US Public Health Profiles Library, published by HL7 Public Health Working Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-us-ph-common-library-ig/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-medicationadministration | Version: 1.0.0 | |||
Active as of 2023-10-04 | Computable Name: USPublicHealthMedicationAdministration |
This MedicationAdministration profile represents the event of a patient consuming or otherwise being administered a medication.
This profile constrains the base MedicationAdministration resource and is different to the US Core MedicationRequest which is intended to be used to record a patient’s medication prescription or order.
This profile is based on the following Medication data elements in USCDI Level 2:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationAdministration
Path | Conformance | ValueSet |
MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug |
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 |
us-ph-therapeutic-medication-response-extension | S | 0..* | CodeableConcept | Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: Therapeutic Response to Medication (extensible): Therapeutic Response to Medication |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S | 0..* | Identifier | External identifier |
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. |
medication[x] | SΣ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(US Core Medication Profile) | |||
subject | SΣ | 1..1 | Reference(US Public Health Patient) | Who received medication |
effective[x] | SΣ | 1..1 | Start and end time of administration | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
dosage | SC | 0..1 | BackboneElement | Details of how medication was taken |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
route | S | 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. |
dose | S | 0..1 | SimpleQuantity | Amount of medication per dose |
Documentation for this format |
Path | Conformance | ValueSet |
MedicationAdministration.status | required | MedicationAdministration Status Codes |
MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug |
MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodes |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
us-ph-therapeutic-medication-response-extension | S | 0..* | CodeableConcept | Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: Therapeutic Response to Medication (extensible): Therapeutic Response to Medication | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | External identifier | ||||
instantiates | Σ | 0..* | uri | Instantiates protocol or definition | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event | ||||
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. | ||||
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. | |||||
medication[x] | SΣ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(US Public Health Patient) | Who received medication | ||||
context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |||||
effective[x] | SΣ | 1..1 | Start and end time of administration | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
reasonCode | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
request | 0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
device | 0..* | Reference(Device) | Device used to administer | |||||
note | 0..* | Annotation | Information about the administration | |||||
dosage | SC | 0..1 | BackboneElement | Details of how medication was taken | ||||
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 | S | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
dose | S | 0..1 | SimpleQuantity | 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 |
Path | Conformance | ValueSet | ||||
MedicationAdministration.language | preferred | CommonLanguages
| ||||
MedicationAdministration.status | required | MedicationAdministration Status Codes | ||||
MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodes | ||||
MedicationAdministration.category | preferred | MedicationAdministration Category Codes | ||||
MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug | ||||
MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codes | ||||
MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodes | ||||
MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes | ||||
MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodes | ||||
MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodes |
This structure is derived from MedicationAdministration
Summary
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from MedicationAdministration
Path | Conformance | ValueSet |
MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug |
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 |
us-ph-therapeutic-medication-response-extension | S | 0..* | CodeableConcept | Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: Therapeutic Response to Medication (extensible): Therapeutic Response to Medication |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S | 0..* | Identifier | External identifier |
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. |
medication[x] | SΣ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(US Core Medication Profile) | |||
subject | SΣ | 1..1 | Reference(US Public Health Patient) | Who received medication |
effective[x] | SΣ | 1..1 | Start and end time of administration | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
dosage | SC | 0..1 | BackboneElement | Details of how medication was taken |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
route | S | 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. |
dose | S | 0..1 | SimpleQuantity | Amount of medication per dose |
Documentation for this format |
Path | Conformance | ValueSet |
MedicationAdministration.status | required | MedicationAdministration Status Codes |
MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug |
MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodes |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
us-ph-therapeutic-medication-response-extension | S | 0..* | CodeableConcept | Extension URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: Therapeutic Response to Medication (extensible): Therapeutic Response to Medication | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | External identifier | ||||
instantiates | Σ | 0..* | uri | Instantiates protocol or definition | ||||
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event | ||||
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. | ||||
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. | |||||
medication[x] | SΣ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(US Public Health Patient) | Who received medication | ||||
context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |||||
effective[x] | SΣ | 1..1 | Start and end time of administration | |||||
effectiveDateTime | dateTime | |||||||
effectivePeriod | Period | |||||||
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
reasonCode | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
request | 0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
device | 0..* | Reference(Device) | Device used to administer | |||||
note | 0..* | Annotation | Information about the administration | |||||
dosage | SC | 0..1 | BackboneElement | Details of how medication was taken | ||||
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 | S | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
dose | S | 0..1 | SimpleQuantity | 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 |
Path | Conformance | ValueSet | ||||
MedicationAdministration.language | preferred | CommonLanguages
| ||||
MedicationAdministration.status | required | MedicationAdministration Status Codes | ||||
MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodes | ||||
MedicationAdministration.category | preferred | MedicationAdministration Category Codes | ||||
MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug | ||||
MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codes | ||||
MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodes | ||||
MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes | ||||
MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodes | ||||
MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodes |
This structure is derived from MedicationAdministration
Summary
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron