US Public Health Profiles Library
1.0.0 - STU1

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

## Resource Profile: US Public Health MedicationAdministration

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:

- Date Medication Administered
- Medication Administration Dose
- Therapeutic Medication Response
- Medication Administered Status

Usage:

- Examples for this Resource Profile: MedicationAdministration/us-ph-medadmin-eve-everywoman-azithromycin and MedicationAdministration/us-ph-medadmin-eve-everywoman-naloxone-response

### Formal Views of Profile Content

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

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

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
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
identifier | S | 0..* | Identifier | External identifier
status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
medication[x] | S | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S | 1..1 | Reference(US Public Health Patient) | Who received medication
effective[x] | S | 1..1 | dateTime, Period | Start and end time of administration
dosage | S | 0..1 | BackboneElement | Details of how medication was taken
route | S | 0..1 | CodeableConcept | Path of substance into body
dose | S | 0..1 | SimpleQuantity | Amount of medication per dose
Documentation for this format

#### Terminology Bindings (Differential)

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 | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
medication[x] | S Σ | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(US Public Health Patient) | Who received medication
effective[x] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dosage | S C | 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

#### Terminology Bindings

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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category |  | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 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] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | Σ | 1..1 | Reference(Practitioner | 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 | S C | 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

#### Terminology Bindings

Path | Conformance | ValueSet
MedicationAdministration.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
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:

- US Core Medication Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication)
- US Public Health Patient (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension

Differential View

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
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
identifier | S | 0..* | Identifier | External identifier
status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
medication[x] | S | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S | 1..1 | Reference(US Public Health Patient) | Who received medication
effective[x] | S | 1..1 | dateTime, Period | Start and end time of administration
dosage | S | 0..1 | BackboneElement | Details of how medication was taken
route | S | 0..1 | CodeableConcept | Path of substance into body
dose | S | 0..1 | SimpleQuantity | Amount of medication per dose
Documentation for this format

#### Terminology Bindings (Differential)

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 | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
medication[x] | S Σ | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(US Public Health Patient) | Who received medication
effective[x] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
dosage | S C | 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

#### Terminology Bindings

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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category |  | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 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] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | Σ | 1..1 | Reference(Practitioner | 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 | S C | 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

#### Terminology Bindings

Path | Conformance | ValueSet
MedicationAdministration.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
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:

- US Core Medication Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication)
- US Public Health Patient (http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension

Other representations of profile: CSV, Excel, Schematron