This artifact is new for US Core Version 10.0.0-ballot

Example Usage Scenarios:

The following are example usage scenarios for the US Core MedicationAdministration Profile:

• Query for MedicationAdministration resources belonging to a Patient
• Query for a Patient's MedicationAdministration resources by status or administration time
• Record or update a Patient MedicationAdministration

Mandatory and Must Support Data Elements

The following data elements must always be present (Mandatory definition) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each MedicationAdministration Must Have:

1. a status (e.g., completed, in progress, not done)
2. a medication¹
3. a patient
4. when the medication was administered⁴

Each MedicationAdministration Must Support:

1. a reason the administration was not performed³
2. who administered the medication²
3. the authorizing prescription
4. free text dosage instructions (the SIG)
5. the route of administration
6. the dose

^1,2,3,4 see guidance below

Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the US Core Profile to support implementation and certification.

• The MedicationAdministration resource represents the USCDI Medication Administration data element. The Medication List guidance remains based on MedicationRequest; a MedicationAdministration query is not a substitute for it.
• A status code of "not-done" is used when a medication was not administered.
  • ³MedicationAdministration.statusReason communicates why the medication was not administered, such as patient refusal. Note that this binding is provisional, pending the review of the terminology aligned with the HL7 FHIR US Quality Core Implementation Guide.
• ⁴MedicationAdministration.effective[x] is mandatory and records when the administration took place, or when it was to have taken place when MedicationAdministration.status is "not-done". Use effectiveDateTime for an essentially instantaneous administration, such as swallowing a tablet or giving an injection, and effectivePeriod for an administration with a duration, such as an infusion. An effectivePeriod with no end time records an administration that is still under way.
• ¹ This Profile can represent a medication using a code or reference to a Medication resource.
  • The Server systems are not required to support both a code and a reference, but SHALL support at least one of these methods.^§
  • The Client application SHALL support all methods.^§,§
  • When using a code, RXNorm concepts are used. They are defined as an extensible binding to .medicationCodeableConcept. USCDI recommends the National Drug Codes (NDC) as an optional terminology. They MAY be supplied as an additional coding element.^§
    • Systems that primarily rely on NDC codes instead of RxNorm to represent medications can use the National Library of Medicine's (NLM) NDC to RxNorm mappings to aid in additional codings.
  • When referencing a Medication resource in .medicationReference, the resource may be contained or an external resource.^§,§ If an external reference to a Medication resource is used, the Server SHALL support the _include parameter for searching this element.^§

• ²The profile element MedicationAdministration.performer.actor communicates the individual level provenance author data corresponding to the U.S. Core Data for Interoperability (USCDI) Provenance Author Data Elements.

Changes since version 9.0.0:

• 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
MedicationAdministration.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationAdministration.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationAdministration.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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.
MedicationAdministration.statusReason	S This element must be supported.	0..1	CodeableConcept	Reason the administration was not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
MedicationAdministration.medication[x]	S This element must be supported. Σ This element is included in summaries.	1..1		What was administered Binding: Medication Clinical Drug (extensible)
MedicationAdministration.medication[x].medicationCodeableConcept			CodeableConcept
MedicationAdministration.medication[x].medicationReference			Reference(US Core Medication Profile)
MedicationAdministration.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group)	Who received medication
MedicationAdministration.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1		Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationAdministration.effective[x].effectivePeriod			Period S This type must be supported.
MedicationAdministration.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	Who performed the medication administration and what they did
MedicationAdministration.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationAdministration.performer.actor	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile)	Who performed the medication administration
MedicationAdministration.request	S This element must be supported.	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
MedicationAdministration.dosage	S This element must be supported. C	0..1	BackboneElement	Details of how medication was taken Constraints: mad-1
MedicationAdministration.dosage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationAdministration.dosage.text	S This element must be supported.	0..1	string	Free text dosage instructions e.g. SIG
MedicationAdministration.dosage.route	S This element must be supported.	0..1	CodeableConcept	Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
MedicationAdministration.dosage.dose	S This element must be supported. C	0..1	SimpleQuantity(4.0.1)	Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding Constraints: sqty-1
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.​statusReason	Base	extensible	SNOMED CT Reason Medication Not Given Codes	📦4.0.1	FHIR Std.
MedicationAdministration.​medication[x]	Base	extensible	Medication Clinical Drug	⏿20240606	tx.fhir.org
MedicationAdministration.​dosage.route	Base	extensible	Route of Administration of Therapeutic Agents	⏿20241015	tx.fhir.org
MedicationAdministration.​dosage.dose	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

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
MedicationAdministration.status	S This element must be supported.	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
MedicationAdministration.statusReason	S This element must be supported.	0..1	CodeableConcept	Reason the administration was not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
MedicationAdministration.medication[x]	S This element must be supported.	1..1		What was administered Binding: Medication Clinical Drug (extensible)
MedicationAdministration.medication[x].medicationCodeableConcept			CodeableConcept
MedicationAdministration.medication[x].medicationReference			Reference(US Core Medication Profile)
MedicationAdministration.subject	S This element must be supported.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group)	Who received medication
MedicationAdministration.effective[x]	S This element must be supported.	1..1		Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationAdministration.effective[x].effectivePeriod			Period S This type must be supported.
MedicationAdministration.performer	S This element must be supported.	0..*	BackboneElement	Who performed the medication administration and what they did
MedicationAdministration.performer.actor	S This element must be supported.	1..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile)	Who performed the medication administration
MedicationAdministration.request	S This element must be supported.	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
MedicationAdministration.dosage	S This element must be supported.	0..1	BackboneElement	Details of how medication was taken
MedicationAdministration.dosage.text	S This element must be supported.	0..1	string	Free text dosage instructions e.g. SIG
MedicationAdministration.dosage.route	S This element must be supported.	0..1	CodeableConcept	Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
MedicationAdministration.dosage.dose	S This element must be supported.	0..1	SimpleQuantity(4.0.1)	Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationAdministration.​statusReason	Base	extensible	SNOMED CT Reason Medication Not Given Codes	📦4.0.1	FHIR Std.
MedicationAdministration.​medication[x]	Base	extensible	Medication Clinical Drug	⏿20240606	tx.fhir.org
MedicationAdministration.​dosage.route	Base	extensible	Route of Administration of Therapeutic Agents	⏿20241015	tx.fhir.org
MedicationAdministration.​dosage.dose	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
MedicationAdministration.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationAdministration.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationAdministration.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationAdministration.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationAdministration.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
MedicationAdministration.contained		0..*	Resource	Contained, inline Resources
MedicationAdministration.extension		0..*	Extension	Additional content defined by implementations
MedicationAdministration.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationAdministration.identifier		0..*	Identifier	External identifier
MedicationAdministration.instantiates	Σ This element is included in summaries.	0..*	uri	Instantiates protocol or definition
MedicationAdministration.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
MedicationAdministration.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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.
MedicationAdministration.statusReason	S This element must be supported.	0..1	CodeableConcept	Reason the administration was not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
MedicationAdministration.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.
MedicationAdministration.medication[x]	S This element must be supported. Σ This element is included in summaries.	1..1		What was administered Binding: Medication Clinical Drug (extensible)
MedicationAdministration.medication[x].medicationCodeableConcept			CodeableConcept
MedicationAdministration.medication[x].medicationReference			Reference(US Core Medication Profile)
MedicationAdministration.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group)	Who received medication
MedicationAdministration.context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
MedicationAdministration.supportingInformation		0..*	Reference(Resource)	Additional information to support administration
MedicationAdministration.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1		Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationAdministration.effective[x].effectivePeriod			Period S This type must be supported.
MedicationAdministration.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	Who performed the medication administration and what they did
MedicationAdministration.performer.id		0..1	string	Unique id for inter-element referencing
MedicationAdministration.performer.extension		0..*	Extension	Additional content defined by implementations
MedicationAdministration.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationAdministration.performer.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.
MedicationAdministration.performer.actor	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile)	Who performed the medication administration
MedicationAdministration.reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
MedicationAdministration.reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered
MedicationAdministration.request	S This element must be supported.	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
MedicationAdministration.device		0..*	Reference(Device)	Device used to administer
MedicationAdministration.note		0..*	Annotation	Information about the administration
MedicationAdministration.dosage	S This element must be supported. C	0..1	BackboneElement	Details of how medication was taken Constraints: mad-1
MedicationAdministration.dosage.id		0..1	string	Unique id for inter-element referencing
MedicationAdministration.dosage.extension		0..*	Extension	Additional content defined by implementations
MedicationAdministration.dosage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationAdministration.dosage.text	S This element must be supported.	0..1	string	Free text dosage instructions e.g. SIG
MedicationAdministration.dosage.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.
MedicationAdministration.dosage.route	S This element must be supported.	0..1	CodeableConcept	Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
MedicationAdministration.dosage.method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationAdministration.dosage.dose	S This element must be supported. C	0..1	SimpleQuantity(4.0.1)	Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding Constraints: sqty-1
MedicationAdministration.dosage.rate[x]		0..1		Dose quantity per unit of time
MedicationAdministration.dosage.rate[x].rateRatio			Ratio
MedicationAdministration.dosage.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationAdministration.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	extensible	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	extensible	Medication Clinical Drug	⏿20240606	tx.fhir.org
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	extensible	Route of Administration of Therapeutic Agents	⏿20241015	tx.fhir.org
MedicationAdministration.​dosage.method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationAdministration.​dosage.dose	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
MedicationAdministration.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationAdministration.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationAdministration.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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.
MedicationAdministration.statusReason	S This element must be supported.	0..1	CodeableConcept	Reason the administration was not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
MedicationAdministration.medication[x]	S This element must be supported. Σ This element is included in summaries.	1..1		What was administered Binding: Medication Clinical Drug (extensible)
MedicationAdministration.medication[x].medicationCodeableConcept			CodeableConcept
MedicationAdministration.medication[x].medicationReference			Reference(US Core Medication Profile)
MedicationAdministration.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group)	Who received medication
MedicationAdministration.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1		Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationAdministration.effective[x].effectivePeriod			Period S This type must be supported.
MedicationAdministration.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	Who performed the medication administration and what they did
MedicationAdministration.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationAdministration.performer.actor	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile)	Who performed the medication administration
MedicationAdministration.request	S This element must be supported.	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
MedicationAdministration.dosage	S This element must be supported. C	0..1	BackboneElement	Details of how medication was taken Constraints: mad-1
MedicationAdministration.dosage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationAdministration.dosage.text	S This element must be supported.	0..1	string	Free text dosage instructions e.g. SIG
MedicationAdministration.dosage.route	S This element must be supported.	0..1	CodeableConcept	Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
MedicationAdministration.dosage.dose	S This element must be supported. C	0..1	SimpleQuantity(4.0.1)	Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding Constraints: sqty-1
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.​statusReason	Base	extensible	SNOMED CT Reason Medication Not Given Codes	📦4.0.1	FHIR Std.
MedicationAdministration.​medication[x]	Base	extensible	Medication Clinical Drug	⏿20240606	tx.fhir.org
MedicationAdministration.​dosage.route	Base	extensible	Route of Administration of Therapeutic Agents	⏿20241015	tx.fhir.org
MedicationAdministration.​dosage.dose	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

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
MedicationAdministration.status	S This element must be supported.	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
MedicationAdministration.statusReason	S This element must be supported.	0..1	CodeableConcept	Reason the administration was not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
MedicationAdministration.medication[x]	S This element must be supported.	1..1		What was administered Binding: Medication Clinical Drug (extensible)
MedicationAdministration.medication[x].medicationCodeableConcept			CodeableConcept
MedicationAdministration.medication[x].medicationReference			Reference(US Core Medication Profile)
MedicationAdministration.subject	S This element must be supported.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group)	Who received medication
MedicationAdministration.effective[x]	S This element must be supported.	1..1		Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationAdministration.effective[x].effectivePeriod			Period S This type must be supported.
MedicationAdministration.performer	S This element must be supported.	0..*	BackboneElement	Who performed the medication administration and what they did
MedicationAdministration.performer.actor	S This element must be supported.	1..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile)	Who performed the medication administration
MedicationAdministration.request	S This element must be supported.	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
MedicationAdministration.dosage	S This element must be supported.	0..1	BackboneElement	Details of how medication was taken
MedicationAdministration.dosage.text	S This element must be supported.	0..1	string	Free text dosage instructions e.g. SIG
MedicationAdministration.dosage.route	S This element must be supported.	0..1	CodeableConcept	Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
MedicationAdministration.dosage.dose	S This element must be supported.	0..1	SimpleQuantity(4.0.1)	Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationAdministration.​statusReason	Base	extensible	SNOMED CT Reason Medication Not Given Codes	📦4.0.1	FHIR Std.
MedicationAdministration.​medication[x]	Base	extensible	Medication Clinical Drug	⏿20240606	tx.fhir.org
MedicationAdministration.​dosage.route	Base	extensible	Route of Administration of Therapeutic Agents	⏿20241015	tx.fhir.org
MedicationAdministration.​dosage.dose	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
MedicationAdministration.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationAdministration.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationAdministration.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationAdministration.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationAdministration.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
MedicationAdministration.contained		0..*	Resource	Contained, inline Resources
MedicationAdministration.extension		0..*	Extension	Additional content defined by implementations
MedicationAdministration.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationAdministration.identifier		0..*	Identifier	External identifier
MedicationAdministration.instantiates	Σ This element is included in summaries.	0..*	uri	Instantiates protocol or definition
MedicationAdministration.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
MedicationAdministration.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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.
MedicationAdministration.statusReason	S This element must be supported.	0..1	CodeableConcept	Reason the administration was not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
MedicationAdministration.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.
MedicationAdministration.medication[x]	S This element must be supported. Σ This element is included in summaries.	1..1		What was administered Binding: Medication Clinical Drug (extensible)
MedicationAdministration.medication[x].medicationCodeableConcept			CodeableConcept
MedicationAdministration.medication[x].medicationReference			Reference(US Core Medication Profile)
MedicationAdministration.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group)	Who received medication
MedicationAdministration.context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
MedicationAdministration.supportingInformation		0..*	Reference(Resource)	Additional information to support administration
MedicationAdministration.effective[x]	S This element must be supported. Σ This element is included in summaries.	1..1		Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime			dateTime S This target must be supported.
MedicationAdministration.effective[x].effectivePeriod			Period S This type must be supported.
MedicationAdministration.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	Who performed the medication administration and what they did
MedicationAdministration.performer.id		0..1	string	Unique id for inter-element referencing
MedicationAdministration.performer.extension		0..*	Extension	Additional content defined by implementations
MedicationAdministration.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationAdministration.performer.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.
MedicationAdministration.performer.actor	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile)	Who performed the medication administration
MedicationAdministration.reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
MedicationAdministration.reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered
MedicationAdministration.request	S This element must be supported.	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
MedicationAdministration.device		0..*	Reference(Device)	Device used to administer
MedicationAdministration.note		0..*	Annotation	Information about the administration
MedicationAdministration.dosage	S This element must be supported. C	0..1	BackboneElement	Details of how medication was taken Constraints: mad-1
MedicationAdministration.dosage.id		0..1	string	Unique id for inter-element referencing
MedicationAdministration.dosage.extension		0..*	Extension	Additional content defined by implementations
MedicationAdministration.dosage.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationAdministration.dosage.text	S This element must be supported.	0..1	string	Free text dosage instructions e.g. SIG
MedicationAdministration.dosage.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.
MedicationAdministration.dosage.route	S This element must be supported.	0..1	CodeableConcept	Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
MedicationAdministration.dosage.method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationAdministration.dosage.dose	S This element must be supported. C	0..1	SimpleQuantity(4.0.1)	Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding Constraints: sqty-1
MedicationAdministration.dosage.rate[x]		0..1		Dose quantity per unit of time
MedicationAdministration.dosage.rate[x].rateRatio			Ratio
MedicationAdministration.dosage.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationAdministration.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	extensible	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	extensible	Medication Clinical Drug	⏿20240606	tx.fhir.org
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	extensible	Route of Administration of Therapeutic Agents	⏿20241015	tx.fhir.org
MedicationAdministration.​dosage.method	Base	example	SNOMED CT Administration Method Codes	📍4.0.1	FHIR Std.
MedicationAdministration.​dosage.dose	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from MedicationAdministration

Summary

Must-Support: 12 elements

Structures

This structure refers to these other structures:

• US Core Medication Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication)
• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
• US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)
• US Core Device Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-device)
• US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest)

Maturity: 2

Quick Start

Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile's information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the US Core Server CapabilityStatement for a complete list of supported RESTful interactions for this IG.

• See the Scopes Format section for a description of the SMART scopes syntax.
• See the Search Syntax section for a description of the US Core search syntax.
• See the General Requirements section for additional rules and expectations when a Server requires status parameters.
• See the General Guidance section for additional guidance on searching for multiple patients.

US Core Scopes

Servers providing access to administered medication data SHALL support these US Core SMART Scopes:

• resource level scopes: <patient|user|system>/MedicationAdministration.rs ^§

Mandatory Search Parameters:

The following search parameters and search parameter combinations SHALL be supported:

1. SHALL support both read MedicationAdministration by id AND MedicationAdministration search using the _id search parameter

   GET [base]/MedicationAdministration?_id=[id]' or 'GET [base]/MedicationAdministration/[id]

   Examples:

   1. GET [base]/MedicationAdministration/12354

   2. GET [base]/MedicationAdministration?_id=12354

   Implementation Notes: Fetches a single US Core MedicationAdministration Profile or a search Bundle containing a US Core MedicationAdministration Profile resource matching the id (see Parameters for all resources).

2. SHALL support searching for all medication administrations for a patient. The server application represents the medication using either an inline code or a contained or external reference to the Medication resource. using the patient search parameter

   • Including support for these _include parameters: MedicationAdministration:medication

   GET [base]/MedicationAdministration?patient={Patient/}[id]

   Examples:

   1. GET [base]/MedicationAdministration?patient=Patient/1137192

   2. GET [base]/MedicationAdministration?patient=Patient/1137192&_include=MedicationAdministration:medication

   Implementation Notes: Fetches a bundle of all US Core MedicationAdministration Profile resources for the specified patient ( see how to search by reference).

3. SHALL support searching for all medication administrations for a patient for a given status (for example, all completed administrations or all administrations that were not performed) using the combination of the patient and status search parameters

   • Including support for these _include parameters: MedicationAdministration:medication

   • Including support OR search on status (e.g.status={system|}[code],{system|}[code],...)

   GET [base]/MedicationAdministration?patient={Patient/}[id]&status={system|}[search_code]{,{system|}[code],...}

   Examples:

   1. GET [base]/MedicationAdministration?patient=Patient/1137192&status=completed

   2. GET [base]/MedicationAdministration?patient=Patient/1137192&status=completed&_include=MedicationAdministration:medication

   Implementation Notes: Fetches a bundle of all US Core MedicationAdministration Profile resources for the specified patient and status ( see how to search by reference and how to search by token).

Optional Search Parameters:

The following search parameters and search parameter combinations SHOULD be supported

1. SHOULD support searching for all medication administrations for a patient by the time the administration took place using the combination of the patient and effective-time search parameters

   • Including support for these _include parameters: MedicationAdministration:medication

   • Including optional support for AND search on effective-time (e.g.effective-time=[date]&effective-time=[date]&...)

   • Including support for these effective-time comparators: "gt", "lt", "ge", "le"

   GET [base]/MedicationAdministration?patient={Patient/}[id]&effective-time={gt|lt|ge|le}[dateTime]{&date={gt|lt|ge|le}[dateTime]&...}

   Examples:

   1. GET [base]/MedicationAdministration?patient=Patient/1137192&effective-time=ge2026-01-01T00:00:00Z

   2. GET [base]/MedicationAdministration?patient=Patient/1137192&effective-time=ge2026-01-01T00:00:00Z&_include=MedicationAdministration:medication

   Implementation Notes: Fetches a bundle of all US Core MedicationAdministration Profile resources for the specified patient and administration time ( see how to search by reference and how to search by date).