PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

## Resource Profile: MedicationAdministration: Chemotherapy

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MedicationAdministration-eu-pcsp | Version: 1.0.0
Active as of 2025-10-16 | Computable Name: MedicationAdministrationPcsp

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

Usages:

- Use this Profile: Bundle: Survivor Passport
- Refer to this Profile: Composition: Survivor Passport
- Examples for this Profile: MedicationAdministration/ChemoHulafe-1-Ciclofosfamide, MedicationAdministration/ChemoHulafe-1-Citarabina, MedicationAdministration/ChemoHulafe-1-Metotrexato and MedicationAdministration/ChemoHulafe-1-Vincristina

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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:relatedCumulativeDose |  | 0..1 | (Complex) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
value[x] |  | 0..1 | Reference(Observation: Chemotherapy Cumulative Dose) | Value of extension
extension:location |  | 0..1 | (Complex) | Act Location URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location"
value[x] |  | 0..1 | Reference(Location: PCSP) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
Slices for medication[x] | Σ | 1..1 | CodeableConcept | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medication[x]:medicationCodeableConcept | S Σ | 1..1 | CodeableConcept | What was administered Binding: Antineoplastic and immunostimulating agents (extensible)
subject | Σ | 1..1 | Reference(Patient: PCSP) | Who received medication
Slices for effective[x] | Σ | 1..1 |  | When the chemotherapy was administered Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | S Σ | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
dose |  | 0..1 | SimpleQuantity(4.0.1) | Amount per dose
value | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
unit | S Σ | 0..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded form of the unit
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.
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | extensible | Antineoplastic and immunostimulating agents | 📦1.0.0 | This IG

#### Constraints

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

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  |  | MedicationAdministration |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:relatedCumulativeDose |  | 0..1 | (Complex) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
value[x] |  | 0..1 | Reference(Observation: Chemotherapy Cumulative Dose) | Value of extension
extension:location |  | 0..1 | (Complex) | Act Location URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
value[x] |  | 0..1 | Reference(Location: PCSP) | Value of extension
status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Slices for medication[x] |  | 1..1 | CodeableConcept | What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept | S | 1..1 | CodeableConcept | What was administered Binding: Antineoplastic and immunostimulating agents (extensible)
subject |  | 1..1 | Reference(Patient: PCSP) | Who received medication
Slices for effective[x] |  | 1..1 | dateTime, Period | When the chemotherapy was administered Slice: Unordered, Open by type:$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 |  |  |  |
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
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | extensible | Antineoplastic and immunostimulating agents | 📦1.0.0 | This IG

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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:relatedCumulativeDose |  | 0..1 | (Complex) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
value[x] |  | 0..1 | Reference(Observation: Chemotherapy Cumulative Dose) | Value of extension
extension:location |  | 0..1 | (Complex) | Act Location URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location"
value[x] |  | 0..1 | Reference(Location: PCSP) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category |  | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
Slices for medication[x] | Σ | 1..1 | CodeableConcept | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medication[x]:medicationCodeableConcept | S Σ | 1..1 | CodeableConcept | What was administered Binding: Antineoplastic and immunostimulating agents (extensible)
subject | Σ | 1..1 | Reference(Patient: PCSP) | Who received medication
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
Slices for effective[x] | Σ | 1..1 |  | When the chemotherapy was administered Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | S Σ | 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
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 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 | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
unit | S Σ | 0..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code | S Σ | 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
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.​medication[x]:medicationCodeableConcept | Base | extensible | Antineoplastic and immunostimulating agents | 📦1.0.0 | 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
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: 2 elements(3 nested mandatory elements)
Must-Support: 7 elements

Structures

This structure refers to these other structures:

- Observation: Chemotherapy Cumulative Dose (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-cumulativeDoseChemo-eu-pcsp)
- Location: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Location-eu-pcsp)
- Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
- Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)

Extensions

This structure refers to these extensions:

- http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
- http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location

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

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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:relatedCumulativeDose |  | 0..1 | (Complex) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
value[x] |  | 0..1 | Reference(Observation: Chemotherapy Cumulative Dose) | Value of extension
extension:location |  | 0..1 | (Complex) | Act Location URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location"
value[x] |  | 0..1 | Reference(Location: PCSP) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
Slices for medication[x] | Σ | 1..1 | CodeableConcept | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medication[x]:medicationCodeableConcept | S Σ | 1..1 | CodeableConcept | What was administered Binding: Antineoplastic and immunostimulating agents (extensible)
subject | Σ | 1..1 | Reference(Patient: PCSP) | Who received medication
Slices for effective[x] | Σ | 1..1 |  | When the chemotherapy was administered Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | S Σ | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
dose |  | 0..1 | SimpleQuantity(4.0.1) | Amount per dose
value | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
unit | S Σ | 0..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded form of the unit
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.
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | extensible | Antineoplastic and immunostimulating agents | 📦1.0.0 | This IG

#### Constraints

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

Differential View

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  |  | MedicationAdministration |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:relatedCumulativeDose |  | 0..1 | (Complex) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
value[x] |  | 0..1 | Reference(Observation: Chemotherapy Cumulative Dose) | Value of extension
extension:location |  | 0..1 | (Complex) | Act Location URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
value[x] |  | 0..1 | Reference(Location: PCSP) | Value of extension
status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Slices for medication[x] |  | 1..1 | CodeableConcept | What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept | S | 1..1 | CodeableConcept | What was administered Binding: Antineoplastic and immunostimulating agents (extensible)
subject |  | 1..1 | Reference(Patient: PCSP) | Who received medication
Slices for effective[x] |  | 1..1 | dateTime, Period | When the chemotherapy was administered Slice: Unordered, Open by type:$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 |  |  |  |
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
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationAdministration.​medication[x]:medicationCodeableConcept | Base | extensible | Antineoplastic and immunostimulating agents | 📦1.0.0 | This IG

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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:relatedCumulativeDose |  | 0..1 | (Complex) | Resource related information URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
value[x] |  | 0..1 | Reference(Observation: Chemotherapy Cumulative Dose) | Value of extension
extension:location |  | 0..1 | (Complex) | Act Location URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location"
value[x] |  | 0..1 | Reference(Location: PCSP) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!S Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason |  | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category |  | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
Slices for medication[x] | Σ | 1..1 | CodeableConcept | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medication[x]:medicationCodeableConcept | S Σ | 1..1 | CodeableConcept | What was administered Binding: Antineoplastic and immunostimulating agents (extensible)
subject | Σ | 1..1 | Reference(Patient: PCSP) | Who received medication
context |  | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
Slices for effective[x] | Σ | 1..1 |  | When the chemotherapy was administered Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | S Σ | 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
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 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 | S Σ | 1..1 | decimal | Numerical value (with implicit precision)
unit | S Σ | 0..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code | S Σ | 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
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.​medication[x]:medicationCodeableConcept | Base | extensible | Antineoplastic and immunostimulating agents | 📦1.0.0 | 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
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: 2 elements(3 nested mandatory elements)
Must-Support: 7 elements

Structures

This structure refers to these other structures:

- Observation: Chemotherapy Cumulative Dose (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Observation-cumulativeDoseChemo-eu-pcsp)
- Location: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Location-eu-pcsp)
- Patient: PCSP (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Patient-eu-pcsp)
- Condition: Primary Cancer (http://hl7.eu/fhir/ig/pcsp/StructureDefinition/Condition-primaryCancer-eu-pcsp)

Extensions

This structure refers to these extensions:

- http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
- http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location

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