臺灣榮總腦中風實作指引（TW VGH Stroke IG）, published by 高雄榮民總醫院 (VGHKS). 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/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions
Resource Profile: 腦中風－給藥紀錄
| Official URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMedicationAdministration | Version: 0.1.0 | |||
| Draft as of 2026-10-07 | Computable Name: StrokeMedicationAdministration | |||
此 Profile 說明本 IG 如何進一步定義 FHIR 的 MedicationAdministration Resource，以呈現腦中風病人實際接受的靜脈血栓溶解劑（IV-tPA）、EVT 鎮靜藥物與動脈內治療藥物。
記錄一次實際給藥，或明確記錄未給藥的事件。IV-tPA、鎮靜藥與動脈內藥物各自建立一筆。給藥狀態、藥品、病人與給藥時間都齊全時才建立；若缺給藥時間、無法確認屬於哪次事件或藥品不明，不建立本資源，改存登錄表單（StrokeRegistryResponse）。同一次給藥的日期、時間與劑量合併在同一筆。來源時間的時區確認前，effectiveDateTime 只填日期，時間原值保存在登錄表單。不同來源的紀錄要先確認是同一次給藥才可合併。
Usages:
- Use this Profile: 腦中風－個管系統個案資料包 and 腦中風－EVT 登錄個案資料包
- Examples for this Profile: MedicationAdministration/stroke-medadmin-intra-arterial-example, MedicationAdministration/stroke-medadmin-ivtpa-example and MedicationAdministration/stroke-medadmin-sedation-example
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: stroke-medadmin-1, stroke-medadmin-2 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 partOf |
0..* | Reference(腦中風－醫療處置) | 所屬處置。[EVT 中的給藥參照 StrokeProcedure] | |
| status |
1..1 | code | 給藥狀態。[填 completed／not-done／unknown] Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | |
  medication[x] |
1..1 | CodeableConcept | 藥品。[IV-tPA 填 iv-tpa-unspecified；其他藥品填藥名] Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |
  Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
  coding:strokeMedication |
0..1 | Coding | 本 IG 藥品代碼。[IV-tPA 填 iv-tpa-unspecified] Binding: 腦中風－藥品與藥物類別值集 (required) Required Pattern: At least the following | |
  system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication | |
 code |
1..1 | code | Symbol in syntax defined by the system | |
 text |
0..1 | string | 藥品名稱。[只有藥名時填原始藥名] | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| context |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |
| Slices for effective[x] |
1..1 | 給藥日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Slice: Unordered, Closed by type:$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 | ||
 effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Start and end time of administration | |
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 Slices for extension |
Content/Rules for all slices | |||
 extension:eventTimeOnly |
0..1 | time | 僅有給藥時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| note |
0..* | Annotation | 備註。[無法解析的劑量原文填在此] | |
 dosage |
C | 0..1 | BackboneElement | 劑量。[能解析出劑量時才填] Constraints: mad-1 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| text |
0..1 | string | 劑量原文 | |
| dose |
C | 0..1 | SimpleQuantity(4.0.1) | 給藥劑量。[UCUM 單位；IV-tPA 填 mg] Constraints: sqty-1 |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| unit |
0..1 | string | 單位文字。[例如 mg、mcg、IU] | |
| system |
C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
1..1 | code | UCUM 單位代碼。[IV-tPA 填 mg] | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x].coding:strokeMedication | Base | required | 腦中風－藥品與藥物類別值集 | 📦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()
|
| sqty-1 | error | MedicationAdministration.dosage.dose | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| stroke-medadmin-1 | error | MedicationAdministration | 藥品必須有代碼或名稱文字。 |
medication.coding.exists() or medication.text.exists()
|
| stroke-medadmin-2 | error | MedicationAdministration | IV-tPA（iv-tpa-unspecified）有填 dosage.dose 時，單位必須是 mg。 |
medication.coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication' and code = 'iv-tpa-unspecified').exists() implies (dosage.dose.empty() or dosage.dose.code = 'mg')
|
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: stroke-medadmin-1, stroke-medadmin-2 |
| partOf |
0..* | Reference(腦中風－醫療處置) | 所屬處置。[EVT 中的給藥參照 StrokeProcedure] | |
 status |
1..1 | code | 給藥狀態。[填 completed／not-done／unknown] | |
| medication[x] |
1..1 | CodeableConcept | 藥品。[IV-tPA 填 iv-tpa-unspecified；其他藥品填藥名] | |
| Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:strokeMedication |
0..1 | Coding | 本 IG 藥品代碼。[IV-tPA 填 iv-tpa-unspecified] Binding: 腦中風－藥品與藥物類別值集 (required) Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | 藥品名稱。[只有藥名時填原始藥名] | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| context |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |
| Slices for effective[x] |
1..1 | dateTime, Period | 給藥日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Slice: Unordered, Open by type:$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 | |
| effective[x]:effectiveDateTime |
0..1 | dateTime | Start and end time of administration | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:eventTimeOnly |
0..1 | time | 僅有給藥時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| note |
0..* | Annotation | 備註。[無法解析的劑量原文填在此] | |
| dosage |
0..1 | BackboneElement | 劑量。[能解析出劑量時才填] | |
| text |
0..1 | string | 劑量原文 | |
| dose |
0..1 | SimpleQuantity(4.0.1) | 給藥劑量。[UCUM 單位；IV-tPA 填 mg] | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| unit |
0..1 | string | 單位文字。[例如 mg、mcg、IU] | |
| system |
1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
1..1 | code | UCUM 單位代碼。[IV-tPA 填 mg] | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.medication[x].coding:strokeMedication | Base | required | 腦中風－藥品與藥物類別值集 | 📦0.1.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| stroke-medadmin-1 | error | MedicationAdministration | 藥品必須有代碼或名稱文字。 |
medication.coding.exists() or medication.text.exists()
|
| stroke-medadmin-2 | error | MedicationAdministration | IV-tPA（iv-tpa-unspecified）有填 dosage.dose 時，單位必須是 mg。 |
medication.coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication' and code = 'iv-tpa-unspecified').exists() implies (dosage.dose.empty() or dosage.dose.code = 'mg')
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: stroke-medadmin-1, stroke-medadmin-2 | ||||
| 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(腦中風－醫療處置) | 所屬處置。[EVT 中的給藥參照 StrokeProcedure] | |||||
| status |
1..1 | code | 給藥狀態。[填 completed／not-done／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] |
1..1 | CodeableConcept | 藥品。[IV-tPA 填 iv-tpa-unspecified；其他藥品填藥名] Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:strokeMedication |
0..1 | Coding | 本 IG 藥品代碼。[IV-tPA 填 iv-tpa-unspecified] Binding: 腦中風－藥品與藥物類別值集 (required) Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | 藥品名稱。[只有藥名時填原始藥名] | |||||
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |||||
| context |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||
| Slices for effective[x] |
1..1 | 給藥日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Slice: Unordered, Closed by type:$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 | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Start and end time of administration | |||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
 Slices for extension |
Content/Rules for all slices | |||||||
 extension:eventTimeOnly |
0..1 | time | 僅有給藥時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |||||
| value |
0..1 | dateTime | Primitive value for dateTime | |||||
| performer |
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 |
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(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | |||||
| reasonCode |
0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
| request |
0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
| device |
0..* | Reference(Device) | Device used to administer | |||||
| note |
0..* | Annotation | 備註。[無法解析的劑量原文填在此] | |||||
| dosage |
C | 0..1 | BackboneElement | 劑量。[能解析出劑量時才填] 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 | 劑量原文 | |||||
| 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) | 給藥劑量。[UCUM 單位；IV-tPA 填 mg] Constraints: sqty-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| unit |
0..1 | string | 單位文字。[例如 mg、mcg、IU] | |||||
| system |
C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
1..1 | code | UCUM 單位代碼。[IV-tPA 填 mg] | |||||
 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].coding:strokeMedication | Base | required | 腦中風－藥品與藥物類別值集 | 📦0.1.0 | This IG |
| 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()
|
| 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()
|
| stroke-medadmin-1 | error | MedicationAdministration | 藥品必須有代碼或名稱文字。 |
medication.coding.exists() or medication.text.exists()
|
| stroke-medadmin-2 | error | MedicationAdministration | IV-tPA（iv-tpa-unspecified）有填 dosage.dose 時，單位必須是 mg。 |
medication.coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication' and code = 'iv-tpa-unspecified').exists() implies (dosage.dose.empty() or dosage.dose.code = 'mg')
|
This structure is derived from MedicationAdministration
Summary
Mandatory: 0 element(5 nested mandatory elements)
Must-Support: 21 elements
Structures
This structure refers to these other structures:
- 腦中風－醫療處置 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedure)
- 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
- 腦中風－就醫事件 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter)
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of MedicationAdministration.medication[x].coding
- The element 1 is sliced based on the value of MedicationAdministration.effective[x]
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: stroke-medadmin-1, stroke-medadmin-2 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| partOf |
0..* | Reference(腦中風－醫療處置) | 所屬處置。[EVT 中的給藥參照 StrokeProcedure] | |
| status |
1..1 | code | 給藥狀態。[填 completed／not-done／unknown] Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | |
| medication[x] |
1..1 | CodeableConcept | 藥品。[IV-tPA 填 iv-tpa-unspecified；其他藥品填藥名] Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |
| Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:strokeMedication |
0..1 | Coding | 本 IG 藥品代碼。[IV-tPA 填 iv-tpa-unspecified] Binding: 腦中風－藥品與藥物類別值集 (required) Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | 藥品名稱。[只有藥名時填原始藥名] | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| context |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |
| Slices for effective[x] |
1..1 | 給藥日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Slice: Unordered, Closed by type:$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 | ||
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Start and end time of administration | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:eventTimeOnly |
0..1 | time | 僅有給藥時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| note |
0..* | Annotation | 備註。[無法解析的劑量原文填在此] | |
| dosage |
C | 0..1 | BackboneElement | 劑量。[能解析出劑量時才填] Constraints: mad-1 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| text |
0..1 | string | 劑量原文 | |
| dose |
C | 0..1 | SimpleQuantity(4.0.1) | 給藥劑量。[UCUM 單位；IV-tPA 填 mg] Constraints: sqty-1 |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| unit |
0..1 | string | 單位文字。[例如 mg、mcg、IU] | |
| system |
C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org |
| code |
1..1 | code | UCUM 單位代碼。[IV-tPA 填 mg] | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x].coding:strokeMedication | Base | required | 腦中風－藥品與藥物類別值集 | 📦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()
|
| sqty-1 | error | MedicationAdministration.dosage.dose | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| stroke-medadmin-1 | error | MedicationAdministration | 藥品必須有代碼或名稱文字。 |
medication.coding.exists() or medication.text.exists()
|
| stroke-medadmin-2 | error | MedicationAdministration | IV-tPA（iv-tpa-unspecified）有填 dosage.dose 時，單位必須是 mg。 |
medication.coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication' and code = 'iv-tpa-unspecified').exists() implies (dosage.dose.empty() or dosage.dose.code = 'mg')
|
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: stroke-medadmin-1, stroke-medadmin-2 |
| partOf |
0..* | Reference(腦中風－醫療處置) | 所屬處置。[EVT 中的給藥參照 StrokeProcedure] | |
| status |
1..1 | code | 給藥狀態。[填 completed／not-done／unknown] | |
| medication[x] |
1..1 | CodeableConcept | 藥品。[IV-tPA 填 iv-tpa-unspecified；其他藥品填藥名] | |
| Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:strokeMedication |
0..1 | Coding | 本 IG 藥品代碼。[IV-tPA 填 iv-tpa-unspecified] Binding: 腦中風－藥品與藥物類別值集 (required) Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | 藥品名稱。[只有藥名時填原始藥名] | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| context |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |
| Slices for effective[x] |
1..1 | dateTime, Period | 給藥日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Slice: Unordered, Open by type:$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 | |
| effective[x]:effectiveDateTime |
0..1 | dateTime | Start and end time of administration | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:eventTimeOnly |
0..1 | time | 僅有給藥時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |
| note |
0..* | Annotation | 備註。[無法解析的劑量原文填在此] | |
| dosage |
0..1 | BackboneElement | 劑量。[能解析出劑量時才填] | |
| text |
0..1 | string | 劑量原文 | |
| dose |
0..1 | SimpleQuantity(4.0.1) | 給藥劑量。[UCUM 單位；IV-tPA 填 mg] | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| unit |
0..1 | string | 單位文字。[例如 mg、mcg、IU] | |
| system |
1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | |
| code |
1..1 | code | UCUM 單位代碼。[IV-tPA 填 mg] | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.medication[x].coding:strokeMedication | Base | required | 腦中風－藥品與藥物類別值集 | 📦0.1.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| stroke-medadmin-1 | error | MedicationAdministration | 藥品必須有代碼或名稱文字。 |
medication.coding.exists() or medication.text.exists()
|
| stroke-medadmin-2 | error | MedicationAdministration | IV-tPA（iv-tpa-unspecified）有填 dosage.dose 時，單位必須是 mg。 |
medication.coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication' and code = 'iv-tpa-unspecified').exists() implies (dosage.dose.empty() or dosage.dose.code = 'mg')
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient Constraints: stroke-medadmin-1, stroke-medadmin-2 | ||||
| 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(腦中風－醫療處置) | 所屬處置。[EVT 中的給藥參照 StrokeProcedure] | |||||
| status |
1..1 | code | 給藥狀態。[填 completed／not-done／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] |
1..1 | CodeableConcept | 藥品。[IV-tPA 填 iv-tpa-unspecified；其他藥品填藥名] Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:strokeMedication |
0..1 | Coding | 本 IG 藥品代碼。[IV-tPA 填 iv-tpa-unspecified] Binding: 腦中風－藥品與藥物類別值集 (required) Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | 藥品名稱。[只有藥名時填原始藥名] | |||||
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |||||
| context |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||
| Slices for effective[x] |
1..1 | 給藥日期與時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Slice: Unordered, Closed by type:$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 | ||||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Start and end time of administration | |||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:eventTimeOnly |
0..1 | time | 僅有給藥時間（無日期）。[hh:mm:ss] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only | |||||
| value |
0..1 | dateTime | Primitive value for dateTime | |||||
| performer |
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 |
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(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | |||||
| reasonCode |
0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
| request |
0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
| device |
0..* | Reference(Device) | Device used to administer | |||||
| note |
0..* | Annotation | 備註。[無法解析的劑量原文填在此] | |||||
| dosage |
C | 0..1 | BackboneElement | 劑量。[能解析出劑量時才填] 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 | 劑量原文 | |||||
| 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) | 給藥劑量。[UCUM 單位；IV-tPA 填 mg] Constraints: sqty-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| unit |
0..1 | string | 單位文字。[例如 mg、mcg、IU] | |||||
| system |
C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
1..1 | code | UCUM 單位代碼。[IV-tPA 填 mg] | |||||
| 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].coding:strokeMedication | Base | required | 腦中風－藥品與藥物類別值集 | 📦0.1.0 | This IG |
| 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()
|
| 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()
|
| stroke-medadmin-1 | error | MedicationAdministration | 藥品必須有代碼或名稱文字。 |
medication.coding.exists() or medication.text.exists()
|
| stroke-medadmin-2 | error | MedicationAdministration | IV-tPA（iv-tpa-unspecified）有填 dosage.dose 時，單位必須是 mg。 |
medication.coding.where(system = 'http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication' and code = 'iv-tpa-unspecified').exists() implies (dosage.dose.empty() or dosage.dose.code = 'mg')
|
This structure is derived from MedicationAdministration
Summary
Mandatory: 0 element(5 nested mandatory elements)
Must-Support: 21 elements
Structures
This structure refers to these other structures:
- 腦中風－醫療處置 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedure)
- 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
- 腦中風－就醫事件 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter)
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of MedicationAdministration.medication[x].coding
- The element 1 is sliced based on the value of MedicationAdministration.effective[x]
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