HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions

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Resource Profile: Medication Administration Obligations (HDR CZ)

Profile for Medication Administration Obligations in the Czech Republic Health Data Repository (HDR CZ).

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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	Administration of medication to a patient
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		What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	OΣ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
Slices for effective[x]	Σ	1..1		Start and end time of administration Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	OΣ	0..1	Period	Start and end time of administration Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonCode	O	0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonReference	O	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
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	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationAdministration.​reasonCode	Base	example	Reason Medication Given 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()

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept	O	0..1	CodeableConcept	What was administered Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
Slices for effective[x]		1..1	dateTime, Period	Start and end time of administration Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod	O	0..1	Period	Start and end time of administration Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonCode	O	0..*	CodeableConcept	Reason administration performed Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonReference	O	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
dosage
route	O	0..1	CodeableConcept	Path of substance into body Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | 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		What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	OΣ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Resource)	Additional information to support administration
Slices for effective[x]	Σ	1..1		Start and end time of administration Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	OΣ	0..1	Period	Start and end time of administration Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
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	O	0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonReference	O	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
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 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	O	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
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	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
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

Slices

This structure defines the following Slices:

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

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
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		What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	OΣ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
Slices for effective[x]	Σ	1..1		Start and end time of administration Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	OΣ	0..1	Period	Start and end time of administration Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonCode	O	0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonReference	O	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
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	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationAdministration.​reasonCode	Base	example	Reason Medication Given 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()

Differential View

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept	O	0..1	CodeableConcept	What was administered Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
Slices for effective[x]		1..1	dateTime, Period	Start and end time of administration Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod	O	0..1	Period	Start and end time of administration Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonCode	O	0..*	CodeableConcept	Reason administration performed Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonReference	O	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
dosage
route	O	0..1	CodeableConcept	Path of substance into body Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | 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		What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	OΣ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Resource)	Additional information to support administration
Slices for effective[x]	Σ	1..1		Start and end time of administration Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	OΣ	0..1	Period	Start and end time of administration Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
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	O	0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
reasonReference	O	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered Obligations Actor SHALL:able-to-populate Creator_L2 SHALL:display Consumer_L2 SHALL:able-to-populate Creator_L3 SHALL:display Consumer_L3
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 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	O	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. Obligations Actor SHOULD:populate-if-known Creator_L2 SHOULD:display Consumer_L2 SHOULD:populate-if-known Creator_L3 SHOULD:display Consumer_L3
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	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
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

Slices

This structure defines the following Slices:

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

Maturity: 0

Other representations of profile: CSV, Excel, Schematron