PDMP MedicationAdministration - US Prescription Drug Monitoring Program (PDMP) v1.0.0

US Prescription Drug Monitoring Program (PDMP)
1.0.0 - STU1 United States of America flag

US Prescription Drug Monitoring Program (PDMP), published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pdmp/ and changes regularly. See the Directory of published versions

Resource Profile: PDMP MedicationAdministration

Official URL: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationadministration				Version: 1.0.0
Active as of 2024-04-01				Computable Name: PdmpMedicationAdministration
Other Identifiers: OID:2.16.840.1.113883.4.642.40.35.42.12

Defines constraints and extensions on the MedicationAdministration resource when used by a Prescription Drug Monitoring Program (PDMP) to return an individual's medication administration history.

Important elements in this profile:

MedicationAdministration.subject
- A reference to the patient receiving the medication SHALL be populated
MedicationAdministration.medicationCodeableConcept (or Medication reference)
- The administered medication SHALL be populated, including the associated RxNorm code and NDC11, as available, reflecting the medication name, strength and dose form
- For information concerning mapping between NDC and RxNorm, see Mapping NDC, RXCUI, and Drug Names in the RxNorm Files
MedicationAdministration.performer
- The party that administered the medication SHALL be populated using either a reference to the performer (US Core Practitioner resource) or an identifier specifying both the provider's identifier value and system
MedicationAdministration.request
- A reference to the authorizing MedicationRequest SHOULD be populated
MedicationAdministration.dosage.dose
- The dose administered, including numeric value and units SHALL be populated
- When the dose is stated in terms of "eaches" (e.g., tablets, capsules, etc.), populate only the dose.unit value with the text "each". Do not populate the dose.system or dose.code values
MedicationAdministration.effective
- The date(s) that the medication was adminstered to the patient SHALL be populated
MedicationAdministration.medicationCodeableConcept.userSelected
- The userSelected element associated with the drug code received from administration data source
- The userSelected element associated with any additional drug codes provided SHALL NOT be populated
MedicationAdministration.authorizingPrescription.identifier
- This element SHOULD be populated with the authorizing prescription's prescriber-system-assigned order number, if known

Usage:

Use this Resource Profile: PDMP Bundle - History Result
Examples for this Resource Profile: MedicationAdministration/pdmp-medadmin-1

Formal Views of Profile Content

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

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
rx-transmission-method	S	0..1	Coding	PDMP Extension - Prescription Transmission Method URL: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method Binding: PDMP Value Set - Prescription Transmission Method (extensible)
status	S	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]	S	1..1		What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible): Prescribable medications
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile)
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	What was administered
coding
userSelected	S	0..1	boolean	If this coding was chosen directly by the user
subject	S	1..1	Reference(US Core Patient Profile)	Who received medication
context	S	0..1	Reference(US Core Encounter Profile)	Encounter or Episode of Care administered as part of
effective[x]	S	1..1	dateTime, Period	Start and end time of administration
performer	S	1..1	BackboneElement	Who performed the medication administration and what they did
actor	SC	1..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson \| Device)	Who performed the medication administration pdmp-administration-performer: MedicationAdministration SHALL include a performer actor reference or performer actor identifier
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
request	S	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
dosage	S	1..1	BackboneElement	Details of how medication was taken
text	S	0..1	string	Free text dosage instructions e.g. SIG
dose	S	1..1	SimpleQuantity	Amount of medication per dose
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status` from the FHIR Standard
MedicationAdministration.medication[x]	extensible	MedicationClinicalDrug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
pdmp-administration-performer	error	MedicationAdministration.performer.actor	MedicationAdministration SHALL include a performer actor reference or performer actor identifier : reference.exists() or identifier.exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
rx-transmission-method	S	0..1	Coding	PDMP Extension - Prescription Transmission Method URL: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method Binding: PDMP Value Set - Prescription Transmission Method (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	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]	SΣ	1..1		What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible): Prescribable medications
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
coding	Σ	0..*	Coding	Code defined by a terminology system
userSelected	SΣ	0..1	boolean	If this coding was chosen directly by the user
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who received medication
context	S	0..1	Reference(US Core Encounter Profile)	Encounter or Episode of Care administered as part of
effective[x]	SΣ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	1..1	BackboneElement	Who performed the medication administration and what they did
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣC	1..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson \| Device)	Who performed the medication administration pdmp-administration-performer: MedicationAdministration SHALL include a performer actor reference or performer actor identifier
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
request	S	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
dosage	SC	1..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	S	0..1	string	Free text dosage instructions e.g. SIG
dose	S	1..1	SimpleQuantity	Amount of medication per dose
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status` from the FHIR Standard
MedicationAdministration.medication[x]	extensible	MedicationClinicalDrug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` from https://vsac.nlm.nih.gov
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationAdministration.performer.actor.identifier.use	required	IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1` from the FHIR Standard

Constraints

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

Description & Constraints

MedicationAdministration

0..*

MedicationAdministration

Administration of medication to a patient

id

Σ

0..1

id

Logical id of this artifact

Terminology Bindings

Path Conformance ValueSet URI

MedicationAdministration.language

preferred

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

MedicationAdministration.status

required

MedicationAdministration Status Codes

http://hl7.org/fhir/ValueSet/medication-admin-status

from the FHIR Standard

MedicationAdministration.statusReason

example

SNOMEDCTReasonMedicationNotGivenCodes

http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes

from the FHIR Standard

MedicationAdministration.category

preferred

MedicationAdministration Category Codes

http://hl7.org/fhir/ValueSet/medication-admin-category

from the FHIR Standard

MedicationAdministration.medication[x]

extensible

MedicationClinicalDrug

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4

from https://vsac.nlm.nih.gov

MedicationAdministration.medication[x]:medicationCodeableConcept

example

SNOMEDCTMedicationCodes

http://hl7.org/fhir/ValueSet/medication-codes

from the FHIR Standard

MedicationAdministration.performer.function

example

MedicationAdministration Performer Function Codes

http://hl7.org/fhir/ValueSet/med-admin-perform-function

from the FHIR Standard

MedicationAdministration.performer.actor.type

extensible

ResourceType

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

MedicationAdministration.performer.actor.identifier.use

required

IdentifierUse

http://hl7.org/fhir/ValueSet/identifier-use|4.0.1

from the FHIR Standard

MedicationAdministration.performer.actor.identifier.type

extensible

Identifier Type Codes

http://hl7.org/fhir/ValueSet/identifier-type

from the FHIR Standard

MedicationAdministration.reasonCode

example

ReasonMedicationGivenCodes

http://hl7.org/fhir/ValueSet/reason-medication-given-codes

from the FHIR Standard

MedicationAdministration.dosage.site

example

SNOMEDCTAnatomicalStructureForAdministrationSiteCodes

http://hl7.org/fhir/ValueSet/approach-site-codes

from the FHIR Standard

MedicationAdministration.dosage.route

example

SNOMEDCTRouteCodes

http://hl7.org/fhir/ValueSet/route-codes

from the FHIR Standard

MedicationAdministration.dosage.method

example

SNOMEDCTAdministrationMethodCodes

http://hl7.org/fhir/ValueSet/administration-method-codes

from the FHIR Standard

Constraints

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

This structure is derived from MedicationAdministration

Summary

Mandatory: 5 elements(2 nested mandatory elements)
Must-Support: 22 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
rx-transmission-method	S	0..1	Coding	PDMP Extension - Prescription Transmission Method URL: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method Binding: PDMP Value Set - Prescription Transmission Method (extensible)
status	S	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]	S	1..1		What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible): Prescribable medications
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile)
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	What was administered
coding
userSelected	S	0..1	boolean	If this coding was chosen directly by the user
subject	S	1..1	Reference(US Core Patient Profile)	Who received medication
context	S	0..1	Reference(US Core Encounter Profile)	Encounter or Episode of Care administered as part of
effective[x]	S	1..1	dateTime, Period	Start and end time of administration
performer	S	1..1	BackboneElement	Who performed the medication administration and what they did
actor	SC	1..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson \| Device)	Who performed the medication administration pdmp-administration-performer: MedicationAdministration SHALL include a performer actor reference or performer actor identifier
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
request	S	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
dosage	S	1..1	BackboneElement	Details of how medication was taken
text	S	0..1	string	Free text dosage instructions e.g. SIG
dose	S	1..1	SimpleQuantity	Amount of medication per dose
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	0..1	uri	System that defines coded unit form
code	S	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status` from the FHIR Standard
MedicationAdministration.medication[x]	extensible	MedicationClinicalDrug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` from https://vsac.nlm.nih.gov

Constraints

Id	Grade	Path(s)	Details	Requirements
pdmp-administration-performer	error	MedicationAdministration.performer.actor	MedicationAdministration SHALL include a performer actor reference or performer actor identifier : reference.exists() or identifier.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
rx-transmission-method	S	0..1	Coding	PDMP Extension - Prescription Transmission Method URL: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method Binding: PDMP Value Set - Prescription Transmission Method (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	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]	SΣ	1..1		What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible): Prescribable medications
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile)
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
coding	Σ	0..*	Coding	Code defined by a terminology system
userSelected	SΣ	0..1	boolean	If this coding was chosen directly by the user
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who received medication
context	S	0..1	Reference(US Core Encounter Profile)	Encounter or Episode of Care administered as part of
effective[x]	SΣ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	1..1	BackboneElement	Who performed the medication administration and what they did
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣC	1..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson \| Device)	Who performed the medication administration pdmp-administration-performer: MedicationAdministration SHALL include a performer actor reference or performer actor identifier
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
request	S	0..1	Reference(US Core MedicationRequest Profile)	Request administration performed against
dosage	SC	1..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	S	0..1	string	Free text dosage instructions e.g. SIG
dose	S	1..1	SimpleQuantity	Amount of medication per dose
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form
code	SΣ	0..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status` from the FHIR Standard
MedicationAdministration.medication[x]	extensible	MedicationClinicalDrug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` from https://vsac.nlm.nih.gov
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard
MedicationAdministration.performer.actor.identifier.use	required	IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1` from the FHIR Standard

Constraints

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

Snapshot View

Description & Constraints

MedicationAdministration

0..*

MedicationAdministration

Administration of medication to a patient

id

Σ

0..1

id

Logical id of this artifact

Terminology Bindings

Path Conformance ValueSet URI

MedicationAdministration.language

preferred

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

MedicationAdministration.status

required

MedicationAdministration Status Codes

http://hl7.org/fhir/ValueSet/medication-admin-status

from the FHIR Standard

MedicationAdministration.statusReason

example

SNOMEDCTReasonMedicationNotGivenCodes

http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes

from the FHIR Standard

MedicationAdministration.category

preferred

MedicationAdministration Category Codes

http://hl7.org/fhir/ValueSet/medication-admin-category

from the FHIR Standard

MedicationAdministration.medication[x]

extensible

MedicationClinicalDrug

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4

from https://vsac.nlm.nih.gov

MedicationAdministration.medication[x]:medicationCodeableConcept

example

SNOMEDCTMedicationCodes

http://hl7.org/fhir/ValueSet/medication-codes

from the FHIR Standard

MedicationAdministration.performer.function

example

MedicationAdministration Performer Function Codes

http://hl7.org/fhir/ValueSet/med-admin-perform-function

from the FHIR Standard

MedicationAdministration.performer.actor.type

extensible

ResourceType

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

MedicationAdministration.performer.actor.identifier.use

required

IdentifierUse

http://hl7.org/fhir/ValueSet/identifier-use|4.0.1

from the FHIR Standard

MedicationAdministration.performer.actor.identifier.type

extensible

Identifier Type Codes

http://hl7.org/fhir/ValueSet/identifier-type

from the FHIR Standard

MedicationAdministration.reasonCode

example

ReasonMedicationGivenCodes

http://hl7.org/fhir/ValueSet/reason-medication-given-codes

from the FHIR Standard

MedicationAdministration.dosage.site

example

SNOMEDCTAnatomicalStructureForAdministrationSiteCodes

http://hl7.org/fhir/ValueSet/approach-site-codes

from the FHIR Standard

MedicationAdministration.dosage.route

example

SNOMEDCTRouteCodes

http://hl7.org/fhir/ValueSet/route-codes

from the FHIR Standard

MedicationAdministration.dosage.method

example

SNOMEDCTAdministrationMethodCodes

http://hl7.org/fhir/ValueSet/administration-method-codes

from the FHIR Standard

Constraints

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