臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions
Resource Profile: 在宅急症－給藥與輸注
| Official URL: http://ltc-ig.fhir.tw/StructureDefinition/HAHMedicationAdministration | Version: 1.1.0 | |||
| Draft as of 2026-10-30 | Computable Name: HAHMedicationAdministration | |||
記錄實際給藥時間點或輸注期間。effectiveDateTime 記錄單次給藥時間，effectivePeriod 記錄持續輸注期間。
Usages:
- Refer to this Profile: 在宅急症－照護計畫 and 在宅急症－結案與轉銜摘要
- Examples for this Profile: MedicationAdministration/hah-infusion and MedicationAdministration/hah-medication-not-done
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: hah-medication-dose, hah-medication-status-reason |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
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. | |
  Slices for medication[x] |
1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||
  medicationCodeableConcept |
CodeableConcept | |||
 medicationReference |
Reference(Medication) | |||
  medication[x]:medicationReference |
0..1 | Reference(TW Core Medication) | What was administered | |
| subject |
1..1 | Reference(在宅急症－個案) | Who received medication | |
| context |
1..1 | Reference(在宅急症－就診基礎) | Encounter or Episode of Care administered as part of | |
 effective[x] |
1..1 | Start and end time of administration | ||
| effectiveDateTime |
dateTime | |||
 effectivePeriod |
Period | |||
| performer |
1..* | BackboneElement | Who performed the medication administration and what they did | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| actor |
1..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－量測設備) | Who performed the medication administration | |
| request |
1..1 | Reference(在宅急症－給藥處方) | Request administration performed against | |
 dosage |
C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| 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. | |
| dose |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Constraints: sqty-1 |
| rate[x] |
0..1 | Dose quantity per unit of time | ||
| rateRatio |
Ratio | |||
| rateQuantity |
Quantity(SimpleQuantity) | |||
| 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.statusReason | Base | example | SNOMED CT Reason Medication Not Given 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 | 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 | **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()
|
| hah-medication-dose | error | MedicationAdministration | 已完成或進行中的給藥應記錄途徑及劑量或速率。 |
(status = 'completed' or status = 'in-progress') implies (dosage.route.exists() and (dosage.dose.exists() or dosage.rate.exists()))
|
| hah-medication-status-reason | error | MedicationAdministration | 未給藥或已停止給藥應填寫原因。 |
(status = 'not-done' or status = 'stopped') implies statusReason.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
| sqty-1 | error | MedicationAdministration.dosage.dose | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: hah-medication-dose, hah-medication-status-reason |
 statusReason |
0..* | CodeableConcept | Reason administration not performed | |
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |
| medication[x]:medicationReference |
0..1 | Reference(TW Core Medication) | What was administered | |
| subject |
1..1 | Reference(在宅急症－個案) | Who received medication | |
| context |
1..1 | Reference(在宅急症－就診基礎) | Encounter or Episode of Care administered as part of | |
| effective[x] |
1..1 | dateTime, Period | Start and end time of administration | |
| performer |
1..* | BackboneElement | Who performed the medication administration and what they did | |
| actor |
1..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－量測設備) | Who performed the medication administration | |
| request |
1..1 | Reference(在宅急症－給藥處方) | Request administration performed against | |
| dosage |
0..1 | BackboneElement | Details of how medication was taken | |
| route |
0..1 | CodeableConcept | Path of substance into body | |
| dose |
0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose | |
| rate[x] |
0..1 | Ratio, SimpleQuantity(4.0.1) | Dose quantity per unit of time | |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| hah-medication-dose | error | MedicationAdministration | 已完成或進行中的給藥應記錄途徑及劑量或速率。 |
(status = 'completed' or status = 'in-progress') implies (dosage.route.exists() and (dosage.dose.exists() or dosage.rate.exists()))
|
| hah-medication-status-reason | error | MedicationAdministration | 未給藥或已停止給藥應填寫原因。 |
(status = 'not-done' or status = 'stopped') implies statusReason.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: hah-medication-dose, hah-medication-status-reason | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation 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 |
0..* | Identifier | External identifier | |||||
| instantiates |
0..* | uri | Instantiates protocol or definition | |||||
| partOf |
0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event | |||||
| status |
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. | |||||
| Slices for medication[x] |
1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| medication[x]:medicationReference |
0..1 | Reference(TW Core Medication) | What was administered | |||||
| subject |
1..1 | Reference(在宅急症－個案) | Who received medication | |||||
| context |
1..1 | Reference(在宅急症－就診基礎) | Encounter or Episode of Care administered as part of | |||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||
| effective[x] |
1..1 | Start and end time of administration | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| performer |
1..* | 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 |
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 |
1..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－量測設備) | 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 |
1..1 | Reference(在宅急症－給藥處方) | 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 Constraints: mad-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
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 |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Constraints: sqty-1 | ||||
| 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 | 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 | 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 | 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 | **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()
|
| hah-medication-dose | error | MedicationAdministration | 已完成或進行中的給藥應記錄途徑及劑量或速率。 |
(status = 'completed' or status = 'in-progress') implies (dosage.route.exists() and (dosage.dose.exists() or dosage.rate.exists()))
|
| hah-medication-status-reason | error | MedicationAdministration | 未給藥或已停止給藥應填寫原因。 |
(status = 'not-done' or status = 'stopped') implies statusReason.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
| sqty-1 | error | MedicationAdministration.dosage.dose | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationAdministration
Summary
Mandatory: 3 elements
Must-Support: 9 elements
Structures
This structure refers to these other structures:
- TW Core Medication (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Medication-twcore)
- 在宅急症－個案 (http://ltc-ig.fhir.tw/StructureDefinition/HAHPatient)
- 在宅急症－就診基礎 (http://ltc-ig.fhir.tw/StructureDefinition/HAHEncounter)
- 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
- 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
- 長期照顧－關係人 (http://ltc-ig.fhir.tw/StructureDefinition/LTCRelatedPerson)
- 在宅急症－量測設備 (http://ltc-ig.fhir.tw/StructureDefinition/HAHDevice)
- 在宅急症－給藥處方 (http://ltc-ig.fhir.tw/StructureDefinition/HAHMedicationRequest)
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of MedicationAdministration.medication[x]
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: hah-medication-dose, hah-medication-status-reason |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
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. | |
| Slices for medication[x] |
1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medication) | |||
| medication[x]:medicationReference |
0..1 | Reference(TW Core Medication) | What was administered | |
| subject |
1..1 | Reference(在宅急症－個案) | Who received medication | |
| context |
1..1 | Reference(在宅急症－就診基礎) | Encounter or Episode of Care administered as part of | |
| effective[x] |
1..1 | Start and end time of administration | ||
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
1..* | BackboneElement | Who performed the medication administration and what they did | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| actor |
1..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－量測設備) | Who performed the medication administration | |
| request |
1..1 | Reference(在宅急症－給藥處方) | Request administration performed against | |
| dosage |
C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| 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. | |
| dose |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Constraints: sqty-1 |
| rate[x] |
0..1 | Dose quantity per unit of time | ||
| rateRatio |
Ratio | |||
| rateQuantity |
Quantity(SimpleQuantity) | |||
| 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.statusReason | Base | example | SNOMED CT Reason Medication Not Given 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 | 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 | **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()
|
| hah-medication-dose | error | MedicationAdministration | 已完成或進行中的給藥應記錄途徑及劑量或速率。 |
(status = 'completed' or status = 'in-progress') implies (dosage.route.exists() and (dosage.dose.exists() or dosage.rate.exists()))
|
| hah-medication-status-reason | error | MedicationAdministration | 未給藥或已停止給藥應填寫原因。 |
(status = 'not-done' or status = 'stopped') implies statusReason.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
| sqty-1 | error | MedicationAdministration.dosage.dose | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
Differential View
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: hah-medication-dose, hah-medication-status-reason |
| statusReason |
0..* | CodeableConcept | Reason administration not performed | |
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |
| medication[x]:medicationReference |
0..1 | Reference(TW Core Medication) | What was administered | |
| subject |
1..1 | Reference(在宅急症－個案) | Who received medication | |
| context |
1..1 | Reference(在宅急症－就診基礎) | Encounter or Episode of Care administered as part of | |
| effective[x] |
1..1 | dateTime, Period | Start and end time of administration | |
| performer |
1..* | BackboneElement | Who performed the medication administration and what they did | |
| actor |
1..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－量測設備) | Who performed the medication administration | |
| request |
1..1 | Reference(在宅急症－給藥處方) | Request administration performed against | |
| dosage |
0..1 | BackboneElement | Details of how medication was taken | |
| route |
0..1 | CodeableConcept | Path of substance into body | |
| dose |
0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose | |
| rate[x] |
0..1 | Ratio, SimpleQuantity(4.0.1) | Dose quantity per unit of time | |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| hah-medication-dose | error | MedicationAdministration | 已完成或進行中的給藥應記錄途徑及劑量或速率。 |
(status = 'completed' or status = 'in-progress') implies (dosage.route.exists() and (dosage.dose.exists() or dosage.rate.exists()))
|
| hah-medication-status-reason | error | MedicationAdministration | 未給藥或已停止給藥應填寫原因。 |
(status = 'not-done' or status = 'stopped') implies statusReason.exists()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: hah-medication-dose, hah-medication-status-reason | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation 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 |
0..* | Identifier | External identifier | |||||
| instantiates |
0..* | uri | Instantiates protocol or definition | |||||
| partOf |
0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event | |||||
| status |
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. | |||||
| Slices for medication[x] |
1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| medication[x]:medicationReference |
0..1 | Reference(TW Core Medication) | What was administered | |||||
| subject |
1..1 | Reference(在宅急症－個案) | Who received medication | |||||
| context |
1..1 | Reference(在宅急症－就診基礎) | Encounter or Episode of Care administered as part of | |||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||
| effective[x] |
1..1 | Start and end time of administration | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| performer |
1..* | 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 |
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 |
1..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－量測設備) | 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 |
1..1 | Reference(在宅急症－給藥處方) | 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 Constraints: mad-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
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 |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Constraints: sqty-1 | ||||
| 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 | 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 | 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 | 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 | **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()
|
| hah-medication-dose | error | MedicationAdministration | 已完成或進行中的給藥應記錄途徑及劑量或速率。 |
(status = 'completed' or status = 'in-progress') implies (dosage.route.exists() and (dosage.dose.exists() or dosage.rate.exists()))
|
| hah-medication-status-reason | error | MedicationAdministration | 未給藥或已停止給藥應填寫原因。 |
(status = 'not-done' or status = 'stopped') implies statusReason.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
| sqty-1 | error | MedicationAdministration.dosage.dose | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationAdministration
Summary
Mandatory: 3 elements
Must-Support: 9 elements
Structures
This structure refers to these other structures:
- TW Core Medication (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Medication-twcore)
- 在宅急症－個案 (http://ltc-ig.fhir.tw/StructureDefinition/HAHPatient)
- 在宅急症－就診基礎 (http://ltc-ig.fhir.tw/StructureDefinition/HAHEncounter)
- 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
- 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
- 長期照顧－關係人 (http://ltc-ig.fhir.tw/StructureDefinition/LTCRelatedPerson)
- 在宅急症－量測設備 (http://ltc-ig.fhir.tw/StructureDefinition/HAHDevice)
- 在宅急症－給藥處方 (http://ltc-ig.fhir.tw/StructureDefinition/HAHMedicationRequest)
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of MedicationAdministration.medication[x]
Other representations of profile: CSV, Excel, Schematron