Standardized Medication Profile (SMP) FHIR IG
1.0.0 - STU 1

Standardized Medication Profile (SMP) FHIR IG, 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/smp-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: Standardized Medication Profile - MedicationAdministration

Official URL: http://hl7.org/fhir/us/smp/StructureDefinition/smp-medicationadministration | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: SMPMedicationAdministration

Defines the actual giving of a drug or compound to a patient for the purposes of treatment.

Profile is necessary to ensure the use of SMP and US Core specific profiles in referenced resources.

Usage:

- Refer to this Resource Profile: Standardized Medication Profile - MedicationStatement
- Examples for this Resource Profile: MedicationAdministration/smp-medadm-1
- CapabilityStatements using this Resource Profile: SMP_Client and SMP_Server

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!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. ele-1: All FHIR elements must have a @value or children
medication[x] | Σ | 1..1 |  | What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who received medication ele-1: All FHIR elements must have a @value or children
effective[x] | Σ | 1..1 |  | Start and end time of administration ele-1: All FHIR elements must have a @value or children
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationAdministration.status | required | MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` from the FHIR Standard
MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationAdministration |  |  | MedicationAdministration |
medication[x] |  | 1..1 |  | What was administered
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject |  | 1..1 | Reference(US Core Patient Profile) | Who received medication
performer |  |  |  |
actor |  | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Who performed the medication administration
Documentation for this format

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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!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] | Σ | 1..1 |  | What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject | Σ | 1..1 | Reference(US Core Patient Profile) | 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] | 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(US Core Practitioner Profile | US Core PractitionerRole Profile) | 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 | C | 0..1 | BackboneElement | Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
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 |  | 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 |  | 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 | URI
MedicationAdministration.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationAdministration.status | required | MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` 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] | 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.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

This structure is derived from MedicationAdministration

Summary

Structures

This structure refers to these other structures:

- Standardized Medication Profile - Medication (http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status | ?!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. ele-1: All FHIR elements must have a @value or children
medication[x] | Σ | 1..1 |  | What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who received medication ele-1: All FHIR elements must have a @value or children
effective[x] | Σ | 1..1 |  | Start and end time of administration ele-1: All FHIR elements must have a @value or children
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationAdministration.status | required | MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` from the FHIR Standard
MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard

Differential View

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationAdministration |  |  | MedicationAdministration |
medication[x] |  | 1..1 |  | What was administered
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject |  | 1..1 | Reference(US Core Patient Profile) | Who received medication
performer |  |  |  |
actor |  | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | Who performed the medication administration
Documentation for this format

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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!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] | Σ | 1..1 |  | What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Standardized Medication Profile - Medication) |
subject | Σ | 1..1 | Reference(US Core Patient Profile) | 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] | 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(US Core Practitioner Profile | US Core PractitionerRole Profile) | 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 | C | 0..1 | BackboneElement | Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
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 |  | 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 |  | 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 | URI
MedicationAdministration.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationAdministration.status | required | MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` 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] | 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.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

This structure is derived from MedicationAdministration

Summary

Structures

This structure refers to these other structures:

- Standardized Medication Profile - Medication (http://hl7.org/fhir/us/smp/StructureDefinition/smp-medication)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron