ACT-NOW Implementation Guide, published by Te aho o te kahu - Cancer Control Agency. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/davidhay25/actnow/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
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Resource Profile: ACT-NOW medication administration

ACT-NOW medication administration. These are medications that were actually administered.

Usage:

• Examples for this Resource Profile: MedicationAdministration/medicationadministration-1

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
cycle-day		0..1	(Complex)	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-day
prescribed-dose		1..1	Dosage	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-prescribed-dose
dose-adjustment-reason		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-dose-adjustment-reason Binding: Dose adjustment reason (preferred)
facility-administered		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-facility-administered
identifier		1..*	Identifier	External identifier
medication[x]		1..1	CodeableConcept	What was administered
supportingInformation		1..*	Reference(Resource)	Additional information to support administration
effective[x]		1..1	Period	Start and end time of administration
start		1..1	dateTime	Starting time with inclusive boundary
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
cycle-day		0..1	(Complex)	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-day ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
prescribed-dose		1..1	Dosage	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-prescribed-dose ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dose-adjustment-reason		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-dose-adjustment-reason Binding: Dose adjustment reason (preferred) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
facility-administered		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-facility-administered ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier		1..*	Identifier	External identifier ele-1: All FHIR elements must have a @value or children
status	?!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. ele-1: All FHIR elements must have a @value or children
medication[x]	Σ	1..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient | Group)	Who received medication ele-1: All FHIR elements must have a @value or children
supportingInformation		1..*	Reference(Resource)	Additional information to support administration ele-1: All FHIR elements must have a @value or children
effective[x]	Σ	1..1	Period	Start and end time of administration ele-1: All FHIR elements must have a @value or children
start	ΣC	1..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
cycle-day		0..1	(Complex)	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-day
prescribed-dose		1..1	Dosage	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-prescribed-dose
dose-adjustment-reason		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-dose-adjustment-reason Binding: Dose adjustment reason (preferred)
facility-administered		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-facility-administered
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!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]	Σ	1..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be 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		1..*	Reference(Resource)	Additional information to support administration
effective[x]	Σ	1..1	Period	Start and end time of administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
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
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	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		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered
request		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage	C	0..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
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		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route		0..1	CodeableConcept	Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose		0..1	SimpleQuantity	Amount of medication per dose
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	Conformance	ValueSet	URI
MedicationAdministration.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.category	preferred	MedicationAdministration Category Codes http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Mandatory: 5 elements

Extensions

This structure refers to these extensions:

• http://canshare.co.nz/fhir/StructureDefinition/an-cycle-day
• http://canshare.co.nz/fhir/StructureDefinition/an-prescribed-dose
• http://canshare.co.nz/fhir/StructureDefinition/an-dose-adjustment-reason
• http://canshare.co.nz/fhir/StructureDefinition/an-facility-administered

Differential View

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
cycle-day		0..1	(Complex)	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-day
prescribed-dose		1..1	Dosage	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-prescribed-dose
dose-adjustment-reason		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-dose-adjustment-reason Binding: Dose adjustment reason (preferred)
facility-administered		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-facility-administered
identifier		1..*	Identifier	External identifier
medication[x]		1..1	CodeableConcept	What was administered
supportingInformation		1..*	Reference(Resource)	Additional information to support administration
effective[x]		1..1	Period	Start and end time of administration
start		1..1	dateTime	Starting time with inclusive boundary
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
cycle-day		0..1	(Complex)	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-day ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
prescribed-dose		1..1	Dosage	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-prescribed-dose ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dose-adjustment-reason		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-dose-adjustment-reason Binding: Dose adjustment reason (preferred) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
facility-administered		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-facility-administered ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier		1..*	Identifier	External identifier ele-1: All FHIR elements must have a @value or children
status	?!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. ele-1: All FHIR elements must have a @value or children
medication[x]	Σ	1..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Patient | Group)	Who received medication ele-1: All FHIR elements must have a @value or children
supportingInformation		1..*	Reference(Resource)	Additional information to support administration ele-1: All FHIR elements must have a @value or children
effective[x]	Σ	1..1	Period	Start and end time of administration ele-1: All FHIR elements must have a @value or children
start	ΣC	1..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
cycle-day		0..1	(Complex)	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-cycle-day
prescribed-dose		1..1	Dosage	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-prescribed-dose
dose-adjustment-reason		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-dose-adjustment-reason Binding: Dose adjustment reason (preferred)
facility-administered		0..1	CodeableConcept	Extension URL: http://canshare.co.nz/fhir/StructureDefinition/an-facility-administered
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!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]	Σ	1..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be 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		1..*	Reference(Resource)	Additional information to support administration
effective[x]	Σ	1..1	Period	Start and end time of administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
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
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	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		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered
request		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage	C	0..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
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		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route		0..1	CodeableConcept	Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose		0..1	SimpleQuantity	Amount of medication per dose
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	Conformance	ValueSet	URI
MedicationAdministration.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.category	preferred	MedicationAdministration Category Codes http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Mandatory: 5 elements

Extensions

This structure refers to these extensions:

• http://canshare.co.nz/fhir/StructureDefinition/an-cycle-day
• http://canshare.co.nz/fhir/StructureDefinition/an-prescribed-dose
• http://canshare.co.nz/fhir/StructureDefinition/an-dose-adjustment-reason
• http://canshare.co.nz/fhir/StructureDefinition/an-facility-administered

Other representations of profile: CSV, Excel, Schematron