HL7 Czech EMS Implementation Guide
0.0.2 - ci-build

HL7 Czech EMS Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-ems/ and changes regularly. See the Directory of published versions

## Resource Profile: Medication Administration: EMS Report (CZ)

Official URL: https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-MedicationAdministration | Version: 0.0.2
Draft as of 2025-10-14 | Computable Name: CZ_MedicationAdministration

Czech national profile for a medication administration.

MedicationAdministration is intended for tracking the administration of medications.

Usages:

- Refer to this Profile: Medication Administration: EMS Report (CZ)

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Czech Medication Administration
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External identifier
partOf | Σ | 0..* | Reference(Medication Administration: EMS Report (CZ) | MedicationAdministration | Procedure: EMS Report (CZ) | 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)
Slices for medication[x] | Σ | 1..1 |  | What was administered 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]:medicationReference | Σ | 0..1 | Reference(Medication (CZ)) | What was administered
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | What was administered Binding: https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs (preferred)
subject | Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group) | Who received medication
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
device |  | 0..* | Reference(Device: Performer/Observer (CZ) | Medical Device (CZ)) | Device used to administer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📦4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | preferred | https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs | Not Stated | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Czech Medication Administration
identifier |  | 1..* | Identifier | External identifier
partOf |  | 0..* | Reference(Medication Administration: EMS Report (CZ) | MedicationAdministration | Procedure: EMS Report (CZ) | Procedure) | Part of referenced event
status |  | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required)
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationReference |  | 0..1 | Reference(Medication (CZ)) | What was administered
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | What was administered Binding: https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs (preferred)
subject |  | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group) | Who received medication
performer |  |  |  |
actor |  | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ)) | Who performed the medication administration
device |  | 0..* | Reference(Device: Performer/Observer (CZ) | Medical Device (CZ)) | Device used to administer
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📦4.0.1 | FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | preferred | https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs | Not Stated | Unknown

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Czech Medication Administration
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(Medication Administration: EMS Report (CZ) | MedicationAdministration | Procedure: EMS Report (CZ) | 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)
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 |  | What was administered 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]:medicationReference | Σ | 0..1 | Reference(Medication (CZ)) | What was administered
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | What was administered Binding: https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs (preferred)
subject | Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | 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 (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ)) | 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: Performer/Observer (CZ) | Medical Device (CZ)) | Device used to administer
note |  | 0..* | Annotation | Information about the administration
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text |  | 0..1 | string | Free text dosage instructions e.g. SIG
site |  | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route |  | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method |  | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
rate[x] |  | 0..1 |  | Dose quantity per unit of time
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationAdministration.​status | Base | required | Medication administration status codes | 📦4.0.1 | FHIR Std.
MedicationAdministration.​statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | preferred | https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs | Not Stated | Unknown
MedicationAdministration.​performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Medication Administration: EMS Report (CZ) (https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-MedicationAdministration)
- Procedure: EMS Report (CZ) (https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-procedure-ems)
- Medication (CZ) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-Medication)
- Patient (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-patient-core)
- Patient: Animal (CZ) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-patient-animal)
- Practitioner (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-practitionerrole-core)
- Related Person (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-relatedPerson-core)
- Device: Performer/Observer (CZ) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-device-observer)
- Medical Device (CZ) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-medical-device)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationAdministration.medication[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Czech Medication Administration
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External identifier
partOf | Σ | 0..* | Reference(Medication Administration: EMS Report (CZ) | MedicationAdministration | Procedure: EMS Report (CZ) | 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)
Slices for medication[x] | Σ | 1..1 |  | What was administered 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]:medicationReference | Σ | 0..1 | Reference(Medication (CZ)) | What was administered
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | What was administered Binding: https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs (preferred)
subject | Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group) | Who received medication
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
device |  | 0..* | Reference(Device: Performer/Observer (CZ) | Medical Device (CZ)) | Device used to administer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📦4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | preferred | https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs | Not Stated | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Czech Medication Administration
identifier |  | 1..* | Identifier | External identifier
partOf |  | 0..* | Reference(Medication Administration: EMS Report (CZ) | MedicationAdministration | Procedure: EMS Report (CZ) | Procedure) | Part of referenced event
status |  | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required)
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationReference |  | 0..1 | Reference(Medication (CZ)) | What was administered
medication[x]:medicationCodeableConcept |  | 0..1 | CodeableConcept | What was administered Binding: https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs (preferred)
subject |  | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | Group) | Who received medication
performer |  |  |  |
actor |  | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ)) | Who performed the medication administration
device |  | 0..* | Reference(Device: Performer/Observer (CZ) | Medical Device (CZ)) | Device used to administer
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📦4.0.1 | FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | preferred | https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs | Not Stated | Unknown

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Czech Medication Administration
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(Medication Administration: EMS Report (CZ) | MedicationAdministration | Procedure: EMS Report (CZ) | 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)
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 |  | What was administered 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]:medicationReference | Σ | 0..1 | Reference(Medication (CZ)) | What was administered
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | What was administered Binding: https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs (preferred)
subject | Σ | 1..1 | Reference(Patient (CZ core) | Patient: Animal (CZ) | 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 (CZ core) | Practitioner Role (CZ core) | Patient (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ)) | 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: Performer/Observer (CZ) | Medical Device (CZ)) | Device used to administer
note |  | 0..* | Annotation | Information about the administration
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text |  | 0..1 | string | Free text dosage instructions e.g. SIG
site |  | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route |  | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method |  | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose |  | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
rate[x] |  | 0..1 |  | Dose quantity per unit of time
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationAdministration.​status | Base | required | Medication administration status codes | 📦4.0.1 | FHIR Std.
MedicationAdministration.​statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | preferred | https://hl7.cz/fhir/core/ValueSet/cz-dlplecivepripravky-vs | Not Stated | Unknown
MedicationAdministration.​performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

- Medication Administration: EMS Report (CZ) (https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-MedicationAdministration)
- Procedure: EMS Report (CZ) (https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-procedure-ems)
- Medication (CZ) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-Medication)
- Patient (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-patient-core)
- Patient: Animal (CZ) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-patient-animal)
- Practitioner (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-practitionerrole-core)
- Related Person (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-relatedPerson-core)
- Device: Performer/Observer (CZ) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-device-observer)
- Medical Device (CZ) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-medical-device)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationAdministration.medication[x]

Other representations of profile: CSV, Excel, Schematron