<?xml version="1.0" encoding="UTF-8"?>
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/*
  Copyright (c) 2011+, HL7, Inc.
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  are permitted provided that the following conditions are met:
  
   * Redistributions of source code must retain the above copyright notice, this 
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     this list of conditions and the following disclaimer in the documentation 
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     endorse or promote products derived from this software without specific 
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  Generated on Sun, Jun 21, 2026 23:26+0000 for FHIR v6.0.0-ballot4 

  Note: the schemas &amp; schematrons do not contain all of the rules about what makes resources
  valid. Implementers will still need to be familiar with the content of the specification and with
  any profiles that apply to the resources in order to make a conformant implementation.

-->
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml" targetNamespace="http://hl7.org/fhir" elementFormDefault="qualified" version="1.0">
  <xs:include schemaLocation="fhir-base.xsd"/>
  <xs:element name="MedicationAdministration" type="MedicationAdministration">
    <xs:annotation>
      <xs:documentation xml:lang="en">Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.</xs:documentation>
    </xs:annotation>
  </xs:element>
  <xs:complexType name="MedicationAdministration">
    <xs:annotation>
      <xs:documentation xml:lang="en">Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.</xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="DomainResource">
        <xs:sequence>
          <xs:element name="identifier" minOccurs="0" maxOccurs="unbounded" type="Identifier">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="basedOn" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A plan that is fulfilled in whole or in part by this MedicationAdministration.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="partOf" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A larger event of which this particular event is a component or step.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="status" minOccurs="1" maxOccurs="1" type="MedicationAdministrationStatusCodes">
            <xs:annotation>
              <xs:documentation xml:lang="en">Will generally be set to show that the administration has been completed.  For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="statusReason" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A code indicating why the status of the administration changed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="category" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The type of medication administration.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="medication" minOccurs="1" maxOccurs="1" type="CodeableReference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="subject" minOccurs="1" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The person or animal or group receiving the medication.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="encounter" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="supportingInformation" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Additional information (for example, patient height and weight) that supports the administration of the medication.  This attribute can be used to provide documentation of specific characteristics of the patient present at the time of administration.  For example, if the dose says &quot;give &quot;x&quot; if the heartrate exceeds &quot;y&quot;&quot;, then the heart rate can be included using this attribute.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:choice minOccurs="1" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">A specific date/time or interval of time during which the administration took place (or did not take place). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.</xs:documentation>
            </xs:annotation>
            <xs:element name="occurrenceDateTime" type="dateTime"/>
            <xs:element name="occurrencePeriod" type="Period"/>
            <xs:element name="occurrenceTiming" type="Timing"/>
          </xs:choice>
          <xs:element name="recorded" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">The date the occurrence of the  MedicationAdministration was first captured in the record - potentially significantly after the occurrence of the event.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="isSubPotent" minOccurs="0" maxOccurs="1" type="boolean">
            <xs:annotation>
              <xs:documentation xml:lang="en">An indication that the full dose was not administered.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="subPotentReason" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The reason or reasons why the full dose was not administered.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="performer" type="MedicationAdministration.Performer" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">The performer of the medication treatment.  For devices this is the device that performed the administration of the medication.  An IV Pump would be an example of a device that is performing the administration. Both the IV Pump and the practitioner that set the rate or bolus on the pump can be listed as performers.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="reason" minOccurs="0" maxOccurs="unbounded" type="CodeableReference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A code, Condition or observation that supports why the medication was administered.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="request" minOccurs="0" maxOccurs="1" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The original request, instruction or authority to perform the administration.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="device" minOccurs="0" maxOccurs="unbounded" type="CodeableReference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The device that is to be used for the administration of the medication (for example, PCA Pump).</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="note" minOccurs="0" maxOccurs="unbounded" type="Annotation">
            <xs:annotation>
              <xs:documentation xml:lang="en">Extra information about the medication administration that is not conveyed by the other attributes.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="dosage" type="MedicationAdministration.Dosage" minOccurs="0" maxOccurs="1">
            <xs:annotation>
              <xs:documentation xml:lang="en">Describes the medication dosage information details e.g. dose, rate, site, route, etc.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="eventHistory" minOccurs="0" maxOccurs="unbounded" type="Reference">
            <xs:annotation>
              <xs:documentation xml:lang="en">A summary of the events of interest that have occurred, such as when the administration was verified.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="MedicationAdministration.Performer">
    <xs:annotation>
      <xs:documentation xml:lang="en">Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="function" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Distinguishes the type of involvement of the performer in the medication administration.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="actor" minOccurs="1" maxOccurs="1" type="CodeableReference">
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates who or what performed the medication administration.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="MedicationAdministration.Dosage">
    <xs:annotation>
      <xs:documentation xml:lang="en">Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="text" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.

The dosage instructions should reflect the dosage of the medication that was administered.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="site" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A coded specification of the anatomic site where the medication first entered the body.  For example, &quot;left arm&quot;.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="route" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient.  For example, topical, intravenous, etc.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="method" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A coded value indicating the method by which the medication is intended to be or was introduced into or on the body.  This attribute will most often NOT be populated.  It is most commonly used for injections.  For example, Slow Push, Deep IV.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="dose" minOccurs="0" maxOccurs="1" type="Quantity">
            <xs:annotation>
              <xs:documentation xml:lang="en">The amount of the medication given at one administration event.   Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:choice minOccurs="0" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">Identifies the speed with which the medication was or will be introduced into the patient.  Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours.  Other examples:  200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.</xs:documentation>
            </xs:annotation>
            <xs:element name="rateRatio" type="Ratio"/>
            <xs:element name="rateQuantity" type="Quantity"/>
          </xs:choice>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:simpleType name="MedicationAdministrationStatusCodesEnum">
    <xs:restriction base="code-primitive">
      <xs:enumeration value="in-progress">
        <xs:annotation>
          <xs:documentation xml:lang="en">In Progress</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="not-done">
        <xs:annotation>
          <xs:documentation xml:lang="en">Not Done</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="on-hold">
        <xs:annotation>
          <xs:documentation xml:lang="en">On Hold</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="completed">
        <xs:annotation>
          <xs:documentation xml:lang="en">Completed</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="entered-in-error">
        <xs:annotation>
          <xs:documentation xml:lang="en">Entered in Error</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="stopped">
        <xs:annotation>
          <xs:documentation xml:lang="en">Stopped</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="unknown">
        <xs:annotation>
          <xs:documentation xml:lang="en">Unknown</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
    </xs:restriction>
  </xs:simpleType>
  <xs:complexType name="MedicationAdministrationStatusCodes">
    <xs:annotation>
      <xs:documentation xml:lang="en"></xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="Element">
        <xs:attribute name="value" type="MedicationAdministrationStatusCodesEnum" use="optional"/>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
</xs:schema>
