||
| status | ?!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. | |||||
| Slices for medication[x] | Σ | 1..1 | Medication Detail Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Coded Medication Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Medication Codes Slice: Unordered, Open by value:system | ||||
| coding:pbs | Σ | 0..* | Coding | PBS Item Code Binding: PBS Item Codes (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:gtin | Σ | 0..* | Coding | Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.gs1.org/gtin | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:amt | Σ | 0..* | Coding | AMT Medicines Binding: Australian Medication (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| medicationClass | 0..1 | Coding | Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required) | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:mimsPackage | Σ | 0..1 | Coding | MIMS Package Binding: MIMS (preferred) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.mims.com.au/codes | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | Medication Reference | ||||
| subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication | ||||
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |||||
| effective[x] | Σ | 1..1 | Start and end time of administration | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| performer | 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 | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | 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 | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
| request | 0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
| device | 0..* | Reference(Device) | Device used to administer | |||||
| note | 0..* | Annotation | Information about the administration | |||||
| dosage | C | 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 | 0..1 | string | Free text dosage instructions e.g. SIG | |||||
| site | 0..1 | CodeableConcept | Body site administered to Binding: Body Site (preferred) | |||||
| route | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration (preferred) | |||||
| method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred) | |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1from the FHIR Standard | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesfrom the FHIR Standard | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs | preferred | PBSItemCodes (a valid code from PBS Item Codes)http://terminology.hl7.org.au/ValueSet/pbs-itemfrom this IG | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin | preferred | GTINhttp://terminology.hl7.org/ValueSet/v3-GTIN | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt | preferred | AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 | ||||
| MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage | preferred | MIMS (a valid code from Monthly Index of Medical Specialties (MIMS))http://terminology.hl7.org.au/ValueSet/mimsfrom this IG | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-functionfrom the FHIR Standard | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.site | preferred | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
| MedicationAdministration.dosage.route | preferred | RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 | ||||
| MedicationAdministration.dosage.method | preferred | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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
Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 4 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2017+ HL7 Australia. Package hl7.fhir.au.base#4.2.1-ci-build based on FHIR 4.0.1. Generated 2024-03-17
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