Kenya Emmergency FHIR Implementation Guide (IG)
0.1.0 - ci-build

Kenya Emmergency FHIR Implementation Guide (IG), published by Intellisoft Consulting Ltd.. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-Emmergency-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationAdministration – Kenya Medication Administration

Official URL: http://example.org/StructureDefinition/kenya-medication-administration Version: 0.1.0
Draft as of 2025-12-18 Computable Name: KenyaMedicationAdministration

Represents medications administered to a patient in Kenya EMS and facility clinical workflows.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... meta Σ 0..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) Enforces conformance to the Kenya medication administration profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code Medication administration status
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
... Slices for medication[x] Σ 1..1 CodeableConcept What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication code (OCL)
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
... subject SΣ 1..1 Reference(Patient) Patient receiving the medication
... context S 0..1 Reference(Encounter) Encounter context
... Slices for effective[x] Σ 1..1 dateTime Start and end time of administration
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Date and time the medication was administered
... performer SΣ 0..* BackboneElement Who administered the medication
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣ 1..1 Reference(Practitioner) EMT or clinician who administered the medication
... reasonReference S 0..* Reference(Condition) Condition being treated
... dosage SC 0..1 BackboneElement Dosage details
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... route S 0..1 CodeableConcept Route of administration
Binding: Medication Administration Route (required)
.... dose S 0..1 SimpleQuantity(4.0.1) Dose quantity with unit
Binding: Dose Units (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required Medication Administration Route 📦0.1.0 This IG
MedicationAdministration.​dosage.dose Base required Dose Units 📦0.1.0 This IG

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... meta
.... profile S 1..* canonical(StructureDefinition) Enforces conformance to the Kenya medication administration profile
... identifier S 1..* Identifier External identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... status S 1..1 code Medication administration status
.... medication[x]:medicationCodeableConcept S 1..1 CodeableConcept Medication code (OCL)
... subject S 1..1 Reference(Patient) Patient receiving the medication
... context S 0..1 Reference(Encounter) Encounter context
... Slices for effective[x] 1..1 dateTime Start and end time of administration
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime Date and time the medication was administered
... performer S 0..* BackboneElement Who administered the medication
.... actor S 1..1 Reference(Practitioner) EMT or clinician who administered the medication
... reasonReference S 0..* Reference(Condition) Condition being treated
... dosage S 0..1 BackboneElement Dosage details
.... route S 0..1 CodeableConcept Route of administration
Binding: Medication Administration Route (required)
.... dose S 0..1 SimpleQuantity(4.0.1) Dose quantity with unit
Binding: Dose Units (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​dosage.route Base required Medication Administration Route 📦0.1.0 This IG
MedicationAdministration.​dosage.dose Base required Dose Units 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) Enforces conformance to the Kenya medication administration profile
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 1..* Identifier External identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(MedicationAdministration | Procedure) Part of referenced event
... status ?!SΣ 1..1 code Medication administration status
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.
... Slices for medication[x] Σ 1..1 CodeableConcept What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication code (OCL)
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
... subject SΣ 1..1 Reference(Patient) Patient receiving the medication
... context S 0..1 Reference(Encounter) Encounter context
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... Slices for effective[x] Σ 1..1 dateTime Start and end time of administration
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Date and time the medication was administered
... performer SΣ 0..* BackboneElement Who administered the medication
.... 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 SΣ 1..1 Reference(Practitioner) EMT or clinician who administered the medication
... reasonCode 0..* CodeableConcept Reason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... reasonReference S 0..* Reference(Condition) Condition being treated
... 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 Dosage details
Constraints: mad-1
.... 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 Route of administration
Binding: Medication Administration Route (required)
.... 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) Dose quantity with unit
Binding: Dose Units (required)
.... 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.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationAdministration.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
MedicationAdministration.​identifier.type Base extensible IdentifierType 📍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 example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
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 required Medication Administration Route 📦0.1.0 This IG
MedicationAdministration.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.dose Base required Dose Units 📦0.1.0 This IG

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

This structure is derived from MedicationAdministration

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 15 elements

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... meta Σ 0..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) Enforces conformance to the Kenya medication administration profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code Medication administration status
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
... Slices for medication[x] Σ 1..1 CodeableConcept What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication code (OCL)
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
... subject SΣ 1..1 Reference(Patient) Patient receiving the medication
... context S 0..1 Reference(Encounter) Encounter context
... Slices for effective[x] Σ 1..1 dateTime Start and end time of administration
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Date and time the medication was administered
... performer SΣ 0..* BackboneElement Who administered the medication
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor SΣ 1..1 Reference(Practitioner) EMT or clinician who administered the medication
... reasonReference S 0..* Reference(Condition) Condition being treated
... dosage SC 0..1 BackboneElement Dosage details
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... route S 0..1 CodeableConcept Route of administration
Binding: Medication Administration Route (required)
.... dose S 0..1 SimpleQuantity(4.0.1) Dose quantity with unit
Binding: Dose Units (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required Medication Administration Route 📦0.1.0 This IG
MedicationAdministration.​dosage.dose Base required Dose Units 📦0.1.0 This IG

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

Differential View

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... meta
.... profile S 1..* canonical(StructureDefinition) Enforces conformance to the Kenya medication administration profile
... identifier S 1..* Identifier External identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... status S 1..1 code Medication administration status
.... medication[x]:medicationCodeableConcept S 1..1 CodeableConcept Medication code (OCL)
... subject S 1..1 Reference(Patient) Patient receiving the medication
... context S 0..1 Reference(Encounter) Encounter context
... Slices for effective[x] 1..1 dateTime Start and end time of administration
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime Date and time the medication was administered
... performer S 0..* BackboneElement Who administered the medication
.... actor S 1..1 Reference(Practitioner) EMT or clinician who administered the medication
... reasonReference S 0..* Reference(Condition) Condition being treated
... dosage S 0..1 BackboneElement Dosage details
.... route S 0..1 CodeableConcept Route of administration
Binding: Medication Administration Route (required)
.... dose S 0..1 SimpleQuantity(4.0.1) Dose quantity with unit
Binding: Dose Units (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​dosage.route Base required Medication Administration Route 📦0.1.0 This IG
MedicationAdministration.​dosage.dose Base required Dose Units 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) Enforces conformance to the Kenya medication administration profile
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 1..* Identifier External identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(MedicationAdministration | Procedure) Part of referenced event
... status ?!SΣ 1..1 code Medication administration status
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.
... Slices for medication[x] Σ 1..1 CodeableConcept What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication code (OCL)
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
... subject SΣ 1..1 Reference(Patient) Patient receiving the medication
... context S 0..1 Reference(Encounter) Encounter context
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... Slices for effective[x] Σ 1..1 dateTime Start and end time of administration
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime Date and time the medication was administered
... performer SΣ 0..* BackboneElement Who administered the medication
.... 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 SΣ 1..1 Reference(Practitioner) EMT or clinician who administered the medication
... reasonCode 0..* CodeableConcept Reason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... reasonReference S 0..* Reference(Condition) Condition being treated
... 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 Dosage details
Constraints: mad-1
.... 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 Route of administration
Binding: Medication Administration Route (required)
.... 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) Dose quantity with unit
Binding: Dose Units (required)
.... 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.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationAdministration.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
MedicationAdministration.​identifier.type Base extensible IdentifierType 📍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 example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
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 required Medication Administration Route 📦0.1.0 This IG
MedicationAdministration.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.dose Base required Dose Units 📦0.1.0 This IG

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

This structure is derived from MedicationAdministration

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 15 elements

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron