FR Document Core (FHIR)
0.1.0 - ci-build

FR Document Core (FHIR), published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. 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/ansforge/interop-IG-fhir-document-core/ and changes regularly. See the Directory of published versions

## Resource Profile: MedicationAdministration - FR Medication Administration Document

Official URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-administration-document | Version: 0.1.0 | Highlight text changes?
Draft as of 2026-08-07 | Computable Name: FRMedicationAdministrationDocument

- FRMedicationAdministrationDocument permert de décrire les modalités d'administration d'un médicament au patient.
- Il permet de décrire notamment le médicament, le mode d'administration, la quantité, la durée et la fréquence d'administration.
- Si le traitement est en attente d’administration c’est-à dire qu’il a été prescrit.

Usages:

- Refer to this Profile: AdverseEvent - FR adverse event Document, MedicationDispense - FR Medication Dispense Document, MedicationStatement - FR Medication Statement Document, Observation - FR Observation Radiation Exposure Document... Show 3 more, FR Patient History Extension, Procedure - FR Procedure Document and Procedure - FR Procedure Imaging Document

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration(4.0.1) | Administration of medication to a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:occurenceR5 |  | 0..1 | (Complex) | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence"
value[x] |  | 1..1 | Timing | Specific date/time or interval of time during which the administration took place (or did not take place)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier |  | 0..* | Identifier | Identifiant de l'administration du médicament
status | ?!S Σ | 1..1 | code | Statut Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Required Pattern: completed
category | S | 0..1 | CodeableConcept | Acte ou situation Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 | Reference(Medication - FR Medication Document(0.1.0)) | What was administered
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
effective[x] | S Σ | 1..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document(0.1.0) | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0)) | Prescription
note | S | 0..* | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-administration-sequence-extension Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
text | S | 0..1 | string | Instruction au patient
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices for rate[x] | S | 0..1 |  | Dose quantity per unit of time Slice: Unordered, Closed by type:$this
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity(4.0.1) | rythme d'administration
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.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍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 | MedicationAdministration.implicitRules, MedicationAdministration.extension, MedicationAdministration.extension:occurenceR5, MedicationAdministration.extension:occurenceR5.value[x], MedicationAdministration.modifierExtension, MedicationAdministration.identifier, MedicationAdministration.status, MedicationAdministration.category, MedicationAdministration.medication[x], MedicationAdministration.subject, MedicationAdministration.effective[x], MedicationAdministration.reasonReference, MedicationAdministration.request, MedicationAdministration.note, MedicationAdministration.dosage, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.extension:sequence, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.text, MedicationAdministration.dosage.site, MedicationAdministration.dosage.route, MedicationAdministration.dosage.dose, MedicationAdministration.dosage.rate[x], MedicationAdministration.dosage.rate[x]:rateRatio, MedicationAdministration.dosage.rate[x]:rateQuantity | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | MedicationAdministration.extension, MedicationAdministration.extension:occurenceR5, MedicationAdministration.modifierExtension, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.extension:sequence, MedicationAdministration.dosage.modifierExtension | 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()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration(4.0.1) | Administration of medication to a patient
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:occurenceR5 |  | 0..1 | (Complex) | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence
extension |  | 0..0 |  | Extension
identifier |  | 0..* | Identifier | Identifiant de l'administration du médicament
status | S | 1..1 | code | Statut Required Pattern: completed
category | S | 0..1 | CodeableConcept | Acte ou situation
medication[x] | S | 1..1 | Reference(Medication - FR Medication Document(0.1.0)) | What was administered
effective[x] | S | 1..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document(0.1.0) | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0)) | Prescription
note | S | 0..* | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-administration-sequence-extension
text | S | 0..1 | string | Instruction au patient
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices for rate[x] | S | 0..1 | Ratio, SimpleQuantity(4.0.1) | Dose quantity per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity(4.0.1) | rythme d'administration
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration(4.0.1) | Administration of medication to a patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:occurenceR5 |  | 0..1 | (Complex) | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence"
value[x] |  | 1..1 | Timing | Specific date/time or interval of time during which the administration took place (or did not take place)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier |  | 0..* | Identifier | Identifiant de l'administration du médicament
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | Statut Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Required Pattern: completed
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category | S | 0..1 | CodeableConcept | Acte ou situation Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 | Reference(Medication - FR Medication Document(0.1.0)) | What was administered
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | S Σ | 1..1 | Period | Durée du traitement
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | Σ | 1..1 | Reference(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 | S | 0..* | Reference(Condition - FR Condition Document(0.1.0) | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0)) | Prescription
device |  | 0..* | Reference(Device) | Device used to administer
note | S | 0..* | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-administration-sequence-extension Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
text | S | 0..1 | string | Instruction au patient
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
method |  | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices for rate[x] | S | 0..1 |  | Dose quantity per unit of time Slice: Unordered, Closed by type:$this
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity(4.0.1) | rythme d'administration
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.​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 | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | This IG
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 | MedicationAdministration.meta, MedicationAdministration.implicitRules, MedicationAdministration.language, MedicationAdministration.text, MedicationAdministration.extension, MedicationAdministration.extension:occurenceR5, MedicationAdministration.extension:occurenceR5.value[x], MedicationAdministration.modifierExtension, MedicationAdministration.identifier, MedicationAdministration.instantiates, MedicationAdministration.partOf, MedicationAdministration.status, MedicationAdministration.statusReason, MedicationAdministration.category, MedicationAdministration.medication[x], MedicationAdministration.subject, MedicationAdministration.context, MedicationAdministration.supportingInformation, MedicationAdministration.effective[x], MedicationAdministration.performer, MedicationAdministration.performer.extension, MedicationAdministration.performer.modifierExtension, MedicationAdministration.performer.function, MedicationAdministration.performer.actor, MedicationAdministration.reasonCode, MedicationAdministration.reasonReference, MedicationAdministration.request, MedicationAdministration.device, MedicationAdministration.note, MedicationAdministration.dosage, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.extension:sequence, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.text, MedicationAdministration.dosage.site, MedicationAdministration.dosage.route, MedicationAdministration.dosage.method, MedicationAdministration.dosage.dose, MedicationAdministration.dosage.rate[x], MedicationAdministration.dosage.rate[x]:rateRatio, MedicationAdministration.dosage.rate[x]:rateQuantity, MedicationAdministration.eventHistory | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | MedicationAdministration.extension, MedicationAdministration.extension:occurenceR5, MedicationAdministration.modifierExtension, MedicationAdministration.performer.extension, MedicationAdministration.performer.modifierExtension, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.extension:sequence, MedicationAdministration.dosage.modifierExtension | 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()`

Summary

Must-Support: 13 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-document|0.1.0)
- Condition - FR Condition Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-condition-document|0.1.0)
- Observation (http://hl7.org/fhir/StructureDefinition/Observation|4.0.1)
- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-request-document|0.1.0)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence|0.1.0
- https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-administration-sequence-extension|0.1.0

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationAdministration.dosage.rate[x]

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration(4.0.1) | Administration of medication to a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:occurenceR5 |  | 0..1 | (Complex) | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence Constraints: ext-1
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence"
value[x] |  | 1..1 | Timing | Specific date/time or interval of time during which the administration took place (or did not take place)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier |  | 0..* | Identifier | Identifiant de l'administration du médicament
status | ?!S Σ | 1..1 | code | Statut Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Required Pattern: completed
category | S | 0..1 | CodeableConcept | Acte ou situation Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 | Reference(Medication - FR Medication Document(0.1.0)) | What was administered
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
effective[x] | S Σ | 1..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document(0.1.0) | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0)) | Prescription
note | S | 0..* | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-administration-sequence-extension Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
text | S | 0..1 | string | Instruction au patient
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices for rate[x] | S | 0..1 |  | Dose quantity per unit of time Slice: Unordered, Closed by type:$this
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity(4.0.1) | rythme d'administration
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.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍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 | MedicationAdministration.implicitRules, MedicationAdministration.extension, MedicationAdministration.extension:occurenceR5, MedicationAdministration.extension:occurenceR5.value[x], MedicationAdministration.modifierExtension, MedicationAdministration.identifier, MedicationAdministration.status, MedicationAdministration.category, MedicationAdministration.medication[x], MedicationAdministration.subject, MedicationAdministration.effective[x], MedicationAdministration.reasonReference, MedicationAdministration.request, MedicationAdministration.note, MedicationAdministration.dosage, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.extension:sequence, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.text, MedicationAdministration.dosage.site, MedicationAdministration.dosage.route, MedicationAdministration.dosage.dose, MedicationAdministration.dosage.rate[x], MedicationAdministration.dosage.rate[x]:rateRatio, MedicationAdministration.dosage.rate[x]:rateQuantity | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | MedicationAdministration.extension, MedicationAdministration.extension:occurenceR5, MedicationAdministration.modifierExtension, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.extension:sequence, MedicationAdministration.dosage.modifierExtension | 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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration(4.0.1) | Administration of medication to a patient
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:occurenceR5 |  | 0..1 | (Complex) | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence
extension |  | 0..0 |  | Extension
identifier |  | 0..* | Identifier | Identifiant de l'administration du médicament
status | S | 1..1 | code | Statut Required Pattern: completed
category | S | 0..1 | CodeableConcept | Acte ou situation
medication[x] | S | 1..1 | Reference(Medication - FR Medication Document(0.1.0)) | What was administered
effective[x] | S | 1..1 | Period | Durée du traitement
reasonReference | S | 0..* | Reference(Condition - FR Condition Document(0.1.0) | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0)) | Prescription
note | S | 0..* | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-administration-sequence-extension
text | S | 0..1 | string | Instruction au patient
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices for rate[x] | S | 0..1 | Ratio, SimpleQuantity(4.0.1) | Dose quantity per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity(4.0.1) | rythme d'administration
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​dosage.site | Base | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | This IG

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration(4.0.1) | Administration of medication to a patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:occurenceR5 |  | 0..1 | (Complex) | Fréquence d'administration URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence"
value[x] |  | 1..1 | Timing | Specific date/time or interval of time during which the administration took place (or did not take place)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1
identifier |  | 0..* | Identifier | Identifiant de l'administration du médicament
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | Statut Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Required Pattern: completed
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category | S | 0..1 | CodeableConcept | Acte ou situation Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 | Reference(Medication - FR Medication Document(0.1.0)) | What was administered
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | S Σ | 1..1 | Period | Durée du traitement
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | Σ | 1..1 | Reference(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 | S | 0..* | Reference(Condition - FR Condition Document(0.1.0) | Observation) | Motif du traitement
request |  | 0..1 | Reference(MedicationRequest - FR Medication Request Document(0.1.0)) | Prescription
device |  | 0..* | Reference(Device) | Device used to administer
note | S | 0..* | Annotation | Permet de décrire les conditions préalables à l'utilisation du médicament.
dosage | C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:sequence |  | 0..* | integer | FR Medication Administration Sequence Extension URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-administration-sequence-extension Constraints: ext-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
text | S | 0..1 | string | Instruction au patient
site | S | 0..1 | CodeableConcept | Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route | S | 0..1 | CodeableConcept | Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required): EDQM - Standard terms / classe ROA (0.4.0.127.0.16.1.1.2.1)
method |  | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose | S | 0..1 | SimpleQuantity(4.0.1) | Dose à administrer
Slices for rate[x] | S | 0..1 |  | Dose quantity per unit of time Slice: Unordered, Closed by type:$this
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
rate[x]:rateRatio | S | 0..1 | Ratio | doseMaximale
rate[x]:rateQuantity | S | 0..1 | SimpleQuantity(4.0.1) | rythme d'administration
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.​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 | required | JDV Human Substance Administration Site CISIS | 📍20260619134041 | Terminologies de Santé v1.11
MedicationAdministration.​dosage.route | Base | required | ValueSet - FR ValueSet EDQM Document | 📍0.1.0 | This IG
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 | MedicationAdministration.meta, MedicationAdministration.implicitRules, MedicationAdministration.language, MedicationAdministration.text, MedicationAdministration.extension, MedicationAdministration.extension:occurenceR5, MedicationAdministration.extension:occurenceR5.value[x], MedicationAdministration.modifierExtension, MedicationAdministration.identifier, MedicationAdministration.instantiates, MedicationAdministration.partOf, MedicationAdministration.status, MedicationAdministration.statusReason, MedicationAdministration.category, MedicationAdministration.medication[x], MedicationAdministration.subject, MedicationAdministration.context, MedicationAdministration.supportingInformation, MedicationAdministration.effective[x], MedicationAdministration.performer, MedicationAdministration.performer.extension, MedicationAdministration.performer.modifierExtension, MedicationAdministration.performer.function, MedicationAdministration.performer.actor, MedicationAdministration.reasonCode, MedicationAdministration.reasonReference, MedicationAdministration.request, MedicationAdministration.device, MedicationAdministration.note, MedicationAdministration.dosage, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.extension:sequence, MedicationAdministration.dosage.modifierExtension, MedicationAdministration.dosage.text, MedicationAdministration.dosage.site, MedicationAdministration.dosage.route, MedicationAdministration.dosage.method, MedicationAdministration.dosage.dose, MedicationAdministration.dosage.rate[x], MedicationAdministration.dosage.rate[x]:rateRatio, MedicationAdministration.dosage.rate[x]:rateQuantity, MedicationAdministration.eventHistory | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | MedicationAdministration.extension, MedicationAdministration.extension:occurenceR5, MedicationAdministration.modifierExtension, MedicationAdministration.performer.extension, MedicationAdministration.performer.modifierExtension, MedicationAdministration.dosage.extension, MedicationAdministration.dosage.extension:sequence, MedicationAdministration.dosage.modifierExtension | 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()`

Summary

Must-Support: 13 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-document|0.1.0)
- Condition - FR Condition Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-condition-document|0.1.0)
- Observation (http://hl7.org/fhir/StructureDefinition/Observation|4.0.1)
- MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-request-document|0.1.0)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.occurence|0.1.0
- https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-administration-sequence-extension|0.1.0

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationAdministration.dosage.rate[x]

Other representations of profile: CSV, Excel, Schematron