Health eData 1 Sandbox
0.1.0 - CI Build

Health eData 1 Sandbox, published by HL7 International / Cross-Group Projects. 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/argonautproject/USCDIV7/ and changes regularly. See the Directory of published versions

## Resource Profile: US Core MedicationAdministration Profile

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationadministration | Version: 0.1.0
Active as of 2026-05-13 | Maturity Level: 3 | Computable Name: USCoreMedicationAdministrationProfile
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.74

The US Core MedicationAdministration Profile inherits from the FHIR MedicationAdministration resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Medication Administration Data Element of the Medications Data Class. It sets minimum expectations for the MedicationAdministration resource to record, search, and fetch information about medications administered to a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

Example Usage Scenarios:

The following are example usage scenarios for the US Core MedicationAdministration profile:

- Query for MedicationAdministration resources belonging to a Patient
- [Record or update] a Patient MedicationAdministration

### Mandatory and Must Support Data Elements

The following data elements must always be present ([Mandatory] definition) or must be supported if the data is present in the sending system ([Must Support] definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The [Formal Views] below provides the formal summary, definitions, and terminology requirements.

Each MedicationAdministration Must Have:

1. a status
2. a medication
3. a patient
4. when the medication was administered

Each MedicationAdministration Must Support:

1. who administered the medication
2. reference to the administration order
3. free text dosage instructions (e.g., SIG)
4. the route of administration
5. the dose and rate

### Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the US Core Profile to support implementation and certification.

### Liquid Script to Generate StructureDefinition All Nice N Pretty Like

{% include structure-table.md sd=sd source="differential" show_must_support=true show_uscdi=true %}

## USCoreMedicationAdministrationProfile — US Core MedicationAdministration Profile

The US Core MedicationAdministration Profile inherits from the FHIR MedicationAdministration resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) Medication Administration Data Element of the Medications Data Class. It sets minimum expectations for the MedicationAdministration resource to record, search, and fetch information about medications administered to a patient. It specifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

- URL: `http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationadministration`
- Version: 0.1.0
- Status: active
- Kind: resource
- Type: `MedicationAdministration`
- Base Definition: `http://hl7.org/fhir/StructureDefinition/MedicationAdministration`
- Derivation: constraint

### Elements (differential)

Element | Must Support | Add'l USCDI | Cardinality | Type | Description
--- | --- | --- | --- | --- | ---
`MedicationAdministration` |  |  | 0..* |  | Administration of medication to a patient Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
↳ `status` | ✅ |  | 1..1 | `code` | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Will generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way. Binding: `http://hl7.org/fhir/ValueSet/medication-admin-status\|4.0.1` (required) — A set of codes indicating the current status of a MedicationAdministration.
↳ `medication[x]` | ✅ |  | 1..1 | `CodeableConcept` `Reference` target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication | What was administered Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. Binding: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` (extensible)
↳ `subject` | ✅ |  | 1..1 | `Reference` target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient target: http://hl7.org/fhir/StructureDefinition/Group | Who received medication The person or animal or group receiving the medication.
↳ `effective[x]` | ✅ |  | 1..1 | `dateTime` `Period` | Start and end time of administration A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
↳ `performer` | ✅ |  | 0..* | `BackboneElement` | Who performed the medication administration and what they did Indicates who or what performed the medication administration and how they were involved.
↳ `actor` | ✅ |  | 1..1 | `Reference` target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-device | Who performed the medication administration Indicates who or what performed the medication administration.
↳ `request` | ✅ |  | 0..1 | `Reference` target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | Request administration performed against The original request, instruction or authority to perform the administration.
↳ `dosage` | ✅ |  | 0..1 | `BackboneElement` | Details of how medication was taken Describes the medication dosage information details e.g. dose, rate, site, route, etc.
↳ `text` | ✅ |  | 0..1 | `string` | Free text dosage instructions e.g. SIG Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.

The dosage instructions should reflect the dosage of the medication that was administered. |  |  |  |  |  |
| ↳ `route` | ✅ |  | 0..1 | `CodeableConcept` | Path of substance into body A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc. Binding: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.22` (extensible) — SNOMED CT and NCI Thesaurus SPL route of administration codes
| ↳ `dose` | ✅ |  | 0..1 | `Quantity` profile: http://hl7.org/fhir/StructureDefinition/SimpleQuantity|4.0.1 | Amount of medication per dose The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection. Binding: `http://hl7.org/fhir/ValueSet/ucum-common` (preferred)

    ## USCoreMedicationAdministrationProfile — US Core MedicationAdministration Profile

    The US Core MedicationAdministration Profile inherits from the FHIR [MedicationAdministration](https://hl7.org/fhir/R4/medicationadministration.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Medication Administration Data Element of the Medications Data Class*. It sets minimum expectations for the MedicationAdministration resource to record, search, and fetch information about medications administered to a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

    - **URL:** `http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationadministration`
    - **Version:** 0.1.0
    - **Status:** active
    - **Kind:** resource
    - **Type:** `MedicationAdministration`
    - **Base Definition:** `http://hl7.org/fhir/StructureDefinition/MedicationAdministration`
    - **Derivation:** constraint

    ### Elements (differential)

    | Element | Must Support | Add'l USCDI | Cardinality | Type | Description |
    |---|:---:|:---:|---|---|---|
    | `MedicationAdministration` |  |  | 0..* |  | **Administration of medication to a patient**<br/>Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner. |
    | <span style="padding-left: 1.5em;">↳</span> `status` | ✅ |  | 1..1 | `code` | **in-progress \| not-done \| on-hold \| completed \| entered-in-error \| stopped \| unknown**<br/>Will generally be set to show that the administration has been completed.  For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.<br/><span style="font-size: 0.85em;">**Binding:** `http://hl7.org/fhir/ValueSet/medication-admin-status\|4.0.1` (required) — A set of codes indicating the current status of a MedicationAdministration.</span> |
    | <span style="padding-left: 1.5em;">↳</span> `medication[x]` | ✅ |  | 1..1 | `CodeableConcept`<br/>`Reference`<br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication</span> | **What was administered**<br/>Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.<br/><span style="font-size: 0.85em;">**Binding:** `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` (extensible)</span> |
    | <span style="padding-left: 1.5em;">↳</span> `subject` | ✅ |  | 1..1 | `Reference`<br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient</span><br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/StructureDefinition/Group</span> | **Who received medication**<br/>The person or animal or group receiving the medication. |
    | <span style="padding-left: 1.5em;">↳</span> `effective[x]` | ✅ |  | 1..1 | `dateTime`<br/>`Period` | **Start and end time of administration**<br/>A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate. |
    | <span style="padding-left: 1.5em;">↳</span> `performer` | ✅ |  | 0..* | `BackboneElement` | **Who performed the medication administration and what they did**<br/>Indicates who or what performed the medication administration and how they were involved. |
    | <span style="padding-left: 3.0em;">↳</span> `actor` | ✅ |  | 1..1 | `Reference`<br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner</span><br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient</span><br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization</span><br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole</span><br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson</span><br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-device</span> | **Who performed the medication administration**<br/>Indicates who or what performed the medication administration. |
    | <span style="padding-left: 1.5em;">↳</span> `request` | ✅ |  | 0..1 | `Reference`<br/><span style="font-size: 0.85em;">target: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest</span> | **Request administration performed against**<br/>The original request, instruction or authority to perform the administration. |
    | <span style="padding-left: 1.5em;">↳</span> `dosage` | ✅ |  | 0..1 | `BackboneElement` | **Details of how medication was taken**<br/>Describes the medication dosage information details e.g. dose, rate, site, route, etc. |
    | <span style="padding-left: 3.0em;">↳</span> `text` | ✅ |  | 0..1 | `string` | **Free text dosage instructions e.g. SIG**<br/>Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.

    The dosage instructions should reflect the dosage of the medication that was administered. |
    | <span style="padding-left: 3.0em;">↳</span> `route` | ✅ |  | 0..1 | `CodeableConcept` | **Path of substance into body**<br/>A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient.  For example, topical, intravenous, etc.<br/><span style="font-size: 0.85em;">**Binding:** `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.22` (extensible) — SNOMED CT and NCI Thesaurus SPL route of administration codes</span> |
    | <span style="padding-left: 3.0em;">↳</span> `dose` | ✅ |  | 0..1 | `Quantity`<br/><span style="font-size: 0.85em;">profile: http://hl7.org/fhir/StructureDefinition/SimpleQuantity\|4.0.1</span> | **Amount of medication per dose**<br/>The amount of the medication given at one administration event.   Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.<br/><span style="font-size: 0.85em;">**Binding:** `http://hl7.org/fhir/ValueSet/ucum-common` (preferred)</span> |

Usages:

- Examples for this Profile: MedicationAdministration/dose-not-given, MedicationAdministration/inpatient-iv-cefazolin, MedicationAdministration/inprogress-vancomycin and MedicationAdministration/prn-acetaminophen-given

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
medication[x] | S Σ | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot) S | Group) | Who received medication
effective[x] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime S |
effectivePeriod |  |  | Period S |
performer | S Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | S Σ | 1..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile(9.0.0-ballot) | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile) | Who performed the medication administration
request | S | 0..1 | Reference(US Core MedicationRequest Profile) | Request administration performed against
dosage | S C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
route | S | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
dose | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Binding: Common UCUM units (preferred)
Additional Bindings | Purpose
UCUMCodes | Max Binding
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 | extensible | Medication Clinical Drug | 📦20240606 | VSAC v0.24
MedicationAdministration.​dosage.route | Base | extensible | Route of Administration of Therapeutic Agents | 📦20241015 | VSAC v0.24
MedicationAdministration.​dosage.dose | Base | preferred | Common UCUM units | 📦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()`

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
medication[x] | S | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot) S | Group) | Who received medication
effective[x] | S | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime S |
effectivePeriod |  |  | Period S |
performer | S | 0..* | BackboneElement | Who performed the medication administration and what they did
actor | S | 1..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile(9.0.0-ballot) | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile) | Who performed the medication administration
request | S | 0..1 | Reference(US Core MedicationRequest Profile) | Request administration performed against
dosage | S | 0..1 | BackboneElement | Details of how medication was taken
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
route | S | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
dose | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Binding: Common UCUM units (preferred)
Additional Bindings | Purpose
UCUMCodes | Max Binding
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​medication[x] | Base | extensible | Medication Clinical Drug | 📦20240606 | VSAC v0.24
MedicationAdministration.​dosage.route | Base | extensible | Route of Administration of Therapeutic Agents | 📦20241015 | VSAC v0.24
MedicationAdministration.​dosage.dose | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category |  | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot) S | 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 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime S |
effectivePeriod |  |  | Period S |
performer | S 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | S Σ | 1..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile(9.0.0-ballot) | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile) | 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 | S | 0..1 | Reference(US Core MedicationRequest Profile) | Request administration performed against
device |  | 0..* | Reference(Device) | Device used to administer
note |  | 0..* | Annotation | Information about the administration
dosage | S C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
site |  | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | S | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
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) | Amount of medication per dose Binding: Common UCUM units (preferred)
Additional Bindings | Purpose
UCUMCodes | Max Binding
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 | extensible | Medication Clinical Drug | 📦20240606 | VSAC v0.24
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 | extensible | Route of Administration of Therapeutic Agents | 📦20241015 | VSAC v0.24
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.dose | Base | preferred | Common UCUM units | 📦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()`

This structure is derived from MedicationAdministration

Summary

Must-Support: 11 elements

Structures

This structure refers to these other structures:

- US Core Medication Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)
- US Core Device Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-device)
- US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest)

Maturity: 3

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
medication[x] | S Σ | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot) S | Group) | Who received medication
effective[x] | S Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime S |
effectivePeriod |  |  | Period S |
performer | S Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
actor | S Σ | 1..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile(9.0.0-ballot) | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile) | Who performed the medication administration
request | S | 0..1 | Reference(US Core MedicationRequest Profile) | Request administration performed against
dosage | S C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
route | S | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
dose | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Binding: Common UCUM units (preferred)
Additional Bindings | Purpose
UCUMCodes | Max Binding
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 | extensible | Medication Clinical Drug | 📦20240606 | VSAC v0.24
MedicationAdministration.​dosage.route | Base | extensible | Route of Administration of Therapeutic Agents | 📦20241015 | VSAC v0.24
MedicationAdministration.​dosage.dose | Base | preferred | Common UCUM units | 📦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()`

Differential View

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
medication[x] | S | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot) S | Group) | Who received medication
effective[x] | S | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime S |
effectivePeriod |  |  | Period S |
performer | S | 0..* | BackboneElement | Who performed the medication administration and what they did
actor | S | 1..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile(9.0.0-ballot) | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile) | Who performed the medication administration
request | S | 0..1 | Reference(US Core MedicationRequest Profile) | Request administration performed against
dosage | S | 0..1 | BackboneElement | Details of how medication was taken
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
route | S | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
dose | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Binding: Common UCUM units (preferred)
Additional Bindings | Purpose
UCUMCodes | Max Binding
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​medication[x] | Base | extensible | Medication Clinical Drug | 📦20240606 | VSAC v0.24
MedicationAdministration.​dosage.route | Base | extensible | Route of Administration of Therapeutic Agents | 📦20241015 | VSAC v0.24
MedicationAdministration.​dosage.dose | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category |  | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x] | S Σ | 1..1 |  | What was administered Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(US Core Patient Profile(9.0.0-ballot) S | 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 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime S |
effectivePeriod |  |  | Period S |
performer | S 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | S Σ | 1..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile(9.0.0-ballot) | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile) | 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 | S | 0..1 | Reference(US Core MedicationRequest Profile) | Request administration performed against
device |  | 0..* | Reference(Device) | Device used to administer
note |  | 0..* | Annotation | Information about the administration
dosage | S C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | S | 0..1 | string | Free text dosage instructions e.g. SIG
site |  | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | S | 0..1 | CodeableConcept | Path of substance into body Binding: Route of Administration of Therapeutic Agents (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes
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) | Amount of medication per dose Binding: Common UCUM units (preferred)
Additional Bindings | Purpose
UCUMCodes | Max Binding
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 | extensible | Medication Clinical Drug | 📦20240606 | VSAC v0.24
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 | extensible | Route of Administration of Therapeutic Agents | 📦20241015 | VSAC v0.24
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.dose | Base | preferred | Common UCUM units | 📦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()`

This structure is derived from MedicationAdministration

Summary

Must-Support: 11 elements

Structures

This structure refers to these other structures:

- US Core Medication Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)
- US Core Device Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-device)
- US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest)

Maturity: 3

Other representations of profile: CSV, Excel, Schematron