IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build 150

IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. 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/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationAdministration: Chemotherapy

Official URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/MedicationAdministration-eu-i4rc Version: 0.1.0
Draft as of 2026-08-07 Computable Name: MedicationAdministrationI4rc

This profile defines how to represent MedicationAdministration in HL7 FHIR for describing Chemotherapy data for the purpose of the IDEA4RC project.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:sameHospital 0..1 boolean Same Hospital
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital
.... extension:outcome 0..1 CodeableConcept Medication Outcome
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/outcome
Binding: Treatment Response (preferred)
.... extension:intent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... extension:categoryR5 1..* (Complex) MedicationAdministration Category
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Type of Systemic Treatment (preferred)
Additional BindingsPurpose
Treatment Setting Preferred
Chemotherapy Info Preferred
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: Reason to End Treatment (required)
... Slices for medication[x] Σ 1..1 CodeableConcept What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept What was administered
Binding: Drugs for Systemic Treatment (required)
... subject Σ 1..1 Reference(Patient: IDEA4RC) Who received medication
... Slices for effective[x] Σ 1..1 When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod SΣ 0..1 Period Start and end time of administration
... reasonReference 1..1 Reference(Condition: Primary Cancer) Condition or observation that supports why the medication was administered
... dosage C 0..1 BackboneElement Details of how medication was taken
Constraints: mad-1
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:chemotherapyTiming 0..1 Timing Chemotherapy Timing
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/chemotherapy-timing
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dose 0..1 SimpleQuantity(4.0.1) Amount per dose
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​extension:categoryR5.​value[x] Base preferred Type of Systemic Treatment 📦0.1.0 This IG
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required Reason to End Treatment 📦0.1.0 This IG
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base required Drugs for Systemic Treatment 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration MedicationAdministration
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:sameHospital 0..1 boolean Same Hospital
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital
.... extension:outcome 0..1 CodeableConcept Medication Outcome
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/outcome
Binding: Treatment Response (preferred)
.... extension:intent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... extension:categoryR5 1..* (Complex) MedicationAdministration Category
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Type of Systemic Treatment (preferred)
Additional BindingsPurpose
Treatment Setting Preferred
Chemotherapy Info Preferred
... status S 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: Reason to End Treatment (required)
.... medication[x]:medicationCodeableConcept S 1..1 CodeableConcept What was administered
Binding: Drugs for Systemic Treatment (required)
... subject 1..1 Reference(Patient: IDEA4RC) Who received medication
... Slices for effective[x] 1..1 dateTime, Period When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effective[x]:effectivePeriod S 0..1 Period Start and end time of administration
... reasonReference 1..1 Reference(Condition: Primary Cancer) Condition or observation that supports why the medication was administered
... dosage
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:chemotherapyTiming 0..1 Timing Chemotherapy Timing
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/chemotherapy-timing
.... dose 0..1 SimpleQuantity(4.0.1) Amount per dose
..... value S 1..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation
..... system S 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code S 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​extension:categoryR5.​value[x] Base preferred Type of Systemic Treatment 📦0.1.0 This IG
MedicationAdministration.​statusReason Base required Reason to End Treatment 📦0.1.0 This IG
MedicationAdministration.​medication[x]:medicationCodeableConcept Base required Drugs for Systemic Treatment 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:sameHospital 0..1 boolean Same Hospital
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital
.... extension:outcome 0..1 CodeableConcept Medication Outcome
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/outcome
Binding: Treatment Response (preferred)
.... extension:intent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... extension:categoryR5 1..* (Complex) MedicationAdministration Category
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Type of Systemic Treatment (preferred)
Additional BindingsPurpose
Treatment Setting Preferred
Chemotherapy Info Preferred
... 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 ?!SΣ 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: Reason to End Treatment (required)
... 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 CodeableConcept What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept What was administered
Binding: Drugs for Systemic Treatment (required)
... subject Σ 1..1 Reference(Patient: IDEA4RC) Who received medication
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter or Episode of Care administered as part of
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... Slices for effective[x] Σ 1..1 When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod SΣ 0..1 Period Start and end time of administration
... 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 1..1 Reference(Condition: Primary Cancer) 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
Constraints: mad-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:chemotherapyTiming 0..1 Timing Chemotherapy Timing
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/chemotherapy-timing
.... 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 per dose
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​extension:categoryR5.​value[x] Base preferred Type of Systemic Treatment 📦0.1.0 This IG
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required Reason to End Treatment 📦0.1.0 This IG
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.​medication[x]:medicationCodeableConcept Base required Drugs for Systemic Treatment 📦0.1.0 This IG
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

This structure is derived from MedicationAdministration

Summary

Mandatory: 4 elements(3 nested mandatory elements)
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:sameHospital 0..1 boolean Same Hospital
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital
.... extension:outcome 0..1 CodeableConcept Medication Outcome
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/outcome
Binding: Treatment Response (preferred)
.... extension:intent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... extension:categoryR5 1..* (Complex) MedicationAdministration Category
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Type of Systemic Treatment (preferred)
Additional BindingsPurpose
Treatment Setting Preferred
Chemotherapy Info Preferred
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: Reason to End Treatment (required)
... Slices for medication[x] Σ 1..1 CodeableConcept What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept What was administered
Binding: Drugs for Systemic Treatment (required)
... subject Σ 1..1 Reference(Patient: IDEA4RC) Who received medication
... Slices for effective[x] Σ 1..1 When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod SΣ 0..1 Period Start and end time of administration
... reasonReference 1..1 Reference(Condition: Primary Cancer) Condition or observation that supports why the medication was administered
... dosage C 0..1 BackboneElement Details of how medication was taken
Constraints: mad-1
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:chemotherapyTiming 0..1 Timing Chemotherapy Timing
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/chemotherapy-timing
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dose 0..1 SimpleQuantity(4.0.1) Amount per dose
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​extension:categoryR5.​value[x] Base preferred Type of Systemic Treatment 📦0.1.0 This IG
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required Reason to End Treatment 📦0.1.0 This IG
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base required Drugs for Systemic Treatment 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration MedicationAdministration
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:sameHospital 0..1 boolean Same Hospital
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital
.... extension:outcome 0..1 CodeableConcept Medication Outcome
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/outcome
Binding: Treatment Response (preferred)
.... extension:intent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... extension:categoryR5 1..* (Complex) MedicationAdministration Category
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Type of Systemic Treatment (preferred)
Additional BindingsPurpose
Treatment Setting Preferred
Chemotherapy Info Preferred
... status S 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: Reason to End Treatment (required)
.... medication[x]:medicationCodeableConcept S 1..1 CodeableConcept What was administered
Binding: Drugs for Systemic Treatment (required)
... subject 1..1 Reference(Patient: IDEA4RC) Who received medication
... Slices for effective[x] 1..1 dateTime, Period When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effective[x]:effectivePeriod S 0..1 Period Start and end time of administration
... reasonReference 1..1 Reference(Condition: Primary Cancer) Condition or observation that supports why the medication was administered
... dosage
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:chemotherapyTiming 0..1 Timing Chemotherapy Timing
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/chemotherapy-timing
.... dose 0..1 SimpleQuantity(4.0.1) Amount per dose
..... value S 1..1 decimal Numerical value (with implicit precision)
..... unit S 0..1 string Unit representation
..... system S 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code S 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​extension:categoryR5.​value[x] Base preferred Type of Systemic Treatment 📦0.1.0 This IG
MedicationAdministration.​statusReason Base required Reason to End Treatment 📦0.1.0 This IG
MedicationAdministration.​medication[x]:medicationCodeableConcept Base required Drugs for Systemic Treatment 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:sameHospital 0..1 boolean Same Hospital
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/same-hospital
.... extension:outcome 0..1 CodeableConcept Medication Outcome
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/outcome
Binding: Treatment Response (preferred)
.... extension:intent 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... extension:categoryR5 1..* (Complex) MedicationAdministration Category
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationAdministration.category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: Type of Systemic Treatment (preferred)
Additional BindingsPurpose
Treatment Setting Preferred
Chemotherapy Info Preferred
... 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 ?!SΣ 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: Reason to End Treatment (required)
... 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 CodeableConcept What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept What was administered
Binding: Drugs for Systemic Treatment (required)
... subject Σ 1..1 Reference(Patient: IDEA4RC) Who received medication
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter or Episode of Care administered as part of
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... Slices for effective[x] Σ 1..1 When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectivePeriod SΣ 0..1 Period Start and end time of administration
... 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 1..1 Reference(Condition: Primary Cancer) 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
Constraints: mad-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:chemotherapyTiming 0..1 Timing Chemotherapy Timing
URL: http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/chemotherapy-timing
.... 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 per dose
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​extension:categoryR5.​value[x] Base preferred Type of Systemic Treatment 📦0.1.0 This IG
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required Reason to End Treatment 📦0.1.0 This IG
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.​medication[x]:medicationCodeableConcept Base required Drugs for Systemic Treatment 📦0.1.0 This IG
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

This structure is derived from MedicationAdministration

Summary

Mandatory: 4 elements(3 nested mandatory elements)
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron