Finnish Base Profiles
2.0.0 - release

Finnish Base Profiles, published by HL7 Finland. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-fi/finnish-base-profiles/ and changes regularly. See the Directory of published versions

## Resource Profile: FI Base MedicationAdministration

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-administration | Version: 2.0.0
Active as of 2025-10-05 | Computable Name: FiBaseMedicationAdministration

This is the Finnish base profile for the MedicationAdministration resource.

### Scope and Usage

The FI Base MedicationAdministration profile requires that references from the MedicationAdministration resource to other resources are to resources that also conform to the Finnish Base Profiles.

This profile can be used to ensure greater compatibility, but it should not be expected that all MedicationAdministrations within the Finnish healthcare IT ecosystem conform to this profile.

This implementation guide does present examples of the MedicationAdministration resource being used in Finnish context.

See also the Medication Codes section on the terminology page of this guide, and the Medications Module of the main FHIR specification.

For all medication related resources (Medication, MedicationAdministration, MedicationRequest, MedicationStatement), please also see the Prescription project and the related implementation guide of the Kanta system. That project contains useful definitions, examples, and sequence descriptions (mostly in Finnish).

Usages:

- Refer to this Profile: FI Base MedicationAdministration, FI Base MedicationStatement, FI Base Observation, Fi Base Procedure... Show 4 more, FI Base MedicationAdministration, FI Base MedicationStatement, FI Base Observation and Fi Base Procedure

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
partOf | Σ | 0..* | Reference(Fi Base Procedure(2.0.0) | FI Base MedicationAdministration(2.0.0)) | 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.
Slices for medication[x] | Σ | 1..1 |  | What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(FI Base Medication(2.0.0)) | What was administered
subject | Σ | 1..1 | Reference(FI Base Patient(2.0.0) | Group) | Who received medication
context |  | 0..1 | Reference(FI Base Encounter(2.0.0) | FI Base EpisodeOfCare(2.0.0)) | Encounter or Episode of Care administered as part of
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
reasonReference |  | 0..* | Reference(FI Base Condition(2.0.0) | FI Base Observation(2.0.0) | DiagnosticReport) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(FI Base MedicationRequest(2.0.0)) | Request administration performed against
eventHistory |  | 0..* | Reference(FI Base Provenance(2.0.0)) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.

#### 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()`

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
partOf |  | 0..* | Reference(Fi Base Procedure(2.0.0) | FI Base MedicationAdministration(2.0.0)) | Part of referenced event
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationReference |  | 0..1 | Reference(FI Base Medication(2.0.0)) | What was administered
subject |  | 1..1 | Reference(FI Base Patient(2.0.0) | Group) | Who received medication
context |  | 0..1 | Reference(FI Base Encounter(2.0.0) | FI Base EpisodeOfCare(2.0.0)) | Encounter or Episode of Care administered as part of
performer |  |  |  |
actor |  | 1..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device) | Who performed the medication administration
reasonReference |  | 0..* | Reference(FI Base Condition(2.0.0) | FI Base Observation(2.0.0) | DiagnosticReport) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(FI Base MedicationRequest(2.0.0)) | Request administration performed against
eventHistory |  | 0..* | Reference(FI Base Provenance(2.0.0)) | A list of events of interest in the lifecycle
Documentation for this format

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(Fi Base Procedure(2.0.0) | FI Base MedicationAdministration(2.0.0)) | 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.
Slices for medication[x] | Σ | 1..1 |  | What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(FI Base Medication(2.0.0)) | What was administered
subject | Σ | 1..1 | Reference(FI Base Patient(2.0.0) | Group) | Who received medication
context |  | 0..1 | Reference(FI Base Encounter(2.0.0) | FI Base EpisodeOfCare(2.0.0)) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
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(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | 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(FI Base Condition(2.0.0) | FI Base Observation(2.0.0) | DiagnosticReport) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(FI Base MedicationRequest(2.0.0)) | 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 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 |  | 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(4.0.1) | Amount of medication per dose
rate[x] |  | 0..1 |  | Dose quantity per unit of time
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
eventHistory |  | 0..* | Reference(FI Base Provenance(2.0.0)) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Summary

Structures

This structure refers to these other structures:

- Fi Base Procedure (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-procedure)
- FI Base MedicationAdministration (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-administration)
- FI Base Medication (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication)
- FI Base Patient (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-patient)
- FI Base Encounter (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-encounter)
- FI Base EpisodeOfCare (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-episode-of-care)
- FI Base Practitioner (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner)
- FI Base PractitionerRole (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner-role)
- FI Base Condition (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-condition)
- FI Base Observation (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-observation)
- FI Base MedicationRequest (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-request)
- FI Base Provenance (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-provenance)

Slices

This structure defines the following Slices:

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

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
partOf | Σ | 0..* | Reference(Fi Base Procedure(2.0.0) | FI Base MedicationAdministration(2.0.0)) | 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.
Slices for medication[x] | Σ | 1..1 |  | What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(FI Base Medication(2.0.0)) | What was administered
subject | Σ | 1..1 | Reference(FI Base Patient(2.0.0) | Group) | Who received medication
context |  | 0..1 | Reference(FI Base Encounter(2.0.0) | FI Base EpisodeOfCare(2.0.0)) | Encounter or Episode of Care administered as part of
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
reasonReference |  | 0..* | Reference(FI Base Condition(2.0.0) | FI Base Observation(2.0.0) | DiagnosticReport) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(FI Base MedicationRequest(2.0.0)) | Request administration performed against
eventHistory |  | 0..* | Reference(FI Base Provenance(2.0.0)) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.

#### 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()`

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
partOf |  | 0..* | Reference(Fi Base Procedure(2.0.0) | FI Base MedicationAdministration(2.0.0)) | Part of referenced event
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationReference |  | 0..1 | Reference(FI Base Medication(2.0.0)) | What was administered
subject |  | 1..1 | Reference(FI Base Patient(2.0.0) | Group) | Who received medication
context |  | 0..1 | Reference(FI Base Encounter(2.0.0) | FI Base EpisodeOfCare(2.0.0)) | Encounter or Episode of Care administered as part of
performer |  |  |  |
actor |  | 1..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device) | Who performed the medication administration
reasonReference |  | 0..* | Reference(FI Base Condition(2.0.0) | FI Base Observation(2.0.0) | DiagnosticReport) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(FI Base MedicationRequest(2.0.0)) | Request administration performed against
eventHistory |  | 0..* | Reference(FI Base Provenance(2.0.0)) | A list of events of interest in the lifecycle
Documentation for this format

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(Fi Base Procedure(2.0.0) | FI Base MedicationAdministration(2.0.0)) | 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.
Slices for medication[x] | Σ | 1..1 |  | What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(FI Base Medication(2.0.0)) | What was administered
subject | Σ | 1..1 | Reference(FI Base Patient(2.0.0) | Group) | Who received medication
context |  | 0..1 | Reference(FI Base Encounter(2.0.0) | FI Base EpisodeOfCare(2.0.0)) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
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(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | 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(FI Base Condition(2.0.0) | FI Base Observation(2.0.0) | DiagnosticReport) | Condition or observation that supports why the medication was administered
request |  | 0..1 | Reference(FI Base MedicationRequest(2.0.0)) | 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 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 |  | 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(4.0.1) | Amount of medication per dose
rate[x] |  | 0..1 |  | Dose quantity per unit of time
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
eventHistory |  | 0..* | Reference(FI Base Provenance(2.0.0)) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationAdministration.​status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std.
MedicationAdministration.​dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] | `dose.exists() or rate.exists()`

This structure is derived from MedicationAdministration

Summary

Structures

This structure refers to these other structures:

- Fi Base Procedure (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-procedure)
- FI Base MedicationAdministration (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-administration)
- FI Base Medication (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication)
- FI Base Patient (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-patient)
- FI Base Encounter (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-encounter)
- FI Base EpisodeOfCare (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-episode-of-care)
- FI Base Practitioner (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner)
- FI Base PractitionerRole (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-practitioner-role)
- FI Base Condition (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-condition)
- FI Base Observation (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-observation)
- FI Base MedicationRequest (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-request)
- FI Base Provenance (https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-provenance)

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron