NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. 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/UP-Manila-SILab/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

Resource Profile: PH MedicationAdministration

Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-MedicationAdministration Version: 0.1.0
Standards status: Draft Computable Name: PH_MedicationAdministration

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Describes the event of a patient consuming or otherwise being administered a medication.

Usages:

  • This Profile is not used by any profiles in this Specification

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: doco
MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
MedicationAdministration.Slices for extension 1..* 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
MedicationAdministration.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationAdministration.status This element is a modifier element. This element is included in summaries. 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required)
MedicationAdministration.medication[x] This element is included in summaries. 1..1 Reference(PH Medication) What was administered
MedicationAdministration.subject This element is included in summaries. 1..1 Reference(PH Patient) Who received medication
MedicationAdministration.effective[x] This element is included in summaries. 1..1 Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime dateTime
MedicationAdministration.effective[x].effectivePeriod Period
MedicationAdministration.reasonReference 0..* Reference(PH Condition | PH Observation | PH DiagnosticReport) Condition or observation that supports why the medication was administered
MedicationAdministration.dosage C 0..1 BackboneElement Details of how medication was taken
Constraints: mad-1
MedicationAdministration.dosage.route 0..1 CodeableConcept Path of substance into body
Binding: RouteByMethod (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required RouteByMethod 📦3.0.0 THO v7.4

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: doco
MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
MedicationAdministration.meta
MedicationAdministration.meta.Slices for extension Content/Rules for all slices
MedicationAdministration.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
MedicationAdministration.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
MedicationAdministration.meta.lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
MedicationAdministration.implicitRules 0..0 A set of rules under which this content was created
MedicationAdministration.language 0..0 Language of the resource content
MedicationAdministration.contained 0..0 Contained, inline Resources
MedicationAdministration.Slices for extension 1..* 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
MedicationAdministration.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationAdministration.modifierExtension 0..0 Extension
MedicationAdministration.instantiates 0..0 Instantiates protocol or definition
MedicationAdministration.partOf 0..0 Part of referenced event
MedicationAdministration.status 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required)
MedicationAdministration.statusReason 0..0 Reason administration not performed
MedicationAdministration.medication[x] 1..1 Reference(PH Medication) What was administered
MedicationAdministration.subject 1..1 Reference(PH Patient) Who received medication
MedicationAdministration.context 0..0 Encounter or Episode of Care administered as part of
MedicationAdministration.supportingInformation 0..0 Additional information to support administration
MedicationAdministration.performer
MedicationAdministration.performer.extension 0..0 Extension
MedicationAdministration.performer.modifierExtension 0..0 Extension
MedicationAdministration.performer.function 0..0 Type of performance
MedicationAdministration.performer.actor 1..1 Reference(PH Practitioner | PH PractitionerRole | PH Patient | PH RelatedPerson | Device) Who performed the medication administration
MedicationAdministration.reasonReference 0..* Reference(PH Condition | PH Observation | PH DiagnosticReport) Condition or observation that supports why the medication was administered
MedicationAdministration.request 0..0 Request administration performed against
MedicationAdministration.device 0..0 Device used to administer
MedicationAdministration.dosage 0..1 BackboneElement Details of how medication was taken
MedicationAdministration.dosage.id 0..0 Unique id for inter-element referencing
MedicationAdministration.dosage.extension 0..0 Extension
MedicationAdministration.dosage.modifierExtension 0..0 Extension
MedicationAdministration.dosage.route 0..1 CodeableConcept Path of substance into body
Binding: RouteByMethod (required)
MedicationAdministration.eventHistory 0..0 A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required RouteByMethod 📦3.0.0 THO v7.4
NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
MedicationAdministration.id This element is included in summaries. 0..1 id Logical id of this artifact
MedicationAdministration.meta This element is included in summaries. 0..1 Meta Metadata about the resource
MedicationAdministration.meta.id 0..1 string Unique id for inter-element referencing
MedicationAdministration.meta.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
MedicationAdministration.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
MedicationAdministration.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
MedicationAdministration.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
MedicationAdministration.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource was uploaded to the NHDR.
MedicationAdministration.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
MedicationAdministration.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
MedicationAdministration.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationAdministration.meta.tag This element is included in summaries. 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".
MedicationAdministration.Slices for extension 1..* 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
MedicationAdministration.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationAdministration.identifier 0..* Identifier External identifier
MedicationAdministration.status This element is a modifier element. This element is included in summaries. 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required)
MedicationAdministration.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.
MedicationAdministration.medication[x] This element is included in summaries. 1..1 Reference(PH Medication) What was administered
MedicationAdministration.subject This element is included in summaries. 1..1 Reference(PH Patient) Who received medication
MedicationAdministration.effective[x] This element is included in summaries. 1..1 Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime dateTime
MedicationAdministration.effective[x].effectivePeriod Period
MedicationAdministration.performer This element is included in summaries. 0..* BackboneElement Who performed the medication administration and what they did
MedicationAdministration.performer.id 0..1 string Unique id for inter-element referencing
MedicationAdministration.performer.actor This element is included in summaries. 1..1 Reference(PH Practitioner | PH PractitionerRole | PH Patient | PH RelatedPerson | Device) Who performed the medication administration
MedicationAdministration.reasonCode 0..* CodeableConcept Reason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
MedicationAdministration.reasonReference 0..* Reference(PH Condition | PH Observation | PH DiagnosticReport) Condition or observation that supports why the medication was administered
MedicationAdministration.note 0..* Annotation Information about the administration
MedicationAdministration.dosage C 0..1 BackboneElement Details of how medication was taken
Constraints: mad-1
MedicationAdministration.dosage.text 0..1 string Free text dosage instructions e.g. SIG
MedicationAdministration.dosage.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.
MedicationAdministration.dosage.route 0..1 CodeableConcept Path of substance into body
Binding: RouteByMethod (required)
MedicationAdministration.dosage.method 0..1 CodeableConcept How drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationAdministration.dosage.dose C 0..1 SimpleQuantity(4.0.1) Amount of medication per dose
Constraints: sqty-1
MedicationAdministration.dosage.rate[x] 0..1 Dose quantity per unit of time
MedicationAdministration.dosage.rate[x].rateRatio Ratio
MedicationAdministration.dosage.rate[x].rateQuantity Quantity(SimpleQuantity)

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.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category 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 RouteByMethod 📦3.0.0 THO v7.4
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
MedicationAdministration.Slices for extension 1..* 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
MedicationAdministration.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationAdministration.status This element is a modifier element. This element is included in summaries. 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required)
MedicationAdministration.medication[x] This element is included in summaries. 1..1 Reference(PH Medication) What was administered
MedicationAdministration.subject This element is included in summaries. 1..1 Reference(PH Patient) Who received medication
MedicationAdministration.effective[x] This element is included in summaries. 1..1 Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime dateTime
MedicationAdministration.effective[x].effectivePeriod Period
MedicationAdministration.reasonReference 0..* Reference(PH Condition | PH Observation | PH DiagnosticReport) Condition or observation that supports why the medication was administered
MedicationAdministration.dosage C 0..1 BackboneElement Details of how medication was taken
Constraints: mad-1
MedicationAdministration.dosage.route 0..1 CodeableConcept Path of substance into body
Binding: RouteByMethod (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required RouteByMethod 📦3.0.0 THO v7.4

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: doco
MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
MedicationAdministration.meta
MedicationAdministration.meta.Slices for extension Content/Rules for all slices
MedicationAdministration.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
MedicationAdministration.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
MedicationAdministration.meta.lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
MedicationAdministration.implicitRules 0..0 A set of rules under which this content was created
MedicationAdministration.language 0..0 Language of the resource content
MedicationAdministration.text 0..0 Text summary of the resource, for human interpretation
MedicationAdministration.contained 0..0 Contained, inline Resources
MedicationAdministration.Slices for extension 1..* 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
MedicationAdministration.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationAdministration.modifierExtension 0..0 Extension
MedicationAdministration.instantiates 0..0 Instantiates protocol or definition
MedicationAdministration.partOf 0..0 Part of referenced event
MedicationAdministration.status 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required)
MedicationAdministration.statusReason 0..0 Reason administration not performed
MedicationAdministration.medication[x] 1..1 Reference(PH Medication) What was administered
MedicationAdministration.subject 1..1 Reference(PH Patient) Who received medication
MedicationAdministration.context 0..0 Encounter or Episode of Care administered as part of
MedicationAdministration.supportingInformation 0..0 Additional information to support administration
MedicationAdministration.performer
MedicationAdministration.performer.extension 0..0 Extension
MedicationAdministration.performer.modifierExtension 0..0 Extension
MedicationAdministration.performer.function 0..0 Type of performance
MedicationAdministration.performer.actor 1..1 Reference(PH Practitioner | PH PractitionerRole | PH Patient | PH RelatedPerson | Device) Who performed the medication administration
MedicationAdministration.reasonReference 0..* Reference(PH Condition | PH Observation | PH DiagnosticReport) Condition or observation that supports why the medication was administered
MedicationAdministration.request 0..0 Request administration performed against
MedicationAdministration.device 0..0 Device used to administer
MedicationAdministration.dosage 0..1 BackboneElement Details of how medication was taken
MedicationAdministration.dosage.id 0..0 Unique id for inter-element referencing
MedicationAdministration.dosage.extension 0..0 Extension
MedicationAdministration.dosage.modifierExtension 0..0 Extension
MedicationAdministration.dosage.route 0..1 CodeableConcept Path of substance into body
Binding: RouteByMethod (required)
MedicationAdministration.eventHistory 0..0 A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required RouteByMethod 📦3.0.0 THO v7.4

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
MedicationAdministration.id This element is included in summaries. 0..1 id Logical id of this artifact
MedicationAdministration.meta This element is included in summaries. 0..1 Meta Metadata about the resource
MedicationAdministration.meta.id 0..1 string Unique id for inter-element referencing
MedicationAdministration.meta.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
MedicationAdministration.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
MedicationAdministration.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
MedicationAdministration.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
MedicationAdministration.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource was uploaded to the NHDR.
MedicationAdministration.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
MedicationAdministration.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
MedicationAdministration.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationAdministration.meta.tag This element is included in summaries. 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".
MedicationAdministration.Slices for extension 1..* 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
MedicationAdministration.Slices for extension.extension:encounter 1..* Reference(PH Encounter) Encounter (Extension)
URL: https://nhdr.gov.ph/fhir/StructureDefinition/EncounterExtension
MedicationAdministration.identifier 0..* Identifier External identifier
MedicationAdministration.status This element is a modifier element. This element is included in summaries. 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required)
MedicationAdministration.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.
MedicationAdministration.medication[x] This element is included in summaries. 1..1 Reference(PH Medication) What was administered
MedicationAdministration.subject This element is included in summaries. 1..1 Reference(PH Patient) Who received medication
MedicationAdministration.effective[x] This element is included in summaries. 1..1 Start and end time of administration
MedicationAdministration.effective[x].effectiveDateTime dateTime
MedicationAdministration.effective[x].effectivePeriod Period
MedicationAdministration.performer This element is included in summaries. 0..* BackboneElement Who performed the medication administration and what they did
MedicationAdministration.performer.id 0..1 string Unique id for inter-element referencing
MedicationAdministration.performer.actor This element is included in summaries. 1..1 Reference(PH Practitioner | PH PractitionerRole | PH Patient | PH RelatedPerson | Device) Who performed the medication administration
MedicationAdministration.reasonCode 0..* CodeableConcept Reason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
MedicationAdministration.reasonReference 0..* Reference(PH Condition | PH Observation | PH DiagnosticReport) Condition or observation that supports why the medication was administered
MedicationAdministration.note 0..* Annotation Information about the administration
MedicationAdministration.dosage C 0..1 BackboneElement Details of how medication was taken
Constraints: mad-1
MedicationAdministration.dosage.text 0..1 string Free text dosage instructions e.g. SIG
MedicationAdministration.dosage.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.
MedicationAdministration.dosage.route 0..1 CodeableConcept Path of substance into body
Binding: RouteByMethod (required)
MedicationAdministration.dosage.method 0..1 CodeableConcept How drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationAdministration.dosage.dose C 0..1 SimpleQuantity(4.0.1) Amount of medication per dose
Constraints: sqty-1
MedicationAdministration.dosage.rate[x] 0..1 Dose quantity per unit of time
MedicationAdministration.dosage.rate[x].rateRatio Ratio
MedicationAdministration.dosage.rate[x].rateQuantity Quantity(SimpleQuantity)

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.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category 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 RouteByMethod 📦3.0.0 THO v7.4
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()

 

Other representations of profile: CSV, Excel, Schematron