US Public Health Profiles Library
​2.0.0 - United States of America flag

US Public Health Profiles Library, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ph-library/ 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: 2.0.0
Standards status: Trial-use Active as of 2025-10-23 Maturity Level: 3 Computable Name: USPublicHealthMedicationAdministration
Other Identifiers: OID:2.16.840.1.113883.4.642.40.58.42.36

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.

Represented USCDI+ Data Elements

Use Case Data Class Data Element Name
Case Reporting Medications Date Medication Administered
Case Reporting Medications Medication Administered Code
Case Reporting Medications Medication Administration Dose
Case Reporting Medications Medication Administration Dose Units
Case Reporting Medications Therapeutic Medication Response

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration(4.0.1) Administration of medication to a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... extension S 0..* CodeableConcept (USCDI+) Therapeutic Medication Response
URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension
Binding: TherapeuticResponseToMedication (20240827) . (extensible): Therapeutic Response to Medication
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 (USCDI+) Medication Administered Code
Binding: MedicationClinicalDrug (20240606) . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
... subject SΣ 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) Who received medication
... effective[x] SΣ 1..1 (USCDI+) Date Medication Administered
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dosage SC 0..1 BackboneElement Details of how medication was taken
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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(4.0.1) Amount of medication per dose
..... unit SΣ 0..1 string (USCDI+) Medication Administration Dose Units
..... code SΣ 0..1 code (USCDI+) Medication Administration Dose

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.23
MedicationAdministration.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationAdministration.implicitRules, MedicationAdministration.extension, MedicationAdministration.modifierExtension, MedicationAdministration.identifier, MedicationAdministration.status, MedicationAdministration.medication[x], MedicationAdministration.subject, MedicationAdministration.effective[x], MedicationAdministration.dosage, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.route, MedicationAdministration.dosage.dose, MedicationAdministration.dosage.dose.unit, MedicationAdministration.dosage.dose.code All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationAdministration.extension, MedicationAdministration.modifierExtension, MedicationAdministration.dosage.modifierExtension 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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration(4.0.1) Administration of medication to a patient
... extension S 0..* CodeableConcept (USCDI+) Therapeutic Medication Response
URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension
Binding: TherapeuticResponseToMedication (20240827) . (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
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
... subject S 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) Who received medication
... effective[x] S 1..1 dateTime, Period (USCDI+) Date Medication Administered
... 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(4.0.1) Amount of medication per dose
..... unit S 0..1 string (USCDI+) Medication Administration Dose Units
..... code S 0..1 code (USCDI+) Medication Administration Dose

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​medication[x] Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.23
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration(4.0.1) 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension S 0..* CodeableConcept (USCDI+) Therapeutic Medication Response
URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension
Binding: TherapeuticResponseToMedication (20240827) . (extensible): Therapeutic Response to Medication
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 (USCDI+) Medication Administered Code
Binding: MedicationClinicalDrug (20240606) . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
... subject SΣ 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) 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 (USCDI+) Date Medication Administered
.... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: mad-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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(4.0.1) Amount of medication per dose
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string (USCDI+) Medication Administration Dose Units
..... system ΣC 0..1 uri System that defines coded unit form
..... code SΣ 0..1 code (USCDI+) Medication Administration 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base example SNOMED CT Reason Medication Not Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.23
MedicationAdministration.​performer.function Base example Medication administration performer function codes 📍4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base example Reason Medication Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationAdministration.meta, MedicationAdministration.implicitRules, MedicationAdministration.language, MedicationAdministration.text, MedicationAdministration.extension, MedicationAdministration.modifierExtension, MedicationAdministration.identifier, MedicationAdministration.instantiates, MedicationAdministration.partOf, MedicationAdministration.status, MedicationAdministration.statusReason, MedicationAdministration.category, MedicationAdministration.medication[x], MedicationAdministration.subject, MedicationAdministration.context, MedicationAdministration.supportingInformation, MedicationAdministration.effective[x], MedicationAdministration.performer, MedicationAdministration.performer.extension, MedicationAdministration.performer.modifierExtension, MedicationAdministration.performer.function, MedicationAdministration.performer.actor, MedicationAdministration.reasonCode, MedicationAdministration.reasonReference, MedicationAdministration.request, MedicationAdministration.device, MedicationAdministration.note, MedicationAdministration.dosage, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.text, MedicationAdministration.dosage.site, MedicationAdministration.dosage.route, MedicationAdministration.dosage.method, MedicationAdministration.dosage.dose, MedicationAdministration.dosage.dose.extension, MedicationAdministration.dosage.dose.value, MedicationAdministration.dosage.dose.unit, MedicationAdministration.dosage.dose.system, MedicationAdministration.dosage.dose.code, MedicationAdministration.dosage.rate[x], MedicationAdministration.eventHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationAdministration.extension, MedicationAdministration.modifierExtension, MedicationAdministration.performer.extension, MedicationAdministration.performer.modifierExtension, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.dose.extension 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration(4.0.1) Administration of medication to a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... extension S 0..* CodeableConcept (USCDI+) Therapeutic Medication Response
URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension
Binding: TherapeuticResponseToMedication (20240827) . (extensible): Therapeutic Response to Medication
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 (USCDI+) Medication Administered Code
Binding: MedicationClinicalDrug (20240606) . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
... subject SΣ 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) Who received medication
... effective[x] SΣ 1..1 (USCDI+) Date Medication Administered
.... effectiveDateTime dateTime
.... effectivePeriod Period
... dosage SC 0..1 BackboneElement Details of how medication was taken
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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(4.0.1) Amount of medication per dose
..... unit SΣ 0..1 string (USCDI+) Medication Administration Dose Units
..... code SΣ 0..1 code (USCDI+) Medication Administration Dose

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.23
MedicationAdministration.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationAdministration.implicitRules, MedicationAdministration.extension, MedicationAdministration.modifierExtension, MedicationAdministration.identifier, MedicationAdministration.status, MedicationAdministration.medication[x], MedicationAdministration.subject, MedicationAdministration.effective[x], MedicationAdministration.dosage, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.route, MedicationAdministration.dosage.dose, MedicationAdministration.dosage.dose.unit, MedicationAdministration.dosage.dose.code All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationAdministration.extension, MedicationAdministration.modifierExtension, MedicationAdministration.dosage.modifierExtension 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()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration(4.0.1) Administration of medication to a patient
... extension S 0..* CodeableConcept (USCDI+) Therapeutic Medication Response
URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension
Binding: TherapeuticResponseToMedication (20240827) . (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
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
... subject S 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) Who received medication
... effective[x] S 1..1 dateTime, Period (USCDI+) Date Medication Administered
... 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(4.0.1) Amount of medication per dose
..... unit S 0..1 string (USCDI+) Medication Administration Dose Units
..... code S 0..1 code (USCDI+) Medication Administration Dose

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​medication[x] Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.23

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration(4.0.1) 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension S 0..* CodeableConcept (USCDI+) Therapeutic Medication Response
URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension
Binding: TherapeuticResponseToMedication (20240827) . (extensible): Therapeutic Response to Medication
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 (USCDI+) Medication Administered Code
Binding: MedicationClinicalDrug (20240606) . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
... subject SΣ 1..1 Reference(US Public Health Patient(2.0.0) | US Core Patient Profile(6.1.0)) 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 (USCDI+) Date Medication Administered
.... 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: mad-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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(4.0.1) Amount of medication per dose
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string (USCDI+) Medication Administration Dose Units
..... system ΣC 0..1 uri System that defines coded unit form
..... code SΣ 0..1 code (USCDI+) Medication Administration 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base example SNOMED CT Reason Medication Not Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base extensible Medication Clinical Drug . 📍20240606 VSAC v0.23
MedicationAdministration.​performer.function Base example Medication administration performer function codes 📍4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base example Reason Medication Given Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationAdministration.meta, MedicationAdministration.implicitRules, MedicationAdministration.language, MedicationAdministration.text, MedicationAdministration.extension, MedicationAdministration.modifierExtension, MedicationAdministration.identifier, MedicationAdministration.instantiates, MedicationAdministration.partOf, MedicationAdministration.status, MedicationAdministration.statusReason, MedicationAdministration.category, MedicationAdministration.medication[x], MedicationAdministration.subject, MedicationAdministration.context, MedicationAdministration.supportingInformation, MedicationAdministration.effective[x], MedicationAdministration.performer, MedicationAdministration.performer.extension, MedicationAdministration.performer.modifierExtension, MedicationAdministration.performer.function, MedicationAdministration.performer.actor, MedicationAdministration.reasonCode, MedicationAdministration.reasonReference, MedicationAdministration.request, MedicationAdministration.device, MedicationAdministration.note, MedicationAdministration.dosage, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.text, MedicationAdministration.dosage.site, MedicationAdministration.dosage.route, MedicationAdministration.dosage.method, MedicationAdministration.dosage.dose, MedicationAdministration.dosage.dose.extension, MedicationAdministration.dosage.dose.value, MedicationAdministration.dosage.dose.unit, MedicationAdministration.dosage.dose.system, MedicationAdministration.dosage.dose.code, MedicationAdministration.dosage.rate[x], MedicationAdministration.eventHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationAdministration.extension, MedicationAdministration.modifierExtension, MedicationAdministration.performer.extension, MedicationAdministration.performer.modifierExtension, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.dose.extension 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()

 

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